Historique
Périodique
Psychosocial functioning of people with substance abuse and bipolar disorders
(Fonctionnement psychosocial des usagers de drogues ayant des troubles bipolaires)
Auteur(s) :
POLLACK, L. E. ;
CRAMER R. D. ;
VARNER, R. V.
Année
2000
Page(s) :
193-203
Langue(s) :
Anglais
Refs biblio. :
26
Domaine :
Drogues illicites
Thésaurus mots-clés
USAGER
;
TROUBLE BIPOLAIRE
;
COMORBIDITE
;
PSYCHOSE MANIACO-DEPRESSIVE
;
DEVENIR
;
PSYCHOSOCIOLOGIE
Note générale :
Substance Abuse, 2000, 21, (3), 193-203
Résumé :
ENGLISH :
This study assessed whether a secondary diagnosis of a substance use disorder in hospitalized people with bipolar disorder was associated with poorer outcomes on self-reported measures of mood (Profile of Mood States), subjective distress (Behavior and Symptom Identification Scale), and coping resources (Coping Resources Inventory), and with specific patient characteristics. Sixty-two patients with bipolar disorder and a secondary diagnosis of a substance use disorder and 60 patients with only a bipolar disorder diagnosis participated. Patients with bipolar disorder and a secondary diagnosis of a substance use disorder perceived significantly more impairment on all three measures than did patients without the secondary diagnosis. Moreover, the background characteristics of a history of violence, past or current involvement with the criminal justice system, and not having an antipsychotic medication prescribed during hospitalization had the strongest association with having a secondary diagnosis of a substance use disorder among the characteristics examined. These findings suggest the existence of a subgroup of patients with substance abuse and bipolar disorders who have substantial psychosocial impairment and probably require more intense treatment. (Review' s abstract)
Affiliation :
Univ. Texas-Houston Health Science Ctr, School of Nursing, 100 Holcombe Blvd, 5540 Houston, Texas 77030
Etats-Unis. United States.
Etats-Unis. United States.