Dual diagnosis of major mental illness and substance disorder: An overview

Drake, Robert E.; McLaughlin, Peggy; Pepper, Bert; Minkoff, Kenneth

doi:10.1002/yd.23319915003

Cited by 116 publications

(51 citation statements)

References 33 publications

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“…In general, the comorbidity between mental disorders and addiction is high [222], with individuals suffering from mental health problems three times more likely to be addicted relative to healthy populations [223]. The widely reported co-existence of Internet addiction and substance use/abuse suggests that addictions share etiological mechanisms, such as neurobiological and psychosocial factors [33], supporting the syndrome model of addiction [224].…”

Section: Discussionmentioning

confidence: 97%

Internet Addiction: A Systematic Review of Epidemiological Research for the Last Decade

Kuss¹,

Griffiths²,

Karila³

et al. 2014

CPD

1,095

857

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Abstract:In the last decade, Internet usage has grown tremendously on a global scale. The increasing popularity and frequency of Internet use has led to an increasing number of reports highlighting the potential negative consequences of overuse. Over the last decade, research into Internet addiction has proliferated. This paper reviews the existing 68 epidemiological studies of Internet addiction that (i) contain quantitative empirical data, (ii) have been published after 2000, (iii) include an analysis relating to Internet addiction, (iv) include a minimum of 1000 participants, and (v) provide a full-text article published in English using the database Web of Science. Assessment tools and conceptualisations, prevalence, and associated factors in adolescents and adults are scrutinised. The results reveal the following. First, no gold standard of Internet addiction classification exists as 21 different assessment instruments have been identified. They adopt official criteria for substance use disorders or pathological gambling, no or few criteria relevant for an addiction diagnosis, time spent online, or resulting problems. Second, reported prevalence rates differ as a consequence of different assessment tools and cut-offs, ranging from 0.8% in Italy to 26.7% in Hong Kong. Third, Internet addiction is associated with a number of sociodemographic, Internet use, and psychosocial factors, as well as comorbid symptoms and disorder in adolescents and adults. The results indicate that a number of core symptoms (i.e., compulsive use, negative outcomes and salience) appear relevant for diagnosis, which assimilates Internet addiction and other addictive disorders and also differentiates them, implying a conceptualisation as syndrome with similar etiology and components, but different expressions of addictions. Limitations include the exclusion of studies with smaller sample sizes and studies focusing on specific online behaviours. Conclusively, there is a need for nosological precision so that ultimately those in need can be helped by translating the scientific evidence established in the context of Internet addiction into actual clinical practice.

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Section: Discussionmentioning

confidence: 97%

Internet Addiction: A Systematic Review of Epidemiological Research for the Last Decade

Kuss¹,

Griffiths²,

Karila³

et al. 2014

CPD

1,095

857

View full text Add to dashboard Cite

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“…Os problemas de saúde mental são comuns [1][2][3][4][5] entre os usuários de substâncias psicoativas. Há um alto risco para o uso prejudicial de álcool e outras drogas em pessoas com problemas mentais e também um risco elevado de ocorrência de problemas mentais entre pessoas em uso prejudicial de drogas.…”

Section: Introductionunclassified

Estudo de comorbidade: sofrimento psíquico e abuso de drogas em pessoas em centros de tratamento, Macaé - Brasil

Leal

Delgado

Mann

et al. 2012

Texto contexto - enferm.

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rEsumo: Estudo da prevalência de sofrimento psíquico entre pessoas em tratamento em um serviço de atenção diário público e dois centros de internação privados, sendo um prestador de serviços ao Sistema Único de Saúde, da cidade de Macaé, Rio de Janeiro, Brasil. Estudo transversal. Foi aplicado questionário para caracterização dos participantes, adaptado do formulário EULAC-CICAD. A escala de Kessler-10 foi utilizada para rastreamento do sofrimento psíquico. Participaram 60 pessoas, sendo 88,3% homens. Do total, 51,5% estavam na faixa de 24 a 39 anos de idade. Depressão foi o principal diagnóstico prévio referido em 35%, seguido por ansiedade em 33,33%. Durante o tratamento atual, a ansiedade foi o principal diagnóstico referido em 8,3%, seguido de depressão em 28,3%. Dos entrevistados, 34% apresentaram níveis severos e 27,2% muito severos de sofrimento psiquico. Conclui-se que os níveis de sofrimento psíquico severo e muito severo em 61,2% encontrados com a escala K-10, especialmente sensível para ansiedade e depressão, são semelhantes para esta população nos estudos internacionais. dEsCritorEs:Comorbidade. Sofrimento psíquico. Transtornos relacionados ao uso de substâncias. Assistência em saúde mental.ComorbiditY studY: psYCHologiCal distrEss and drug abusE among pEoplE in trEatmEnt CEntrEs, maCaé -brasil abstraCt: Study of prevalence and psychological distress among people attending a public day care service and two private in patients services in the city of Macaé, Rio de Janeiro, Brazil. Cross-sectional study. A questionnaire adapted by the form EULAC-CICAD was applied to characterize the participants. The scale of Kessler-10 was used as a screening tool for psychological distress. The sample was 60 people: 88.3% men and 51.5% between 24-39 years old. Depression was referred as the most important previous diagnosis in 35%, followed by anxiety in 33.33%. During the current treatment this relationship changed: anxiety was the main diagnosis in 38.3%, followed by depression in 28.3%. The 34% of the sample had severe psychological distress and 27.2% very severe psychological distress. The levels of psychological distress severe and very severe in 61.2% screened by K-10, a scale especially sensitive to anxiety and depression, are similar to international studies on this population. dEsCriptors:Comorbidity. Substance use-related disorders. Psychological distress. Mental health assistance. Estudio dE la Comorbilidad: distrEs psiColÓgiCo Y abuso dE drogas En pErsonas En CEntros dE tratamiEnto, maCaé -brasilrEsumEn: Estudio de prevalencia de distrés psicológicos entre personas que acuden a los servicios públicos de atención de día y dos centros de hospitalización privada en la ciudad de Macaé, Rio de Janeiro, Brasil. Estudio transversal. Se aplicó un cuestionario adaptado de lo formulario de la EULAC-CICAD para caracterizar a los participantes. Para la detección de los distrés psicológicos se utilizó la escala de Kessler-10. Participaron 60 personas, y los hombres eran 88.3%. De la muestra total, el 51.5% tenían entr...

