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The epidemiology of substance misuse and comorbid psychiatric disorders

  • Mohammed T Abou-Saleh (a1) and Aleksandar Janca (a2)

Abstract

The common co-occurrence of substance misuse and other psychiatric disorders and their intricate relationships have led to major community-based epidemiological studies in the US which showed high rates of current and lifetime comorbidity. Moreover, studies of clinical populations conducted in North America, Europe and Australia, showed even higher rates of comorbidity. The aetology of this comorbidity has also been investigated and important models have emerged with findings that inform its assessment and treatment. Future epidemiological studies should focus on the study of concurrent conditions rather than lifetime ones using research diagnostic instruments with high reliability providing information on a number of key outcomes.

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Corresponding author

Dr M T Abou-Saleh, Addiction Services, Director of Research and Development, South-West London and St George's NHS Trust, Cranmer Terrace, London SW17 0RE, UK. Tel: 020 87250368; Fax: 020 87252914; Email: mabousal@sghms.ac.uk

References

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1.Reiger, DA, Myers, JK, Kramer, Met al. The NIMH Epidemiologic Catchment Area program. Historical context, major objectives, and study population characteristics. Arch Gen Psychiatry 1984;41: 934941.
2.Kessler, RC, McGonagle, KA, Zhao, Set al. Lifetime and 12 month prevalence of DSM-III-R psychiatric disorders in the United States. Results from the National Co morbidity Survey. Arch Gen Psychiatry 1994;51: 819.
3.Grant, BF. Co morbidity between DSM-1V drug use disorders and major depression: results of a national survey of adults. J Subst Abuse 1995;7: 481497.
4.Bland, RC, Newman, SC, Russell, JMet al. (eds). Epidemiology of psychiatric disorders in Edmonton: Phenomenology and comorbidity. Acta Psychiatr Scand 1994; 89 (Suppl. 376):570.
5.Schifano, F.European dimensions of dual diagnosis. In: Rassool, GH (ed). Dual Diagnosis: Substance Misuse and Psychiatric Disorders. Oxford, UK: Blackwell Science Ltd, 2002, pp 5865.
6.Farrell, M, Howes, S, Taylor, Cet al. Substance misuse and psychiatric comorbidity: an overview of the OPCS national psychiatric morbidity survey. Addict Behav 1998;23: 909918.
7.Gossop, M, Marsden, J, Stewart, Det al. Substance use, health and social problems of service users at 54 drug treatment agencies. Intake data from the National Treatment Outcome Research Study. Br J Psychiatry 1998;173: 166171.
8.Menezes, POR, Johnson, S, Thornicroft, Get al. Drug and Alcohol Problems among Individuals with Severe Mental Illnesses in South London. Br J Psychiatry 1996;168: 612619.
9.Glass, IB, Jackson, P. Maudsley Hospital Survey: prevalence of alcohol problems and other psychiatric disorders in a hospital population. Br J Addict 1998;83: 11051111.
10.Cantwell, R, Brewin, J, Glazebrook, Cet al. Prevalence of substance misuse in first episode psychosis. Br J Psychiatry 1999;174: 150153.
11.Graham, HL, MASLIN, J, Copello, Aet al. Drug and alcohol problems amongst individuals with severe mental health problems in an inner city area of the UK. Soc Psychiatry Psychiatr Epidemiol 2001;36: 448455.
12.Henderson, S, Andrews, G, Hall, W. Australia's mental health: an overview of the general population survey. Aust N Z J Psychiatry 2000;34: 197205.
13.Tesson, M, Hall, W, Lynskey, M, Degenhardt, L. Alcohol-and drug-use disorders in Australia: implications of the National Survey of Mental Health and Wellbeing. Aust N Z J Psychiatry 2000;34: 206213.
14.Maslin, J. Substance misuse in psychosis: contextual issues. In: Graham, HL, Copello, A, Birchwood, M, Muser, KT (eds). Substance misuse in psychosis: approaches to treatment and service delivery. Chichester, UK: John Wiley & Sons Ltd, 2003, pp 323.
15.Hasin, D, Trautman, KMS, Endicott, J. Psychiatric research interview for substance and mental disorders: phenomenologically based diagnosis in patients who abuse alcohol or drugs. Psychopharmacol Bull 1998;34: 38.
16.Weaver, T, Madden, P, Charles, Vet al. Comorbidity of substance misuse and mental illness in community mental health and substance misuse services. Br J Psychiatry 2003;183: 304313.
17.Drake, RE, Rosenberg, SD, Mueser, KT. Assessing substance use disorder in persons with severe mental illness. New Dir Ment Health Serv 1996;70: 317.
18.Ghodse, AH. Drugs and Addictive behaviour: a guide to treatment (2nd Edition). Oxford, UK: Blackwell Sciences Ltd, 1995.
19.Brooner, RK, King, VL, Kidorf, M, Schmidt, CW, Jr., Bigelow, GE. Psychiatric disorders. In: Kranzler, HR, Rounsaville, BJ (eds). Dual diagnosis and treatment. New York, USA: Marcel Dekker Inc, 1998, pp 125.
20.Verheul, R, Kranzler, HR, Polingt, J, Tenne, H, Ball, S, Rounsaville, BJ. Co-occurrence of Axis 1 and Axis II disorders in substance abusers. Acta Psychiatr Scand 2000;101: 110118.
21.Dixon, L, McNary, S, Lehman, AF. Remission of substance use disorder among psychiatric inpatients with mental illness. Am J Psychiatry 1998;155: 239243.
22.Appleby, L, Shaw, J, Amos, Tet al. Suicide within 12 months of contact with mental health services: national clinical survey. BMJ 1999;318: 12351239.
23.Oyefeso, A, Ghodse, H, Clancy, C, Corkery, JM. Suicide among drug addicts in the UK. Br J Psychiatry 1999;175: 277282.
24.Mueser, KT, Bellack, AS, Blanchard, JJ. Comorbidity of schizophrenia and substance abuse: implications for treatment. J Consult Clin Psychol 1998;60: 845856.
25.Mueser, KT, Yarnold, PR, Rosenberg, SD, Swett, CJr, Miles, KM, Hill, D. Substance Use Disorders in Hospitalised Severely Mentally Ill Psychiatric Patients: Prevalence, Correlates, and Subgroups. Schizophr Bull 2000;26: 179192.
26.Scheller-Gilkey, G, Lewine, RR, Caudle, J, Brown, FW. Schizophrenia, substance use, and brain morphology. Schizophr Res 1999;35: 113120.
27.Hasin, DS, Nunes, EV. Comorbidity of alcohol, drug and psychotic disorders. In: Kranzler, HR, Rounsaville, BJ (eds). Dual diagnosis and treatment. New York, USA: Marcel Dekker Inc., 1998, pp 130.
28.Prince, M, Stewart, R, Ford, T, Hotopf, M. Psychiatric epidemiology – looking to the future in practical psychiatric epidemiology. Oxford, UK: Oxford University Press, 2003.
29.Abou-Saleh, MT. Al Ain community psychiatric survey. I. Prevalence and socio-demographic correlates. Soc Psychiatry Psychiatr Epidemiolol 2001;36: 2028.

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