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Co-occurring mental and substance abuse disorders: a review on the potential predictors and clinical outcomes.

12:19 EDT 19th May 2013 | BioPortfolio

Summary of "Co-occurring mental and substance abuse disorders: a review on the potential predictors and clinical outcomes."

This article reviews the literature on co-occurring mental disorders and substance use disorders. The co-occurrence of mental disorders with substance use disorders presents a major challenge to those who provide psychiatric services. Despite the clinical and social burdens caused by this complex problem, research in this area is still insufficient. We found 18 studies showing potential predictors of co-occurring disorders (COD). Poor outcomes have been associated with: (i) COD compared to single disorders and (ii) COD with prior mental disorder compared to COD with prior substance use disorders. Poorer outcomes were reported for substance use disorder patients with comorbid major depressive disorder, and patients with substance use disorder and post-traumatic stress disorder. Furthermore, more negative outcomes were related to COD patients with temporally prior onset of mood disorders. Comorbidity between major depressive disorder or post-traumatic stress disorder and substance use disorder is suggested in the literature as a potential predictor of COD problems.

Affiliation

Department of Psychology, Durham University, Durham, UK. pablo.najt@durham.ac.uk

Journal Details

This article was published in the following journal.

Name: Psychiatry research
ISSN: 0165-1781
Pages: 159-64

Links

Medical and Biotech [MESH] Definitions

United States Substance Abuse And Mental Health Services Adminis...

An agency of the PUBLIC HEALTH SERVICE concerned with the overall planning, promoting, and administering of programs pertaining to substance abuse and mental health. It is commonly referred to by the acronym SAMHSA. On 1 October 1992, the United States Alcohol, Drug Abuse, and Mental Health Administration (ADAMHA) became SAMHSA.

Substance-related Disorders

Disorders related to substance abuse, the side effects of a medication, toxin exposure, and ALCOHOL-RELATED DISORDERS.

Substance Abuse, Intravenous

Abuse, overuse, or misuse of a substance by its injection into a vein.

Psychoses, Substance-induced

Psychotic organic mental disorders resulting from the toxic effect of drugs and chemicals or other harmful substance.

Residential Treatment

A specialized residential treatment program for behavior disorders including substance abuse. It may include therapeutically planned group living and learning situations including teaching of adaptive skills to help patient functioning in the community. (From Kahn, A. P. and Fawcett, J. Encyclopedia of Mental Health, 1993, p320.)

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