Substance Abuse in Patients With Comorbid Anxiety Disorder

Tucker, Phebe; Westermeyer, Joseph

doi:10.3109/10550499509038107

Cited by 7 publications

(3 citation statements)

References 23 publications

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“…Identifying subgroups of individuals dependent on alcohol or other substances may help elucidate aetiology, predict clinical course, rationally assign treatment, and improve outcome (Tucker and Westermeyer, 1995;Weiss et al, 1997;Ross et al, 1998). Little has been published on the characteristics of alcohol-dependent patients who leave in-patient/residential treatment prematurely.…”

Section: Introductionmentioning

confidence: 99%

Unplanned Versus Planned Discharges From in-Patient Alcohol Detoxification: Retrospective Analysis of 470 First-Episode Admissions

Martı́nez-Raga

Marshall

Keaney³

et al. 2002

Alcohol and Alcoholism

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Failure to complete treatment during alcohol detoxification is a major complication of effective clinical management. We determined the socio-demographic characteristics, the pattern of alcohol and drug use, the hepatitis C status and the psychiatric state of these patients, using retrospective data on 470 first admissions to a specialist alcohol in-patient unit. The 316 patients (67.2%) who had a planned discharge (PD group) were compared with the 154 patients (32.8%) who had unplanned discharges (UPD group). Patients in the UPD group were younger on admission, had higher Alcohol Problems Questionnaire scores, had started to drink heavily at a younger age, were more likely to have previously used cocaine, amphetamines and heroin, and to have smoked cannabis in the 30 days prior to admission. They were more likely to be positive for markers of hepatitis C infection, to have a borderline personality disorder, antisocial personality disorder, or to have concurrent opiate or benzodiazepine dependence. PD was associated with depressive disorder. Early identification can be made of alcohol-dependent individuals at risk of premature drop-out during in-patient treatment. Interventions to retain patients at risk of premature UPD should be developed.

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Section: Introductionmentioning

confidence: 99%

Unplanned Versus Planned Discharges From in-Patient Alcohol Detoxification: Retrospective Analysis of 470 First-Episode Admissions

Martı́nez-Raga

Marshall

Keaney³

et al. 2002

Alcohol and Alcoholism

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show abstract

“…Two other groups of investigators have likewise found fewer diagnoses of opiate abuse among schizophrenic patients as compared to other psychiatric patients 14,23 . Of interest, Tucker and Wester‐meyer observed that patients with comorbid Anxiety Disorder‐SUD also had lower‐than‐expected rates of opiate abuse/dependence as compared to SUD‐only patients 45 . We are not certain about the meaning of this finding, but the inverse correlation of opiate abuse and psychiatric comorbidity seems persistent across the psychiatric comorbidities.…”

Section: Discussionmentioning

confidence: 92%

Course of Substance Abuse in Patients with and without Schizophrenia

Westermeyer

1999

American J Addict

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The authors compared the course of Substance Use Disorders (SUD) in patients with SUD plus schizophrenia (SCZ) with those having SUD only. Data were obtained through diagnostic interviews and questionnaires on consecutive out-patients and in-patients referred for SUD to two university medical centers with alcohol-drug programs. This study revealed the SCZ-SUD patients (n = 29) had demographic characteristics, onset of their substance use, course of use/abuse, and lifetime SUD diagnoses that closely resembled those with SUD-only (n = 296). The marked similarities argue for a course of SUD in schizophrenic patients that is fully as morbid as that in SUD-only patients. The few differences in course appear linked to the following: (1) patients with SCZ using caffeine early, perhaps to relieve prodromal manifestations of schizophrenia, (2) patients with SCZ-SUD later using less or avoiding use of substances that exacerbate symptoms of schizophrenia (e.g., caffeine, cocaine, opiates), and (3) using tobacco more often to ameliorate the symptoms of schizophrenia or the side effects of medications used to treat schizophrenia. Contrary to expectation, those with comorbid SCZ-SUD employed self-help to deal with SUD as often as did the SUD-only patients.

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“…A high rate of ED has been noted in women with SRD (17). Reports comparing ED-only with SRD-ED have indicated that patients with comorbid SRD-ED possess more severe social and psychosocial impairment and experience a worse prognosis than those with ED (18)(19)(20)(21)(22)(23).…”

Section: Introductionmentioning

confidence: 99%

Course and severity of substance abuse in women with Comorbid eating disorder

2000

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The objective of this study is to ascertain whether the course and severity of Substance Abuse among female patients with comorbid Substance Related Disorder and Eating Disorder (SRD-ED) is similar to or different from the course and severity of SRD among female patients with Substance Related Disorder but no Eating Disorder (SRD). Subjects were voluntary patients, obtained in two addiction programs located within departments of psychiatry in two state university medical centers, and included 66 women with SRD-ED and 211 women with SRD. Data were collected on demography, course and severity of SRD, and associated biomedical conditions. SRD-ED patients were significantly younger and more apt to be single, more highly educated, living with family and friends, employed, and of higher socioeconomic status. SRD-ED and SRD patients were more similar than different on most indicators of course and severity, although several clinical differences prevailed. These clinical differences were primarily ascribed to age. In most respects, patients with comorbid SRD-ED manifest course and severity of SRD similar to patients with SRD. Demographic differences between the two groups can mostly be ascribed to the younger mean age of SRD-ED patients rather than to the comorbid ED. Some biomedical problems are related to the specific consequences of ED.

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Substance Abuse in Patients With Comorbid Anxiety Disorder

Cited by 7 publications

References 23 publications

Unplanned Versus Planned Discharges From in-Patient Alcohol Detoxification: Retrospective Analysis of 470 First-Episode Admissions

Unplanned Versus Planned Discharges From in-Patient Alcohol Detoxification: Retrospective Analysis of 470 First-Episode Admissions

Course of Substance Abuse in Patients with and without Schizophrenia

Course and severity of substance abuse in women with Comorbid eating disorder

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