Psychiatr Serv 49:935-940, July 1998
© 1998 American Psychiatric Association
Relationship of Cocaine and Other Substance Dependence to Well-Being of High-Risk Psychiatric Patients
Barbara E. Havassy, Ph.D. and
Paul G. Arns, Ph.D.
OBJECTIVE: The co-occurrence of substance dependence disorders was determined in a sample of 160 frequently hospitalized adults with severe mental illness, and the relationship between substance dependence and psychosocial functioning and well-being was examined. METHODS: A structured interview was used to assess subjects for co-occurring current DSM-III-R substance dependence disorders during an acute psychiatric hospitalization. They were administered a structed interview that included the subscales of the Addiction Severity Index, the Center for Epidemiological Studies—Depression Scale, Lehman's Quality of Life Interview, Rosenberg's Self-Esteem Scale, the Mastery Scale, and questions about service needs. RESULTS: Seventy-eight of the subjects (48.8 percent) were diagnosed as having at least one current substance dependence disorder. Most subjects with comorbid substance dependence were polysubstance dependent (55.1 percent), and almost half (44.9 percent) met criteria for cocaine dependence. Subjects who were substance dependent were significantly overrepresented among those diagnosed with bipolar disorder, psychotic disorder not otherwise specified, and major depression. When the analysis controlled for demographic characteristics and primary diagnosis, comorbidity was related to depressive symptoms, adverse life conditions, and diminished life satisfaction in several domains. Substance-dependent subjects were significantly more likely to have been arrested and jailed than nondependent subjects. Cocaine-dependent subjects were significantly less satisfied than all other subjects with their living situation and personal safety and more likely to request assistance for their drug and alcohol use problems. CONCLUSIONS: The findings corroborate high rates of co-occurring substance dependence disorders among frequently hospitalized patients with severe mental illness. They also reveal a high prevalence of cocaine dependence and a dramatic pattern of negative correlates of cocaine dependence. The findings suggest that successful interventions for substance dependence may improve these patients' life circumstances and that psychiatric patients may be particularly receptive to such interventions during hospitalization.
This article has been cited by other articles:
|
|
|
|
 
K. R. Merikangas, R. Herrell, J. Swendsen, W. Rossler, V. Ajdacic-Gross, and J. Angst
Specificity of Bipolar Spectrum Conditions in the Comorbidity of Mood and Substance Use Disorders: Results From the Zurich Cohort Study
Arch Gen Psychiatry,
January 1, 2008;
65(1):
47 - 52.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
I. M. Salloum, J. R. Cornelius, D. C. Daley, L. Kirisci, J. M. Himmelhoch, and M. E. Thase
Efficacy of Valproate Maintenance in Patients With Bipolar Disorder and Alcoholism: A Double-blind Placebo-Controlled Study
Arch Gen Psychiatry,
January 1, 2005;
62(1):
37 - 45.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
B. E. Havassy, J. Alvidrez, and K. K. Owen
Comparisons of Patients With Comorbid Psychiatric and Substance Use Disorders: Implications for Treatment and Service Delivery
Am J Psychiatry,
January 1, 2004;
161(1):
139 - 145.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
B. E. Havassy, M. S. Shopshire, and L. A. Quigley
Effects of Substance Dependence on Outcomes of Patients in a Randomized Trial of Two Case Management Models
Psychiatr Serv,
May 1, 2000;
51(5):
639 - 644.
[Abstract]
[Full Text]
[PDF]
|
|
|
Get information about faster international access.
Privacy Policy
Copyright © 1998
American Psychiatric Association.
All rights reserved.
Home
| Search
| Current Issue
| Past Issues
| Subscribe
| All APPI Journals
| Help
| Contact Us
|
