Comorbidity patterns in dual diagnosis across seven European sites

Charzyñska, Katarzyna; Hyldager, E.; Baldacchino, Alex; Greacen, Tim; Henderson, Zoe; Laijarvi, Heli; Hodges, C.-L.; Lack, C.; Sierosławski, Janusz; Baeck-Moller, K.

doi:10.4321/s0213-61632011000400001

Cited by 4 publications

(4 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Individuals with co-morbidity of substance and psychiatric disorders are more likely to be unemployed, homeless, and violent and have family and interpersonal relationship instability [22,23]. They tend to experience victimization, social exclusion, legal problems, and a greater prevalence of acquiring communicable diseases like HIV or Hepatitis, due to their risk-taking behaviors [24][25][26].…”

Section: Introductionmentioning

confidence: 99%

Prevalence and Demographic Correlates of Substance Use among Adults with Mental Illness in Eastern Cape, South Africa: A Cross-Sectional Study

Tindimwebwa

Ajayi

Adeniyi

2021

IJERPH

View full text Add to dashboard Cite

This study reports on the prevalence and demographic correlates of substance use among individuals with mental illness in the Eastern Cape, South Africa. This cross-sectional study was conducted in the Outpatient Clinic of a large hospital in the Eastern Cape, South Africa. A pre-validated tool on alcohol and psychoactive drug use was administered to 390 individuals with mental illness. Multivariable logistic regression models were fitted to explore the demographic correlates of alcohol and psychoactive drug use. Of the total participants (N = 390), 64.4% and 33.3% reported lifetime (ever used) and past-year use of alcohol, respectively, but the prevalence of risky alcohol use was 18.5%. After adjusting for relevant covariates, only male sex, younger age, and rural residence remained significantly associated with risky alcohol use. The prevalence of ever-use and past-year use of psychoactive substances was 39.7% and 17.4%, respectively. The most common substance ever used was cannabis (37.4%). Male sex, younger age, owning a business, and being unemployed were significantly associated with higher odds of lifetime and past-year use of psychoactive substances. Findings highlight the need for dedicated infrastructure and staff training in the management of these dual diagnoses in the region.

show abstract

Section: Introductionmentioning

confidence: 99%

Prevalence and Demographic Correlates of Substance Use among Adults with Mental Illness in Eastern Cape, South Africa: A Cross-Sectional Study

Tindimwebwa

Ajayi

Adeniyi

2021

IJERPH

View full text Add to dashboard Cite

show abstract

“…The high prevalence of psychiatric co-morbidity found in this population (e.g., Charzynska et al, 2011 ; Rao, 2019 ; Rao et al., 2021 ; RCPSYCH, 2018 ; Searby et al, 2015 ) points to a complex relationship between the psychosocial characteristics of late-onset problem drinkers and poor mental health ( Bruce, 2002 ; Emiliussen et al, 2017d ; Shaw & Palattiyil, 2008 ; Ward et al, 2008 ; WHO, 2020 ). Indeed, 12 of the papers in the current review (almost half) reported psychiatric co-morbidity in their participants (see Table 9 ).…”

Section: Narrative Synthesismentioning

confidence: 92%

Characteristics of people who have received treatment for late-onset problem drinking and alcohol use disorder: A systematic review and narrative synthesis

McInerney

Best

Cross

2022

Nordic Studies on Alcohol and Drugs

View full text Add to dashboard Cite

Aims: The current review investigated the psychosocial characteristics of late-onset problem drinkers, an under-researched area of alcohol harm that accounts for one-third of older problem drinkers. Method: Following the PRISMA model, the protocol and search strategy included a scoping search and main search of nine databases. A total of 1,595 papers were identified; after screening, 26 papers were considered eligible and were included in the review. The review used an investigative framework comprising three categories: standardising age of onset; gender differences; and psychosocial and mental health characteristics. The review also investigated how meaning and purpose in life, and treatment have been reported in relation to this cohort. Findings/Conclusions: The combined onset ages of the reviews’ 26 papers (mean age = 52.69 years) and the participants’ self-reported age at onset (mean age = 56.79 years), suggest that late-onset alcohol use disorder (AUD)/problem drinking is likely to emerge at the age of 55 years and older. Moreover, there is a high prevalence of co-morbid mental health disorders among elderly, late-onset drinkers. Retirement was reported as the most prevalent psychosocial risk factor for late-onset problematic drinking; other late-life events included bereavement, loneliness and social isolation, and boredom. In the context of gender, women are at greater risk of developing late-onset problem drinking than men. Furthermore, late-onset problem drinkers, particularly women, are more treatment compliant than their early-onset counterparts, highlighting the case for bespoke treatments/interventions for late-onset problem drinkers. Finally, the role that meaning and purpose in life plays in late-onset problem drinking has been under-reported and requires further investigation.

show abstract

“…In total, 13.5% of the substance use disorders in this data were related to narcotics and 13.5% to stimulant drugs. (Charzynska et al, 2011. ) Inside the discipline of addiction psychiatry, there are both outpatient and inpatient units.…”

Section: Introductionmentioning

confidence: 99%

“…In total, 11.8% of patients were diagnosed with bipolar disorder and 9.8% with depression. (Charzynska et al , 2011.) A national survey of drug-using clients in substance addiction services stated that narcotics were the main drugs causing problems for 40% of the clients and stimulant drugs (mainly amphetamine) for 21%.…”

Section: Introductionmentioning

confidence: 99%

The workplace culture in addiction psychiatry in Finland as described by healthcare personnel

Lyyra

Roos

Suominen

2021

ADD

View full text Add to dashboard Cite

Purpose The purpose of this study is to describe the workplace culture and factors associated with it from the viewpoint of the personnel providing care to patients with dual diagnosis. Design/methodology/approach Data were collected from six organizations using an electronic survey in 2019. The respondents (n = 75) worked in addiction psychiatry in specialized health care and provided care to patients. The data were statistically analyzed. Findings Workplace culture was evaluated as positive. Stress was experienced occasionally (Md = 2.58, Q1 = 1.96, Q3 = 3.03), job satisfaction levels were moderate (Md = 4.83, Q1 = 4.28, Q3 = 5.44) and the practice environment was evaluated as neutral (Md = 4.46, Q1 = 4.00, Q3 = 5.04). Gender, age in years, employment relationship, work time, staffing, number of patients and the participants’ experience in health care and experience in their current workplace had statistically significant associations with workplace culture. Originality/value In Finland, there have been attempts to reform service structures that also influence mental health and substance addiction services. Workplace culture is one approach to promote service development. Yet, there has been no research on workplace culture in the context of the care of patients with dual diagnosis. The results of this study bring knowledge about how health-care personnel perceives stress, job satisfaction and their practice environment in addiction psychiatry, which can be used to further develop services and workplace culture.

show abstract

Comorbidity patterns in dual diagnosis across seven European sites

Cited by 4 publications

References 21 publications

Prevalence and Demographic Correlates of Substance Use among Adults with Mental Illness in Eastern Cape, South Africa: A Cross-Sectional Study

Prevalence and Demographic Correlates of Substance Use among Adults with Mental Illness in Eastern Cape, South Africa: A Cross-Sectional Study

Characteristics of people who have received treatment for late-onset problem drinking and alcohol use disorder: A systematic review and narrative synthesis

The workplace culture in addiction psychiatry in Finland as described by healthcare personnel

Contact Info

Product

Resources

About