791 – Dual diagnosis of schizophrenia and substance abuse: the need for awareness

Abstract

Background:The dual diagnosis of substance abuse and severe mental illness has been proposed by some authors to highlight the high frequency of such association. Our objectif was to determine the prevalence of dual diagnosis among mentally ill patients and and particularly schizophrenic patients. as a secondary purpose, to describe the profile of patient at higher risk to develop dual diagnosis.Method:683 mentally ill patients were recruited from el Mamoura Psychiatric Hospital, they were assessed by the Arabic version of 6 item K6 scale, those scoring above 13 were submitted to a structured clininical interview SCID-I module for schizophrenia, urine screening for drugs of abuse and complete history of substance abuse and other medical disciplines.Results:22% of the sample fulfill the diagnosis of dual diagnosis. 28.99% of the sample were schizophrenic, 16.67% among the later were fulfilling diagnosis of dual diagnosis. Results reveals higher risk for dual diagnosis in patients younger in age, single, low socioeconomic state and low level of education. Those having dual diagnosis tend to have early onset, longer duration of illness, poor compliance, higher rate of smoking and increased number of relapses.Conclusion:Double diagnosis is an important issue that needs more focus in mental health services. Awareness of mental health providers about dual diagnosis is highly recommended.

Mental Disorders, Addictions Related To Long Hospitalization Days That Require Double Diagnosis in Moldova

“…Similar results were also found in other investigations as in the Picci et al [12], where the participants were aged 18-44, free or divorced and widowed, the same research by Rady et al [13] revealed that the majority of the sample (63%) was single, with low socio-economic and educational level. Also the national survey by Magidson et al [22], typically indicate that people with double diagnosis were more likely to be divorced / deprived, in the absence of a supportive environment.…”

“…The low level of education in this research is supported by other European studies where the presence of dual diagnosis was higher in patients with low socio-economic and educational back-ground, usually with chronic education of less than 9 years [13,[30][31][32][33][34]. The majority of the sample included in the psychiatric unit was in the group of inactive (60.3%), with the main source of income for the pension or sickness benefit (66.7%).…”

“…Within this framework, the need for research on this issue is important. The prospect of investigating dual diagnosis and the characteristics of people with dual diagnosis attempts to explain how this phenomenon affects the therapeutic effect, the course of the disease, the number of infections, and how is generally affects the use of mental health services [11][12][13][14][15][16][17].…”

Differences in Psychopathology among Patients with Dual Diagnosis Receiving Treatment in Mental Health Services and Substance use Treatment Programs

“…Moreover, Rady, Salama, Elkholy, and Shawky (2013a, 2013b, 2013c, 2013d) showed that 57.32% of personality disorders patients, 17.71% of mood disorders patients, 17.42% of anxiety disorders patients and 16.67% of schizophrenic patients of a psychiatric hospital of Egypt suffered from dual diagnosis. It is often observed that patients with dual diagnosis present more than one mental disorder along with the substance use disorder (e.g., Ding, Yang, Cheng, Schiltz, summers, and Skinstad, 2011; Lechner et al, 2013) [11][12][13][14][15][16].…”

Διερεύνηση Και Αξιολόγηση Διπλής Διάγνωσης Στις Υπηρεσίες Ψυχικής Υγείας Κύπρου

“…Μέζα ζε απηά ηα πιαίζηα, ε αλάγθε γηα έξεπλα ζην ζπγθεθξηκέλν ζέκα είλαη ζεκαληηθή. Ζ πξννπηηθή δηεξεχλεζεο ηεο δηπιήο δηάγλσζεο θαη ησλ ραξαθηεξηζηηθψλ ησλ αηφκσλ πνπ παξνπζηάδνπλ δηπιή δηάγλσζε, επηρεηξεί λα εμεγήζεη ηφζν ην πψο απηφ ην θαηλφκελν επεξεάδεη ην ζεξαπεπηηθφ απνηέιεζκα, ηελ πνξεία ηεο λφζνπ, ην αξηζκφ εηζαγσγψλ, φζν θαη ην πψο επεξεάδεη γεληθφηεξα ηελ ρξήζε Τπεξεζηψλ Φπρηθήο Τγείαο (Batalla et al, 2013;Picci et al, 2013;Rady Salama, Elkholy, & Shawky, 2013a;van Dijk, Koeter, Hijman, Kahn, & van den Brink, 2012;Wu et al, 2013;.…”