Hostname: page-component-586b7cd67f-vdxz6 Total loading time: 0 Render date: 2024-11-25T09:05:07.907Z Has data issue: false hasContentIssue false
  • English
  • Français

Identifying and Diagnosing Co-Occurring Disorders

Published online by Cambridge University Press:  07 November 2014

Roger D. Weiss
Get access Rights & Permissions [Opens in a new window]

Extract

Epidemiologic studies have shown a significantly greater likelihood of substance misuse in persons with psychiatric disorders. One of the largest studies showed that 60.7% of people with bipolar I disorder had a lifetime diagnosis of a substance use disorder (SUD). Moreover, 32% of individuals with any mood disorder, including depression, were found to suffer from substance abuse or dependence. In general population surveys, it has been found that the presence of a mood disorder at least doubles the odds of having SUD.

Type
Expert Roundtable Supplement
Information
CNS Spectrums , Volume 13 , Issue S6: Bridging the Clinical Gap: Managing Patients with Co-occurring Mood, Anxiety, and Alcohol Use Disorders , April 2008 , pp. 4 - 6
Copyright
Copyright © Cambridge University Press 2008

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.Brady, KT, Verduin, ML.Pharmacotherapy of comorbid mood, anxiety, and substance use disorders. Subst Use Misuse. 2005;40(13–14):2021–2041.CrossRefGoogle ScholarPubMed
2.Regier, DA, Farmer, ME, Rae, DS.Comorbidity of mental disorders with alcohol and other drug abuse: results from the Epidemiologic Catchment Area (ECA) study. JAMA. 1990;264(19):2511–2518.CrossRefGoogle ScholarPubMed
3.Nunes, E, Rubin, E, Carpenter, K, Hasin, D. Mood disorders and substance use. In: Textbook of Mood Disorders. Washington, DC: American Psychiatric Publishing; 2005:653–671.Google Scholar
4.Murphy, GE, Armstrong, JW Jr, Hermele, SL, Fischer, JR, Clendenin, WW.Suicide and alcoholism. Interpersonal loss confirmed as a predictor. Arch Gen Psychiatry. 1979;36(1):65–69.CrossRefGoogle ScholarPubMed
5.Cornelius, JR, Salloum, IM, Mezzich, J, et al. Disproportionate suicidality in patients with comorbid major depression and alcoholism. Am J Psychiatry. 1995;152(3):358–364.Google ScholarPubMed
6.Greenfield, SF, Hennessy, G. Assessment of the patient. In: Galanter, M, Kleber, HD, eds. Textbook of Substance Abuse Treatment, 3rd ed.Washington, DC: American Psychiatric Publishing; 2004:101–119.Google Scholar
7.Vaillant, GE.The Natural History of Alcoholism. Cambridge, Mass: Harvard University Press; 1983.Google ScholarPubMed
8.McLellan, AT, Luborsky, L, Woody, GE, O'Brien, CP.An improved diagnostic evaluation instrument for substance abuse patients: the Addiction Severity Index. J Ment Nerv Dis. 1980;168:26–33.CrossRefGoogle Scholar
9.American Psychiatric Association. Practice Guideline for the Treatment of Patients with Substance Use Disorders. 2nd ed.New York, NY: American Psychiatric Association; 2006.Google Scholar
10.Shivani, R, Goldsmith, J, Anthenelli, RM.Alcoholism and psychiatric disorders: diagnostic challenges. Alcohol Res Health. 2002;26:90–98.Google Scholar
11.Hendrickson, EL, Schmal, MS, Ekleberry, SC. Assessment. In: Treating Co-Occurring Disorders. A Handbook for Mental Health and Substance Abuse Professionals. Binghamton, NY: Haworth Press; 2004:77–95.Google Scholar
12.Saitz, R.Clinical practice: unhealthy alcohol use. N Engl J Med. 2005;352(6):596–607.CrossRefGoogle ScholarPubMed
13.Brady, KT, Tolliver, BK, Verduin, ML.Alcohol use and anxiety: diagnostic and management issues. Am J Psychiatry. 2007;164(2):217–221.CrossRefGoogle ScholarPubMed
14.Cherpitel, CJ.Brief screening instruments for alcoholism. Alcohol Health Res World. 1997;21(4):348–351.Google ScholarPubMed
15.Mayfield, D, McLeod, G, Hall, P.The CAGE questionnaire: validation of a new alcoholism screening instrument. Am J Psychiatry. 1974;131(10):1121–1123.CrossRefGoogle ScholarPubMed
16.Babor, TF, Higgins-Biddle, JC, Saunders, JB, Montero, MG.The Alcohol Disorders Identification Test: Guidelines for Use in Primary Care, 2nd Edition. Washington, DC: World Health Organization. 2001.Google Scholar
17.National Institute on Alcohol Abuse and Alcoholism. Alcohol Alert, No. 56. Bethesda, MD: National Institute on Alcohol Abuse and Alcoholism; 2002.Google Scholar
18.Spitzer, RL, Kroenke, K, Williams, JB, et al. Validation and utility of a self-report version of PRIME-MD: the PHQ primary care study: primary care evaluation of mental disorders: patient health questionnaire. JAMA. 1999;282(18):1737–1744.CrossRefGoogle ScholarPubMed
19.Kroenke, K, Spitzer, RL, Williams, JB.The PHQ-9: validity of a brief depression severity measure. J Gen Intern Med. 2001;16(9):606–613.CrossRefGoogle ScholarPubMed