High-risk alcohol and drug use situations among seriously mentally ill inpatiens : a preliminary investigation

FRANÇAIS :
Dans le but de comparer et d'examiner les situations à risque vis-àvis de la consommation d'alcool et de drogue chez des individus à problème d'usage d'alcool ou de drogue, 21 hommes et 9 femmes provenant d'un hôpital psychiatrique ont été interrogés sur les situations de consommation d'alcool et de drogue, relativement similaires pour tous, mais il semble qu'une étude sur un plus grand échantillon permette de trouver des différences significatives entre consommateurs d'alcool et consommateurs de drogue.
ENGLISH :
Situational factors are important determinants of alcohol and drug use in general samples of substance abusers, with alcohol users and drug users reporting different trigger situations. This study represents an initial attempt to investigate high-risk alcohol and drug use situations in a sample of dually diagnosed individuals. 30 men and women with both a serious mental illness and an alcohol or drug use disorder were recruited from an inpatient psychiatric unit and completed questionnaires assessing high-risk use situations, psychiatric symptomatology, and psychological symptoms that trigger substance use. Although the alcohol and drug groups did not differ significantly in the frequency of self-reported high-risk situations for substance use, effect size analyses suggest that 6 of 8 comparisons would demonstrate statistically significant differences with a larger sample size. Although preliminary, these results have relevance for the treatment of dually diagnosed persons, particularly for behavioral treatment interventions such as coping skills training and stimulus control techniques. (From authors' abstract)