scholarly journals Psychiatric Comorbidity in Droup Out from Educational Attainment Attending Tertiary Care Hospital

2018 ◽  
Vol 26 ◽  
pp. 38-42
Author(s):  
MS Islam ◽  
SMAA Mamun ◽  
AA Mamun Hossain
Keyword(s):  
Substance Use ◽  
Secondary Education ◽  
Mental Disorders ◽  
Substance Use Disorders ◽  
Primary Education ◽  
Impulse Control ◽  
Psychiatric Comorbidity ◽  
Tertiary Education ◽  
Tertiary Care ◽  
Higher Secondary Education

Background: Studies of the impact of mental disorders on educational attainment are rare. Mental disorders, those beginning in childhood or adolescence may increase the risk of early droup out from education. The latter has been shown to have adverse life-course consequences on individuals such as greater demand on social welfare entitlements.Objective: To find out socio-demographic status and psychiatric comorbidity profile of patients with education droup out.Design: Descriptive cross sectional study.Setting: All cases were selected from patients attending at Comilla Medical College hospital and Tertiary Care hospitals in Comilla City from August 2014 to April 2015.Methods: A total of 50 droup out patients aged 10 to 30 years who fullfiled the enrolment criteria included in the study. A semi structural questionnaire, DSM-5 and ICD-10 have been used as research instruments. The Frequency tables, summary tables and appropriate graphs were prepared to describe the population characteristics and study finding.Result: Total 62 participants were approach for interview. Considering inclusion and exclusion criteria finally 50 patients were selected for the study. In this study, anxiety disorders was 8%, behaviour/ impulse control disorders was 8%, mood disorders was 16%, substance use disorders was 24%, schizophrenia spectrum disorders was 12% and composite psychiatric disorders was 32%. Among droup out patient’s non- completion of primary education was 14%, non- completion of secondary education was 20%, non- completion of higher secondary education was 24%, not entry to tertiary education was 12% and non- completion of tertiary education was 30%. Among behaviour/impulse control disorders non- completion of primary education was 6%, substance use disorders non- completion of higher secondary education was 10%, mood disorder both non- completion of higher secondary education and non- completion of tertiary education were 6%. Among composite psychiatric disorders non- completion of secondary education, non- completion of higher secondary education and non- completion of tertiary education were 8%, 6% and 12% respectively. Socioeconomic status represented the homogenous result in this study. Most of the psychiatric morbidity was male (62%) and age group of 18-24 years (54%).Conclusion: Onset of mental disorder and subsequent droup out from education that was found in this study. Further multi-centered prospective and population-based studies should be desined to fint out the exact situation.TAJ 2013; 26: 38-42

scholarly journals Mental disorders and termination of education in high-income and low- and middle-income countries: epidemiological study

2009 ◽  
Vol 194 (5) ◽  
pp. 411-417 ◽  
Author(s):  
S. Lee ◽  
A. Tsang ◽  
J. Breslau ◽  
S. Aguilar-Gaxiola ◽  
M. Angermeyer ◽  
...  
Keyword(s):  
Substance Use ◽  
Secondary Education ◽  
Mental Disorders ◽  
Mental Disorder ◽  
Substance Use Disorders ◽  
Impulse Control ◽  
Impulse Control Disorders ◽  
High Income ◽  
Early Termination ◽  
Middle Income

BackgroundStudies of the impact of mental disorders on educational attainment are rare in both high-income and low- and middle-income (LAMI) countries.AimsTo examine the association between early-onset mental disorder and subsequent termination of education.MethodSixteen countries taking part in the World Health Organization World Mental Health Survey Initiative were surveyed with the Composite International Diagnostic Interview (n=41 688). Survival models were used to estimate associations between DSM–IV mental disorders and subsequent non-attainment of educational milestones.ResultsIn high-income countries, prior substance use disorders were associated with non-completion at all stages of education (OR 1.4–15.2). Anxiety disorders (OR=1.3), mood disorders (OR=1.4) and impulse control disorders (OR=2.2) were associated with early termination of secondary education. In LAMI countries, impulse control disorders (OR=1.3) and substance use disorders (OR=1.5) were associated with early termination of secondary education.ConclusionsOnset of mental disorder and subsequent non-completion of education are consistently associated in both high-income and LAMI countries.

