Titre : | Impact of comorbid psychiatric disorders on the outcome of substance abusers: a six year prospective follow-up in two Norwegian counties |
Auteurs : | A. S. LANDHEIM ; K. BAKKEN ; P. VAGLUM |
Type de document : | Périodique |
Année de publication : | 2006 |
Format : | 1-11 |
Note générale : |
BMC Psychiatry, 2006, 6, (44), 1-11
|
Langues: | Anglais |
Discipline : | PSY (Psychopathologie / Psychopathology) |
Mots-clés : |
Thésaurus mots-clés ETUDE PROSPECTIVE ; COMORBIDITE ; POLYCONSOMMATION ; ALCOOL ; TRAITEMENT ; DEPRESSION ; SUIVI DU PATIENT ; RECHUTEThésaurus géographique NORVEGE |
Résumé : | BACKGROUND: Most help-seeking substance abusers have comorbid psychiatric disorders. The importance of such disorders for the long-term course of substance abuse is, however, still unclear. The aim of this paper is to describe six-year outcomes regarding death and relapse among alcoholics and poly-substance abusers and to analyse the predictive value of lifetime psychiatric disorders on relapse. METHODS: A consecutive sample of substance-dependent patients who received treatment in two counties in Norway (n = 287) was followed up after approximately six years. Information on socio-demographics, Axis I (CIDI) and II disorders (MCMI-II) and mental distress (HSCL-25) was gathered at baseline. At follow-up, detailed information regarding socio-demographics, use of substances (AUDIT and DUDIT) and mental distress (HSCL-25) was recorded (response rate: 63%). RESULTS: At six-year follow-up, 11% had died, most often male alcoholics (18%). Among the surviving patients, 70% had drug or alcohol related problems the year prior to follow-up. These patients were, classified as "relapsers". There were no significant differences in the relapse rate between women and men and among poly-substance abusers and alcoholics. The relapsers had an earlier onset of a substance use disorder, and more frequently major depression and agoraphobia. Multivariate analysis indicated that both psychiatric disorders (major depression) and substance use factors (early onset of a substance use disorder) were independent predictors of relapse. CONCLUSION: For reducing the risk of long-term relapse, assessment and treatment of major depression (and agoraphobia) are important. In addition, we are in need of a comprehensive treatment and rehabilitation program that also focuses on the addictive behaviour. (Author' s abstract) |
Domaine : | Plusieurs produits / Several products |
Refs biblio. : | 51 |
Affiliation : |
Centre for Addiction Issues, Department for Substance Abuse, Innlandet Hospital Trust. Norvège. Norway. |
Centre Emetteur : | 13 OFDT |
Cote : | A03497 |
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