scholarly journals Occurrence of comorbid substance use disorders among acute psychiatric inpatients at Stikland Hospital in the Western Cape, South Africa

2009 ◽  
Vol 12 (3) ◽  
Author(s):  
L Weich ◽  
W Pienaar
Author(s):  
Deborah Louise Sinclair ◽  
Steve Sussman ◽  
Maarten De Schryver ◽  
Cedric Samyn ◽  
Sabirah Adams ◽  
...  

The dynamics of substitute behaviors and associated factors remain poorly understood globally, and particularly in low- and middle-income contexts. This prospective study describes the prevalence and types of substitute behaviors as well as predictors, correlates, and motivations associated with substitution in persons (n = 137) admitted to residential substance use treatment in the Western Cape province of South Africa. The brief assessment of recovery capital, overall life satisfaction scale, and an adapted version of the addiction matrix self-report measure were completed during and post-treatment. Results indicate that substitutes were employed consciously for anticipated appetitive effects, for time-spending, (re)connecting with others, and enjoyment. At follow-up, 36% of service users had substituted their primary substance(s) with another substance or behavior; 23% had relapsed and 40% had maintained abstinence. While some service users may be especially vulnerable to developing substitute behaviors, targeted prevention and intervention efforts can reduce this risk.


2016 ◽  
Vol 2016 ◽  
pp. 1-3 ◽  
Author(s):  
Dennis Dombrowski ◽  
Nelly Norrell ◽  
Suzanne Holroyd

Objective. There is a paucity of research on substance use disorders (SUDs) in the elderly psychiatric population. This study examines SUDs in a geriatric psychiatry inpatient service over a 10-year period.Methods. Data from 1788 elderly psychiatric inpatients from a ten-year period was collected. Variables collected included psychiatric diagnoses, SUD, number of psychiatric admissions, and length of stay. Those with and without a SUD were compared using Chi-Square or Student’st-test as appropriate using SPSS.Results. 11.7% (N=210) of patients had a SUD, and the most common substance was alcohol at 73.3% (N=154) or 8.6% of all admissions. Other SUDs were sedative-hypnotics (11%), opiate (2.9%), cannabis (1%), tobacco (1.4%), and unspecified SUD (38.6%). SUD patients were significantly younger, divorced, male, and less frequently readmitted and had shorter lengths of stay. The most common comorbid diagnoses were major depression (26.1%), bipolar disorder (10.5%), and dementia (17.1%).Conclusions. Over 10% of psychogeriatric admissions were associated with a SUD, with alcohol being the most common. Considering the difficulties in diagnosing SUD in this population and the retrospective study design, the true prevalence in elderly psychiatric inpatients is likely higher. This study adds to sparse literature on SUD in elderly psychiatric patients.


2012 ◽  
Vol 59 (8) ◽  
pp. 757-764 ◽  
Author(s):  
Karel Frasch ◽  
Jens Ivar Larsen ◽  
Joachim Cordes ◽  
Bent Jacobsen ◽  
Signe Olrik Wallenstein Jensen ◽  
...  

2015 ◽  
Vol 70 (3) ◽  
pp. 161-166 ◽  
Author(s):  
Steinn Steingrímsson ◽  
Martin I. Sigurdsson ◽  
Thor Aspelund ◽  
Sigmundur Sigfússon ◽  
Andrés Magnússon

1994 ◽  
Vol 182 (3) ◽  
pp. 164-167 ◽  
Author(s):  
ANTHONY F. LEHMAN ◽  
C PATRICK MYERS ◽  
ERIC CORTY ◽  
JAMES THOMPSON

2018 ◽  
Vol 54 (8) ◽  
pp. 1146-1153 ◽  
Author(s):  
D. M. Coviello ◽  
R. Lovato ◽  
K. Apostol ◽  
M. M. Eisenberg ◽  
D. S. Metzger ◽  
...  

2008 ◽  
Vol 192 (2) ◽  
pp. 112-117 ◽  
Author(s):  
Dan J. Stein ◽  
Soraya Seedat ◽  
Allen Herman ◽  
Hashim Moomal ◽  
Steven G. Heeringa ◽  
...  

BackgroundData on the lifetime prevalence of psychiatric disorders in South Africa are of interest, not only for the purposes of developing evidence-based mental health policy, but also in view of South Africa's particular historical and demographic circumstances.MethodA nationally representative household survey was conducted between 2002 and 2004 using the World Health Organization Composite International Diagnostic Interview (CIDI) to generate diagnoses. The data-set analysed included 4351 adult South Africans of all ethnic groups.ResultsLifetime prevalence of DSM–IV/CIDI disorders was determined for anxiety disorders (15.8%), mood disorders (9.8%), substance use disorders (13.4%) and any disorder (30.3%). Lifetime prevalence of substance use disorders differed significantly across ethnic groups. Median age at onset was earlier for substance use disorders (21 years) than for anxiety disorders (32 years) or mood disorders (37 years).ConclusionsIn comparison with data from other countries, South Africa has a particularly high lifetime prevalence of substance use disorders. These disorders have an early age at onset, providing an important target for the planning of local mental health services.


2017 ◽  
Vol 33 (2) ◽  
pp. e323-e329
Author(s):  
Scott D. Lane ◽  
Sabrina C. da Costa ◽  
Antonio L. Teixeira ◽  
Charles F. Reynolds ◽  
Breno S. Diniz

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