Epidemiology and Phenomenology of Compulsive Buying Disorder

2012 ◽  
Author(s):  
Donald W. Black
Keyword(s):  
Substance Use ◽  
Substance Use Disorders ◽  
Impulse Control ◽  
Psychiatric Comorbidity ◽  
Clinical Symptoms ◽  
Compulsive Buying ◽  
Buying Behavior ◽  
Axis Ii ◽  
Women Subjects ◽  
Compulsive Buying Disorder

Compulsive buying disorder (CBD) is defined as excessive shopping cognitions and buying behavior that leads to distress or impairment. This chapter presents an overview of its definition and recognition, clinical symptoms, epidemiology, natural history, and both cultural and family factors. Compulsive buying disorder is found worldwide and has a lifetime prevalence of 5.8% in the U.S. general population. The disorder has a female preponderance, has an onset in the late teen years or early 20s, appears to be chronic or recurrent, and occurs mainly in women. Subjects with CBD report a preoccupation with shopping, prepurchase tension or anxiety, and a sense of relief following a purchase. Compulsive buying disorder is associated with significant psychiatric comorbidity, particularly mood and anxiety disorders, substance use disorders, eating disorders, other disorders of impulse control, and Axis II disorders, although there is no special “shopping” personality. The disorder tends to run in families, and these families are filled with mood and substance use disorders.

scholarly journals Co -occurring Mental Disorders among In-patients in a Substance use Disorder Treatment Center in Plateau State, Nigeria

2020 ◽  
Vol 3 (1) ◽  
pp. 223-229
Author(s):  
D M Makput
Keyword(s):  
Substance Use ◽  
Drug Abuse ◽  
Mental Disorders ◽  
Substance Use Disorders ◽  
Substance Use Disorder ◽  
Addiction Treatment ◽  
Treatment Center ◽  
Post Traumatic Stress ◽  
Functional Abnormality ◽  
Plateau State

Patients with psychoactive substance use disorders (SUD) often have co- occurring medical and mental disorders. This occurs as a result of a number of factors, for instance, drug abuse may facilitate the full expression of a latent psychiatric disorder; mental disorder may lead to SUD (drugs used for self- medication; or both SUD and mental disorders are caused by the same underlying brain deficit such as genetic vulnerability, neurotransmitter abnormality, structural or functional abnormality, and so on. After obtaining ethical clearance, the case notes of all patients who were admitted in the Centre for Addiction Treatment and Research, (CATR) Vom, Plateau state throughout the first quarter of year 2019 were traced. A systematic random sample of every third consecutive patient was selected beginning with the first patient admitted and relevant data were collected and analyzed. A total of fourty- eight (48) in-patients were analyzed. Ninety -four percent (94%) of the patients were males, the mean age of 23.6 + 5 years with 46% being below 25 years of age. Fourty-six percent (46%) had cannabis as their primary drug followed by alcohol (32%) and opioids (28%). Only 1 % had a history of injecting drug use. Twenty-nine percent (29%) of the SUD patients had co-occurring depression, nine percent (8%) had anxiety disorder, and five percent (4%) had Post Traumatic Stress Disorder (PTSD) in addition to their substance use disorder. In line with sustainable development goals (SDG) goal 3.5 which seeks to “strengthen prevention and treatment of substance abuse including narcotics drug abuse and harmful use of alcohol”; identifying co-occurring mental disorders among patients with substance use disorders is one way of moving closer towards achieving this SDG.

Frequent use of emergency departments for mental and substance use disorders

2018 ◽  
Vol 35 (4) ◽  
pp. 220-225 ◽  
Author(s):  
Karen Urbanoski ◽  
Joyce Cheng ◽  
Jürgen Rehm ◽  
Paul Kurdyak
Keyword(s):  
Substance Use ◽  
Mental Disorders ◽  
Substance Use Disorders ◽  
Service Use ◽  
Secondary Analysis ◽  
Mental Healthcare ◽  
Specialist Care ◽  
Ed Visits ◽  
Administrative Health Databases

ObjectivesWe described the population of people who frequently use ED for mental disorders, delineating differences by the number of visits for substance use disorders (SUDs), and predicted the receipt of follow-up services and 2-year mortality by the level of ED use for SUD.MethodsThis retrospective observational study included all Ontario residents 15 years and older who had five or more ED visits during any 12-month period from 2010 to 2012 (n=263 346). The study involved a secondary analysis of administrative health databases capturing emergency, hospital and ambulatory care. Frequent ED users for mental disorders (n=5416) were grouped into nested categories based on the number of ED visits for SUD. Logistic regression was used to examine group differences in the receipt of follow-up services and mortality, controlling for sociodemographics, comorbidities and past service use.ResultsThe majority of frequent ED users for mental disorders had at least one ED visit for SUD, most commonly involving alcohol. Relative to people with no visits for SUD, those with ED visits for SUD were older and more likely to be men (Ps <0.001). As the number of ED visits for SUD increased, the likelihood of receiving follow-up care, particularly specialist mental healthcare, declined while 2-year mortality steadily increased (Ps <0.001). These associations remained after controlling for comorbidities and past service use.ConclusionsFindings highlight disparities in the receipt of specialist care based on use of ED services for SUD, coupled with a greater mortality risk. There is a need for policies and procedures to help address unmet needs for care and to connect members of this vulnerable subgroup with services that are better able to support recovery and improve survival.

