Psychiatric Comorbidity in Health Care Professionals With Substance Use Disorders

Rojas, Julio I.; Brand, Michael; Fareed, Shahida; Koos, Erin

doi:10.1097/adt.0b013e318250a3d2

Cited by 8 publications

(5 citation statements)

References 10 publications

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“…SUDs, which may involve a variety of substances, including alcohol, are a problem in nursing, with rates comparable to those in the general populationbetween 6% and 8% (Kunyk, 2015;Trinkoff & Storr, 1998;Trinkoff et al, 1991Trinkoff et al, , 1999. Rojas et al (2013) found that in a sample of 84 health care professionals, opioids (60%) and alcohol (27%) were the most common drugs used. A large portion of the sample also reported comorbid psychiatric disorders, the most common being depression at 40%.…”

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confidence: 96%

Predictors of Substance Use in Registered Nurses: The Role of Psychological Trauma

2021

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Substance use disorders (SUDs) in nursing have individual well-being, patient safety, and licensure/regulatory implications. Literature is scarce related to predicting SUDs in registered nurses; this study included specific items surrounding nurses’ psychological trauma. An online survey, consisting of validated scales and investigator-generated items was distributed to 4,000 registered nurses in Indiana with a yield of 1,478 surveys. The World Health Organization: Alcohol, Smoking and Substance Involvement Screening Test (ASSIST) was used as the dependent variable to assess risk of SUDs. Three multivariate regression models with predictive variables for risk of tobacco ( R2 = 0.08), alcohol ( R2 = 0.09), and other substances ( R2 = 0.10) use were found. Of concern, nurses are at moderate risk for tobacco use at 11.6%; alcohol use at 11.6% and for other substances at 10.4%. Each regression model contained distinct predictor variables; however, variables occurring in all three models were: depression, anxiety, and items surrounding psychological trauma (adverse childhood experiences, life events, lateral workplace violence).

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confidence: 96%

Predictors of Substance Use in Registered Nurses: The Role of Psychological Trauma

2021

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“…The lack of objective psychological testing in the impaired HCP literature remains a significant limitation in our understanding of prevalence for psychiatric comorbidity. 11 More importantly, the diagnosis of psychiatric illness in impaired HCPs, particularly in the early stages of abstinence, may be resulting in overdiagnoses, which have significant implications for treatment recommendations. The high rates of psychiatric comorbidity among HCPs are one reason often cited for specialized extended residential treatment programs (eg, 90 d).…”

Section: Pai Test Findingsmentioning

confidence: 99%

“…The lack of objective psychological testing in the impaired HCP literature confounds the issue of determining rates of psychiatric comorbidity. 11 Comparison studies between HCPs and non-health care professionals (N-HCPs) have found both commonalities and differences that warrant attention. For example, Brooke 12 noted that occupational risks may contribute to increased risk for alcohol-related diseases for both physicians and attorneys.…”

mentioning

confidence: 99%

Substance Abuse Patterns and Psychiatric Symptomology Among Health Care Professionals and Non–Health Care Professionals Evaluated in an Outpatient Program for Impaired Professionals

Rojas

Brand²,

Jeon–Slaughter

et al. 2014

Addictive Disorders &Amp; Their Treatment

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Objectives:To determine whether health care professionals (HCPs; n = 94), evaluated in an outpatient-based program for impaired HCPs and professionals/executives, differed in terms of substance abuse patterns and psychiatric symptomology from their nonhealth care professional peers (N-HCPs; n = 45). Methods:We compared the 2 groups on demographic variables, substance abuse patterns, reported histories of psychiatric comorbidity, and psychological test results using the Personality Assessment Inventory (PAI). Results:The HCPs reported a higher frequency of having past problems with opioids, and also ranked opioids followed by alcohol as their preferred substances, whereas N-HCPs clearly preferred alcohol. The NHCPs reported higher frequencies of a family history of addiction and mental illness. The N-HCPs reported higher frequencies of suicidal ideation, but there were no differences for past psychiatric history, medications, and health problems. Finally, N-HCPs reported higher PAI clinical scale scores in the moderate to severe ranges at 2 to 4 times the rates as HCPs for the majority of the scales. Conclusions:The HCPs were not significantly different clinically from their N-HCP peers in our program. We question whether specialized programs for impaired HCPs may contribute to feelings of uniqueness which is often cited in the literature as an obstacle to assuming a patient role. The rates of psychiatric comorbidity based on self-report compared with the PAI data support the need for use of psychological testing in the evaluation of impaired HCPs. Implications and suggestions given our findings among this group of HCPs are offered.

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“…Additional research findings surrounding impaired nurses in the workplace include nurses who were categorized as at a high risk for impaired practice were working, unknown to their employer, and when compared with non-high-risk nurses, high-risk nurses were working with compromised health (i. e., tobacco use/smoking and at risk for depression; Kunyk, 2015). Rojas et al (2013) found that, in a sample of 84 healthcare professionals, opioids (60%) and alcohol (27%) were the most common drugs used. Comorbid psychiatric disorders were also reported with 40% of the participants reporting major depression, the most common disorder described (Rojas et al, 2013).…”

Section: Prevalence and Risk Factors For Su In Nursesmentioning

confidence: 99%

“…Rojas et al (2013) found that, in a sample of 84 healthcare professionals, opioids (60%) and alcohol (27%) were the most common drugs used. Comorbid psychiatric disorders were also reported with 40% of the participants reporting major depression, the most common disorder described (Rojas et al, 2013). Nurses enrolled in alternative programs were also found to have dual diagnoses, such as depression and anxiety (Darbro, 2005).…”

Section: Scope Of Problem and Professional Disciplinary Actionsmentioning

confidence: 99%

Predictors of Substance Use Risk in Nurse Anesthetists

Foli,

Forster,

Bostic

et al. 2024

UJAN

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Background Certified registered nurse anesthetists (CRNAs) are exposed daily to highly addictive substances and stressful work environments, placing them at risk for substance use disorders (SUDs). Previous research, which is scarce, indicated that drugs of choice were opioids and propofol. Therefore, the purpose of this study was to investigate predictors of SUD risk using the World Health Organization Alcohol, Smoking and Substance Involvement Screening Test. Method From June to July 2020, an online survey was sent via the American Association of Nurse Anesthesiology Research Survey Service to 3,000 CRNAs with a response of approximately 225 members. Results CRNAs were found to be at a moderate risk for SUDs in the following categories: 10.27% for tobacco, 23.56% for alcohol, and 6.28% for cannabis. Regression analysis by substance category includes robust, differing models in this homogeneous sample. Predictors for all three models include a collection of demographic variables, religiosity, anxiety, difficulties due to anxiety, depression, substance use history, contact with the American Association of Nurse Anesthesiology Peer Assistance Program, and organizational support. Conclusion Over 10% of CRNAs are at risk for developing tobacco use disorder, and almost one quarter of those surveyed are at a moderate risk for developing alcohol use disorder. These data are of concern and may indicate a shift of preferred substances used by CRNAs from controlled substances to alcohol.

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Psychiatric Comorbidity in Health Care Professionals With Substance Use Disorders

Cited by 8 publications

References 10 publications

Predictors of Substance Use in Registered Nurses: The Role of Psychological Trauma

Predictors of Substance Use in Registered Nurses: The Role of Psychological Trauma

Substance Abuse Patterns and Psychiatric Symptomology Among Health Care Professionals and Non–Health Care Professionals Evaluated in an Outpatient Program for Impaired Professionals

Predictors of Substance Use Risk in Nurse Anesthetists

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