Switch to
| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
6
|
| pubmed:dateCreated |
1993-6-30
|
| pubmed:abstractText |
To understand better the implications of co-occurring mental and substance use disorders, we examined DSM-III-R diagnoses and life problems among a representative sample of 314 patients admitted to either a psychiatric hospital or a residential substance abuse treatment program from the same inner-city catchment area. Based upon the Structured Clinical Interview for DSM-III-R, the patients were divided into four groups. The first two groups had dual diagnoses, either: a) a primary axis I mental disorder (MD) and a comorbid psychoactive substance use disorder (PSUD); or b) a PSUD-related mental disorder and a PSUD, but no primary axis I MD. The third and fourth groups had a single diagnosis, either: c) a primary axis I MD, but no lifetime PSUD; or d) a PSUD, but no lifetime primary axis I MD. As expected, the two dual disorder groups had more cumulative problems than did either of the single disorder groups. Dually disordered patients with PSUD-related MD most resembled single-diagnosis PSUD patients in terms of substance use profile and life problems. Dually disordered patients with primary MD more resembled single-diagnosis MD patients, but had more severe life problems. Presence of a PSUD was associated with male gender, antisocial personality disorder, and more severe legal problems. Presence of a primary mental disorder was associated with more extensive prior hospitalizations and greater psychiatric severity.
|
| pubmed:grant | |
| pubmed:language |
eng
|
| pubmed:journal | |
| pubmed:citationSubset |
AIM
|
| pubmed:status |
MEDLINE
|
| pubmed:month |
Jun
|
| pubmed:issn |
0022-3018
|
| pubmed:author | |
| pubmed:issnType |
Print
|
| pubmed:volume |
181
|
| pubmed:owner |
NLM
|
| pubmed:authorsComplete |
Y
|
| pubmed:pagination |
365-70
|
| pubmed:dateRevised |
2007-11-15
|
| pubmed:meshHeading |
pubmed-meshheading:8388914-Adolescent,
pubmed-meshheading:8388914-Adult,
pubmed-meshheading:8388914-Aged,
pubmed-meshheading:8388914-Antisocial Personality Disorder,
pubmed-meshheading:8388914-Comorbidity,
pubmed-meshheading:8388914-Female,
pubmed-meshheading:8388914-Hospitalization,
pubmed-meshheading:8388914-Hospitals, Psychiatric,
pubmed-meshheading:8388914-Humans,
pubmed-meshheading:8388914-Life Change Events,
pubmed-meshheading:8388914-Male,
pubmed-meshheading:8388914-Mental Disorders,
pubmed-meshheading:8388914-Middle Aged,
pubmed-meshheading:8388914-Psychiatric Status Rating Scales,
pubmed-meshheading:8388914-Severity of Illness Index,
pubmed-meshheading:8388914-Sex Factors,
pubmed-meshheading:8388914-Social Control, Formal,
pubmed-meshheading:8388914-Substance Abuse Treatment Centers,
pubmed-meshheading:8388914-Substance-Related Disorders,
pubmed-meshheading:8388914-Terminology as Topic
|
| pubmed:year |
1993
|
| pubmed:articleTitle |
Implications of mental and substance use disorders. A comparison of single and dual diagnosis patients.
|
| pubmed:affiliation |
Department of Psychiatry, University of Maryland, Baltimore 21201.
|
| pubmed:publicationType |
Journal Article,
Research Support, U.S. Gov't, P.H.S.
|