Mission impossible: treating serious mental illness and substance use co-occurring disorder with integrated treatment: a meta-analysis

Chow, Clifton; Wieman, Dow A.; Cichocki, Ben; Qvicklund, Helena; Hiersteiner, Dorothy

doi:10.1080/17523281.2012.693130

Cited by 21 publications

(10 citation statements)

References 33 publications

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“…A better understanding and increased awareness of the interactions between addictions and MHPs could help significantly in the treatment and prevention of addictive disorders and MHPs. Refining treatments to simultaneously improve both types of disorders seems particularly challenging (Chow, Wieman, Cichocki, Qvicklund, & Hiersteiner, 2013;Lenz, Henesy, & Callender, 2016;Penzenstadler, Kolly, Rothen, Khazaal, & Kramer, 2018), although holistic treatment approaches have shown some promising results, for example, integrated treatment approaches taking into account addictions and MHPs (Dom & Moggi, 2015;Morisano et al, 2014;van Wamel, van Rooijen, & Kroon, 2015). In addition, such findings could inform discussions about whether BAs should be considered public health problems of equal significance to SUDs and MHPs (Aarseth et al, 2017;Kardefelt-Winther et al, 2017).…”

Section: Aimsmentioning

confidence: 99%

Unique versus shared associations between self-reported behavioral addictions and substance use disorders and mental health problems: A commonality analysis in a large sample of young Swiss men

et al. 2019

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Background and aims: Behavioral addictions (BAs) and substance use disorders (SUDs) tend to co-occur; both are associated with mental health problems (MHPs). This study aimed to estimate the proportion of variance in the severity of MHPs explained by BAs and SUDs, individually and shared between addictions. Methods: A sample of 5,516 young Swiss men (mean = 25.47 years old; SD = 1.26) completed a self-reporting questionnaire assessing alcohol, cannabis, and tobacco use disorders, illicit drug use other than cannabis, six BAs (Internet, gaming, smartphone, Internet sex, gambling, and work) and four MHPs (major depression, attention-deficit hyperactivity disorder, social anxiety disorder, and borderline personality disorder). Commonality analysis was used to decompose the variance in the severity of MHPs explained (R 2) by BAs and SUDs into independent commonality coefficients. These were calculated for unique BA and SUD contributions and for all types of shared contributions. Results: BAs and SUDs explained between a fifth and a quarter of the variance in severity of MHPs, but individual addictions explained only about half of this explained variance uniquely; the other half was shared between addictions. A greater proportion of variance was explained uniquely or shared within BAs compared to SUDs, especially for social anxiety disorder. Conclusions: The interactions of a broad range of addictions should be considered when investigating their associations with MHPs. BAs explain a larger part of the variance in MHPs than do SUDs and therefore play an important role in their interaction with MHPs.

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Section: Aimsmentioning

confidence: 99%

Unique versus shared associations between self-reported behavioral addictions and substance use disorders and mental health problems: A commonality analysis in a large sample of young Swiss men

et al. 2019

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“…Even so, program administrators have recognized the disadvantages of separate treatment systems and are attempting to increase integrative approaches [ 2 ]. Above all, integrated treatment is designed to increase effectiveness by minimizing obstacles experienced by individuals who are seeking care for cooccurring disorders [ 3 ]. In a context where there is a need to identify people with a cooccurring disorder, for example, by programs exclusively treating addiction and programs exclusively treating mental health disorders, a screen for cooccurring would also contribute to more attention being paid to both disorders.…”

Section: Introductionmentioning

confidence: 99%

The AC-OK Cooccurring Screen: Reliability, Convergent Validity, Sensitivity, and Specificity

Cherry

Dillon

2013

Journal of Addiction

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The principal barriers to universal screening for the cooccurring disorders of mental illness and substance abuse are training, time, cost, and a reliable and valid screen. Although many of the barriers to universal screening still remain intact, the lack of a cooccurring screen that is effective and can be administered in a cost efficient way is no longer an obstacle. This study examined the reliability, factor structure, and convergent validity of the 15-item AC-OK Cooccurring Screen. A total of 2,968 AC-OK Cooccurring Screens administrated to individuals who called or went to one of the nine participating mental health and substance abuse treatment facilities were administrated and analyzed. Principal axis factor (PAF) analysis was used in the confirmatory factor analysis to identify the common variance among the items in the scales while excluding unique variance. Cronbach's Alpha was used to establish internal consistency (reliability) of each subscale. Finally, the findings from the AC-OK Cooccurring Screen were compared to individual scores on two standardized reference measures, the addiction severity index and the Client assessment record (a measure of mental health status) to determine sensitivity and specificity. This analysis of the AC-OK Cooccurring Screen found the subscales to have excellent reliability, very good convergent validity, excellent sensitivity, and sufficient specificity to be highly useful in screening for cooccurring disorders in behavioral health settings. In this study, the AC-OK Cooccurring Screen had a Cronbach's Alpha of .92 on the substance abuse subscale and a Cronbach's Alpha of .80 on the mental health subscale.

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“…Eine systematisch wissenschaftliche Untersuchung und Evaluierung, insbesondere der psychosozialen Behandlung von Patienten mit einer Komorbidität von psychischen Störungen und Störungen durch Substanzkonsum, existiert erst seit 20 Jahren (41), wobei es zu wenig gut kontrollierte Studien gibt, um wissenschaftlich fundierte Aussagen zu machen. Einige Autoren bezeichnen deshalb die Therapie dieser Doppeldiagnosen-Patienten als eine "Mission Impossible" (12). Laut Moggi (41) liegt das aber eher daran, dass es aufgrund der Heterogenität der bisherigen Studien (z.…”

Section: Diskussionunclassified

Suchtbehandlung bei komorbid psychischen Krankheiten

Aichmüller¹,

Soyka²

2016

Nervenheilkunde

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ZusammenfassungDas Auftreten von komorbiden psychischen Störungen bei Suchterkrankungen ist häufig, dabei sind die Verläufe im Vergleich zu Patienten, die nur eine Diagnose aufweisen, schlechter. Eine effektive Suchttherapie ist nur im Rahmen der Mitbehandlung der psychischen Komorbidität möglich. Integrierte Behandlungskonzepte scheinen dabei von Vorteil zu sein. Die dafür erforderlichen pharmakologischen und psychosozialen Interventionen sind bei den jeweiligen psychischen und Suchterkrankungen teilweise gut untersucht. Die Datenlage bei komorbiden Suchterkrankungen ist kaum evidenzbasiert. Dies liegt unter anderem an der Heterogenität der Studien, aber auch jedoch an der Vielzahl möglicher Komorbiditätsformen. Anhand einer Kasuistik wird das therapeutische Procedere und das Behandlungsangebot der Spezialstation für Abhängigkeitserkrankungen mit komorbiden Störungen der Privatklinik Meiringen dargestellt.

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Mission impossible: treating serious mental illness and substance use co-occurring disorder with integrated treatment: a meta-analysis

Cited by 21 publications

References 33 publications

Unique versus shared associations between self-reported behavioral addictions and substance use disorders and mental health problems: A commonality analysis in a large sample of young Swiss men

Unique versus shared associations between self-reported behavioral addictions and substance use disorders and mental health problems: A commonality analysis in a large sample of young Swiss men

The AC-OK Cooccurring Screen: Reliability, Convergent Validity, Sensitivity, and Specificity

Suchtbehandlung bei komorbid psychischen Krankheiten

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