Titre : | A comparison of independent depression and substance-induced depression in cannabis-, cocaine-, and opioid-dependent treatment seekers (2011) |
Auteurs : | E. DAKWAR ; E. V. NUNES ; A. BISAGA ; K. C. CARPENTER ; J. P. MARIANI ; M. A. SULLIVAN ; W. N. RABY ; F. R. LEVIN |
Type de document : | Article : Périodique |
Dans : | American Journal on Addictions (Vol.20, n°5, September-October 2011) |
Article en page(s) : | 441-446 |
Langues: | Anglais |
Discipline : | PSY (Psychopathologie / Psychopathology) |
Mots-clés : |
Thésaurus géographique ETATS-UNISThésaurus mots-clés DEPRESSION ; COMPARAISON ; COMORBIDITE ; CANNABIS ; COCAINE ; OPIOIDES ; DSM (III,IV,5) ; SEXE ; FACTEUR PREDICTIF |
Résumé : | Depressive symptoms often coexist with substance use disorders (SUDs). The DSM-IV has identified two distinct categories for depression coexisting with SUDs-independent depression and substance-induced depression. While this distinction has important therapeutic and prognostic implications, it remains difficult to make in clinical practice; the differentiation is often guided by chronological and symptom severity criteria that patients may be unable to precisely provide. Furthermore, it is unclear whether the various substances commonly abused-cannabis, cocaine, and opioids-are equally associated with the two types of depression. Predictors, associations, and other markers may be helpful in guiding the diagnostic process. We, therefore, examined the differences between cannabis-, cocaine-, and opioid-dependent individuals contending with independent depression and those contending with substance-induced depression in regard to several variables, hypothesizing that independent depression is more commonly found in females, and that it is associated with higher symptom severity and psychiatric comorbidity. Cocaine-, cannabis-, and/or opioid-dependent, treatment-seeking individuals underwent a structured clinical interview for DSM-IV-TR disorders after providing consent at our clinical research site; those with co-existing primary depression or substance-induced depression diagnoses were provided with further questionnaires and were entered into this analysis (n = 242). Pair-wise comparisons were conducted between the groups classified as independent versus substance-induced depression with 2-by-2 tables and chi-square tests for dichotomous independent variables, and t-tests for continuous variables. Binomial logistic regression was performed in order to ascertain which of the variables were significant predictors. Women were more likely than men to have independent depression (p |
Domaine : | Drogues illicites / Illicit drugs |
Refs biblio. : | 16 |
Affiliation : | Division on Substance Abuse, New York State Psychiatric Institute, Columbia University Medical Center, New York, NY, USA |
Lien : | http://onlinelibrary.wiley.com/doi/10.1111/j.1521-0391.2011.00148.x/abstract |
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