Acute dually diagnosed inpatients : the use of self-report symptom severity instruments in persons with depressive disorders and cocaine dependence

FRANÇAIS :
84 patients adultes ont été examinés lors des 5 jours d'admission à l'aide d'instruments de mesure : le BDI (Beck Depression Inventory), les listes du SCL-90-R (Symptom CheckList-90-Revised) et le DAST-20 (Drug Abuse Screening Test-20). Les mesures de dépression correspondent, en général, respectivement à chacun des diagnostics de troubles dépressifs, excepté pour le trouble de comportement organique (dû à la cocaïne) dont la moyenne, mesurée avec BDI et SCL90-R, est plus faible. Les mesures du DAST-20 correspondent aux diagnostics. Au vu des résultats, il apparaît que le BDI permettrait notamment de distinguer les troubles dépressifs unipolaires originels, de la symptomologie organique induite (cocaïne) quand les mesures se font juste après l'arrêt de la cocaïne.
ENGLISH :
A total of 84 adult inpatient dual-diagnosis patients'charts were reviewed. Patients were administered the BDI, SCL-90-R with additional items for major depressive syndrome, and the DAST-20 within 5 days of admission as standard assessment practice in a hospital program. Depression scores for the BDI and the SLC-90-R were generally consistent, respectively, across each of the depressive disorder diagnostic groups with the exception of organic (cocaineinduced) mood disorder, which had lower mean scores on both instruments. DAST-20 mean scores were consistent across the diagnostic groups (substantial drug abuse range). Results suggest potential discriminating ability of the BDI in particular in distinguishing genuine unipolar depressive disorders from organically (cocaine) induced mood symptomology when assessments are done rapidly following cocaine cessation. (From authors' abstract)