tailieunhanh - Báo cáo y học: " Comorbid mental disorders in substance users from a single catchment area - a clinical study"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Comorbid mental disorders in substance users from a single catchment area - a clinical study | Langas et al. BMC Psychiatry 2011 11 25 http 1471-244X 11 25 BMC Psychiatry STUDY PROTOCOL Open Access Comorbid mental disorders in substance users from a single catchment area - a clinical study Anne-Marit Langas1 4 4 Ulrik F Malt2 3 44 Stein Opjordsmoen2 3t Abstract Background The optimal treatment of patients with substance use disorders SUDs requires an awareness of their comorbid mental disorders and vice versa. The prevalence of comorbidity in first-time-admitted SUD patients has been insufficiently studied. Diagnosing comorbidity in substance users is complicated by symptom overlap symptom fluctuations and the limitations of the assessment methods. The aim of this study was to diagnose all mental disorders in substance users living in a single catchment area without any history of treatment for addiction or psychiatric disorders admitted consecutively to the specialist health services. The prevalence of substance-induced versus substance-independent disorders according to the Diagnostic and Statistical Manual of Mental Disorders Fourth Edition DSM-IV in SUD patients will be described. Methods First-time consecutively admitted patients from a single catchment area aged 16 years or older admitted to addiction clinics or departments of psychiatry as outpatients or inpatients will be screened for substance-related problems using the Alcohol Use Disorder Identification Test and the Drug Use Disorder Identification Test. All patients with scores above the cutoff value will be asked to participate in the study. The patients included will be diagnosed for SUD and other axis I disorders by a psychiatrist using the Psychiatric Research Interview for Substance and Mental Disorders. This interview was designed for the diagnosis of primary and substance-induced disorders in substance users. Personality disorders will be assessed according to the Structured Clinical Interview for DSM-IV axis II disorders. The Symptom Checklist-90-Revised the .