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Identifying and Diagnosing Co-Occurring Disorders

Published online by Cambridge University Press:  07 November 2014

Roger D. Weiss
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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

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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