Drug and alcohol dependence and psychiatric populations: The need for diagnosis, intervention, and training

Miller, Norman S.; Ries, Richard K.

doi:10.1016/0010-440x(91)90048-h

Cited by 26 publications

(6 citation statements)

References 54 publications

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“…According to this study, abuse of (or dependence on) cocaine or other hard drugs, but not cannabis-only abuse/dependence, was strongly associated with alcohol dependence and significantly associated with a history of affective disorders. These findings are consistent with other studies, according to which abusers of "hard" drugs present higher rates of alcoholism and psychiatric disorders than abusers of cannabis only (Helzer & Prysbeck, 1988;Miller & Mirin, 1989;Miller & Ries, 1991). Despite the paucity of research on specific treatment interventions for patients with drug abuse/dependence who have additional psychiatric or alcohol disorders, some studies report that drug abusers with alcohol disorders have the worst prognosis (Helzer & Pryzbeck, 1988;Miller & Mirin, 1989).…”

Section: Discussionsupporting

confidence: 90%

“…Helzer & Pryzbeck (1988) reported that among cannabis-only drug abusers the lifetime prevalence rate of alcoholism was about one-third (36%), while among abusers of hard drugs the alcoholism rate was much higher, ranging from 62% in abusers of stimulants to 84% in cocaine abusers. Other studies of inpatient and outpatient populations have corroborated these findings, showing that about 80% of cocaine addicts, 50% to 75% of opiate addicts, and 50% of cannabis addicts are also alcoholics (Bunt et al, 1990;Khalsa & Paredes, 1992;Miller & Gold, 1990;Miller & Mirin, 1989;Miller & Ries, 1991). Despite the importance of these studies for the overall understanding of comorbidity between psychiatric and drug disorders, they have one important limitation, that is, they do not provide information on the temporal sequence of the events under investigation, making the difference between causal and prognostic factors impossible.…”

Section: Introductionmentioning

confidence: 83%

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A case-control study on alcohol and psychiatric disorders as risk factors for drug abuse pattern

Lopes

Sichieri

2002

Cad. Saúde Pública

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We evaluated alcohol and psychiatric disorders as risk factors for the pattern of drug abuse/dependence in a matched case-control study (370 adults). Cases (drug abusers) and controls were selected in the community using the snowball technique and matched by sex, age, and friendship. Information was gathered using the "Composite International Diagnostic Interview" (CIDI). Three patterns of drug abuse/dependence were evaluated: any drug abuse/dependence, only cannabis, and cocaine and other drugs. Logistic conditional regression showed that alcohol dependence was strongly associated with pattern of drug abuse/dependence. Thus, compared to the "no drug abuse group", the odds ratio for association with diagnosis of abuse/dependence on cocaine and other drugs was 10.2 (95% CI: 4.9-21.2), whereas for abuse/dependence on cannabis only, the odds ratio was 1.0. For affective disorders, the odds ratio was 2.0 (95% CI: 1.10-3.64) for the group that received a diagnosis of abuse/dependence on cocaine and other drugs, whereas no association was found for those with abuse/dependence on cannabis only. In conclusion, there is not a homogeneous group of "drug users", and the role of risk factors depends on the drug use pattern.

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Section: Discussionsupporting

confidence: 90%

Section: Introductionmentioning

confidence: 83%

A case-control study on alcohol and psychiatric disorders as risk factors for drug abuse pattern

Lopes

Sichieri

2002

Cad. Saúde Pública

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“…Objective signs include depressed affect, psychomotor retardation, and sleep, sex, or appetite disturbances. 29 Depression can exacerbate alcohol abuse and most alcoholics entering treatment will exhibit significant depressive symptoms. Patients suffering from alcohol abuse or dependence often encourage misdiagnosis by acts of historical omission or absolute misrepresentation.…”

Section: Alcohol Use Disordersmentioning

confidence: 99%

A Review of Co - Morbid Depression Among the Patients With Alcohol Dependence

Kishore¹,

Manjeera²,

Gopalkrishnan³

et al. 2015

jemds

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Co-morbidity is "the occurrence of 2 or more distinct psychiatric disorders at the same time". Clinical and general population studies show that alcohol abuse or dependence and major depression often coexist. The presence of co-morbid conditions, such as alcohol dependence (AD) and major depression, has important implications for patient functioning and prognosis, including difficulties in case identification, treatment effectiveness and compliance, altered pharmacokinetics, and increased chronicity of both conditions. Although depression and alcohol dependence commonly coexist in community and treatment-seeking populations, there is no clear consensus on appropriate assessment and treatment of patients who present with symptoms of both disorders. To make appropriate treatment decisions, clinicians must know the likely effects of depression on drinking outcomes. This article reviews the relation between co-morbid depression and alcohol dependence.

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“…Given the broadening of focus to address more assertively both SUDs and psychiatric disorders, trainees needed to be provided with a knowledge base about SUDs. We deemed the subjects of SUD assessment and diagnosis to be of primary importance on the basis of prior experience with the trainees and the emphasis on proper diagnosis in the literature (Anthenelli, 1994;Miller & Ries, 1991;Sciacca, 1991). We considered four other issues to be important, and we emphasized them across the three educational components to be discussed.…”

Section: Educational Components and Trainingmentioning

confidence: 99%

Training in substance use disorders assessment and intervention: Design and implementation of a model within a traditional mental health clinic.

McGovern¹,

Groberski²,

Gryll³

1999

Professional Psychology: Research and Practice

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This article describes the rationale, design, and implementation of a training experience for psychology interns, doctoral program graduate students, and trainees from psychiatry and social work. The nature of the experience involved the development of assessment and triage skills as well as awareness of treatment strategies for substance use disorders within a traditional outpatient mental health clinic. The impact of a substance use disorder tracking system and the new training experience on clinical and educational processes is presented. MARK P. MCGOVERN received his PhD in Clinical Psychology from Temple University in 1985. He is an associate professor of psychiatry at Northwestern University Medical School and the director of research for the Section of Addiction Medicine at Rush-Presbyterian-St. Luke's Medical Center in Chicago. His clinical and research interests are addiction treatment services. MARK J. GROBERSKI received his PhD in Clinical Psychology from Loyola University Chicago. He is currently staff psychologist and outreach coordinator at the Counseling Center, Roosevelt University, Chicago. His clinical and research interests include substance use among college students, clinical training in substance use disorders, and the motivation of patients for addiction treatment. He was affiliated with Northwestern University Medical School at the time this study was conducted. STEVEN L. GRYLL received his PhD from Vanderbilt University in 1975. He is an assistant clinical professor of psychiatry and behavioral sciences at Northwestern University Medical School. His research interests are psychotherapy process and training issues. WE GRATEFULLY ACKNOWLEDGE the support of the staff and the trainees of the Outpatient Treatment Center,

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Drug and alcohol dependence and psychiatric populations: The need for diagnosis, intervention, and training

Cited by 26 publications

References 54 publications

A case-control study on alcohol and psychiatric disorders as risk factors for drug abuse pattern

A case-control study on alcohol and psychiatric disorders as risk factors for drug abuse pattern

A Review of Co - Morbid Depression Among the Patients With Alcohol Dependence

Training in substance use disorders assessment and intervention: Design and implementation of a model within a traditional mental health clinic.

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