scholarly journals A Comparative Study of Psychiatric Comorbidity in Male Adolescents with Substance use Disorders and Male Adolescents with Conduct Disorder

2000 ◽  
Vol 23 (1) ◽  
pp. 41-46
Author(s):  
Anrn Selvanayagam, D ◽  
Balm Ponmani Stephen ◽  
Senthil Kumar M ◽  
Suresh Kumar M ◽  
Raj Kumar R ◽  
...  
Keyword(s):  
Substance Use ◽  
Conduct Disorder ◽  
Comparative Study ◽  
Substance Use Disorders ◽  
Psychiatric Comorbidity ◽  
Male Adolescents

scholarly journals Patients with stroke and psychiatric comorbidities have lower carotid revascularization rates

Neurology ◽  
2019 ◽  
Vol 92 (22) ◽  
pp. e2514-e2521 ◽  
Author(s):  
Diana M. Bongiorno ◽  
Gail L. Daumit ◽  
Rebecca F. Gottesman ◽  
Roland Faigle
Keyword(s):  
Mental Illness ◽  
Substance Use ◽  
Carotid Stenosis ◽  
Substance Use Disorders ◽  
Psychiatric Comorbidity ◽  
Cross Sectional ◽  
Psychiatric Comorbidities ◽  
Lower Odds ◽  
Carotid Revascularization ◽  
Psychiatric Conditions

ObjectiveWe investigated whether mental illness is associated with lower rates of carotid endarterectomy (CEA)/carotid artery stenting (CAS) after stroke due to carotid stenosis.MethodsIn this retrospective cross-sectional study, ischemic stroke cases due to carotid stenosis were identified in the 2007–2014 Nationwide (National) Inpatient Sample. Psychiatric conditions were identified by secondary ICD-9-CM diagnosis codes for schizophrenia/psychoses, bipolar disorder, depression, anxiety, or substance use disorders. Using logistic regression, we tested the association between psychiatric conditions and CEA/CAS, controlling for demographic, clinical, and hospital factors.ResultsAmong 37,474 included stroke cases, 6,922 (18.5%) had a psychiatric comorbidity. The presence of any psychiatric condition was associated with lower odds of CEA/CAS (adjusted odds ratio [OR] 0.84, 95% confidence interval [CI] 0.78–0.90). Schizophrenia/psychoses (OR 0.72, 95% CI 0.55–0.93), depression (OR 0.83, 95% CI 0.75–0.91), and substance use disorders (OR 0.73, 95% CI 0.65–0.83) were each associated with lower odds of CEA/CAS. The association of mental illness and CEA/CAS was dose-dependent: compared to patients without mental illness, patients with multiple psychiatric comorbidities (OR 0.74, 95% CI 0.62–0.87) had lower odds of CEA/CAS than those with only one psychiatric comorbidity (OR 0.86, 95% CI 0.79–0.92; p value for trend <0.001).ConclusionThe odds of carotid revascularization after stroke is lower in patients with mental illness, particularly those with schizophrenia/psychoses, depression, substance use disorders, and multiple psychiatric diagnoses.

Prevalence and Severity of Psychiatric Comorbidities

2018 ◽  
Author(s):  
Stephanie Yarnell ◽  
Ellen Edens
Keyword(s):  
Substance Use ◽  
Substance Use Disorders ◽  
Impulse Control ◽  
Clinical Case ◽  
Psychiatric Comorbidities ◽  
National Comorbidity Survey Replication ◽  
Psychiatric Conditions ◽  
Study Intervention ◽  
Landmark Study

Chapter 20—The Prevalence and Severity of Psychiatric Comorbidities provides a summary of a landmark study in epidemiology, the The National Comorbidity Survey Replication (NCS-R). This chapter study sought to answer some fundamental questions. How common are comorbid psychiatric conditions? What are the prevalence and severity rates for comorbid anxiety, mood, impulse control, and substance use disorders? Starting with these questions, this chapter describes the basics of the study, including funding, study location, who was studied, how many patients, study design, study intervention, follow-up, endpoints, results, and criticism and limitations. The chapter briefly reviews other relevant studies and information, discusses implications, and concludes with a relevant clinical case.

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