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“…Seriously mentally ill adults often have the same risk factors identified in other at-risk populations, such as substance-related disorders which may occur in more than half of people with diagnosed mental disorders (Mueser et al, 1990(Mueser et al, , 1995Drake et al, 1991). HIV risks have also been associated with psychiatric symptoms such as impulsivity, sexual acting out, and deficits in social skills and problem solving (Kalichman, Carey, & Carey, 1996).…”

Section: Introductionmentioning

confidence: 99%

HIV Risk Reduction for Substance Using Seriously Mentally Ill Adults: Test of the Information-Motivation-Behavior Skills (IMB) Model

Kalichman

Malow

Dévieux

et al. 2005

Community Ment Health J

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The information-motivation-behavioral skills (IMB) model (Fisher & Fisher, 1992) was used as the theoretical framework for predicting unprotected sexual behavior among substance abusing men and women diagnosed with serious mental illnesses (n = 320; 150 men and 170 women, primarily of minority ethnicity). In a structural equation model, gender, HIV transmission knowledge, and motivational variables of pro-condom norms and attitudes, and perceived susceptibility predicted behavioral skills markers: condom use skills and condom use self-efficacy. Along with the other variables in the model, condom skills and condom self-efficacy were hypothesized to predict condom use over a six-month period. Results showed that greater condom skills were predicted by female gender, positive condom attitudes, and transmission knowledge. Engaging in lower rates of unprotected sex was predicted by pro-condom norms, less perceived susceptibility, and greater condom self-efficacy. Positive attitudes toward condoms had a significant indirect effect on rates of unprotected sex, exerting its influence through condom use self-efficacy. Results suggest that changing personal attitudes about condoms and reinforcing pro-condom attitudes among significant others will encourage condom use among seriously mentally ill (SMI) adults who are at high risk for HIV and other sexually transmitted diseases (STDs). KeywordsHIV AIDS prevention; psychiatric patients; seriously mentally ill adults Recent years have seen remarkable breakthroughs in the treatment of HIV infection and there is some evidence for a leveling of new HIV infections in some subpopulations (CDC, 2001). Along with these reasons for hope, however, is the continued spread of HIV in US inner-cities, particularly among impoverished and disenfranchised populations. Among those at greatest risk for HIV infection are adults with serious and persistent mental illnesses living in high HIV prevalence cities. (Carey, Weinhardt, & Carey, 1995;Cournos & McKinnon, 1997). One study of over 500 psychiatric patients found that 6% were HIV infected (Stewart, Zuckerman, & Ingle, 1994) and Rosenberg et al. (2001) reported 3% HIV seroprevalence in a large and ethnically diverse sample of seriously mentally ill (SMI) adults. These rates of HIV infection exceed those in the general population and are often higher than rates found in the highest risk groups, such as injection drug users and sexually transmitted disease (STD) clinic patients (Carey et al., 1997a).The alarming numbers of HIV infected adults with serious mental illness are exacerbated by high-rates of unprotected sexual activity routinely found in SMI adults (e.g., Kalichman, Kelly, Johnson, & Bulto, 1994;Carey et al., 1997a). Seriously mentally ill adults often have the same risk factors identified in other at-risk populations, such as substance-related disorders which may occur in more than half of people with diagnosed mental disorders (Mueser et al., 1990(Mueser et al., , 1995Drake et al., 1991). HIV risks have also been associate...

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Dual diagnosis of major mental illness and substance disorder: An overview

Abstract: Dual diagnosis of severe mental ilIness and substance disorder is a frequent and dificult challenge to the.mental health and substance abuse systems. This chapter reviews the dual diagnosis problem and introduces the chapters that follow.

Cited by 116 publications

References 33 publications

Internet Addiction: A Systematic Review of Epidemiological Research for the Last Decade

Internet Addiction: A Systematic Review of Epidemiological Research for the Last Decade

Estudo de comorbidade: sofrimento psíquico e abuso de drogas em pessoas em centros de tratamento, Macaé - Brasil

HIV Risk Reduction for Substance Using Seriously Mentally Ill Adults: Test of the Information-Motivation-Behavior Skills (IMB) Model

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