Dual diagnosis in psychoactive substance abusing or dependent persons
Journal Title: Psychiatria Polska - Year 2013, Vol 47, Issue 2
Abstract
Background. There has been noticed a systematic growth of using psychoactive substance (SP) in last years. The co-occurrence of mental and physical disorders related to substance abuse of treated patients is more often a serious problem to medical services. Dual diagnosis (DD) is a clinical term referring to co-morbidity or the co-occurrence in the same individual of a psychoactive substance use disorder and another psychiatric disorder. The aim of the study is to investigate the prevalence of dual diagnosis in patients with diagnosis of substance use disorder hospitalized in years 1994-2005, to assess the kind of co-morbid mental disorders and the course of treatment in three groups: patients with DD, with diagnosis of mental disorder without substance use and with diagnosis related to substance use. Methods. The retrospective study of 4 349 case records of patients hospitalized in the department of psychiatry in years 1994–2005. Out of this number two groups of patients were separated: persons abusing or dependent on SP (n = 825) and patients with dual diagnosis (n = 362). The control group (n = 200) was created among patients with mental disorders and without SP abuse. Socio-demographic factors, number and the length of hospitalizations, aggressive behaviours, suicide attempts, discharges from hospital on demand were analyzed. In the DD group there was an attempt to evaluate the relation between substance use disorders and co-occuring mental disorders performed. Results. The frequency of DD among all patients hospitalized in the studied period of time was 8.3%, whereas among patients abusing SP was 30.5%. This study demonstrates that patients with the DD are statistically longer hospitalized, discharged from hospitals at their own request and more often need treatment in hospitals, statistically more often try to commit suicide and perform aggressive behavior. Mental disorders were substantially often secondary to substance related disorders in the DD group. There was proved that patients mainly abused alcohol and the most frequent mental disorder were mood (affective) disorders.
Authors and Affiliations
Michał Błachut, Karina Badura-Brzoza, Magdalena Jarząb, Piotr Gorczyca, Robert Hese
Keywords
Related Articles
- EP ID EP109399
- DOI -
- Views 94
- Downloads 0
Practical aspects of the use of ziprasidone in schizophrenia
Summary 5HT1B/1D receptors. It is available in both oral and intramuscular forms. It is well absorbed from the digestive tract and its absorption increases after the meal. Ziprasidone is used for the treatment of schizo...
Analiza polimorficznych wariantów genu transportera dopaminy DAT1 i transportera serotoniny 5-HTTLPR u pacjentów z zespołem zależności alkoholowej z uwzględnieniem fenotypowej cechy preferencji smaku słodkiego
Cel. Celem pracy było określenie zależności miedzy fenotypem “sweetliking” (preferencja smaku słodkiego) pacjentów z Zespołem Zależności Alkoholowej a występowaniem określonych polimorficznych wariantów genu transportera...
Long-term mood assessment in bipolar affective disorder
Long-term mood instability and fluctuations in mood are quintessential features of bipolar disorder; however a great majority of of mood rating scales are cross-sectional and focused on acute symptoms. NIMH Life Chart Me...
Objawy psychotyczne i zaburzenia poznawcze w przebiegu neurosarkoidozy – opis przypadku i przegląd piśmiennictwa
Zmiany w układzie nerwowym występują u ok. 5% pacjentów z sarkoidozą. Opisano śmiertelny przypadek neurosarkoidozy u młodego mężczyzny, u którego wystąpiły rzadko spotykane w przebiegu sarkoidozy zaburzenia psychiczne w...
Dysfunkcje seksualne mężczyzn nieheteroseksualnych – analiza i krytyka piśmiennictwa
Celem pracy jest przedstawienie wyników i omówienie metodyki dotychczas podjętych badań nad dysfunkcjami seksualnymi mężczyzn nieheteroseksualnych (MNH) wraz ze sformułowaniem wniosków dla przyszłych projektów badawczych...