scholarly journals Complex Comorbidity of Substance Use Disorders with Anxiety Disorders: Diagnosis and Treatment

10.5772/66247 ◽  
2016 ◽  
Author(s):  
Onat Yilmaz ◽  
Nesrin Dilbaz
Keyword(s):  
Substance Use ◽  
Anxiety Disorders ◽  
Substance Use Disorders ◽  
Diagnosis And Treatment

Diagnosis and treatment of co-occurring affective disorders and substance use disorders

2004 ◽  
Vol 27 (4) ◽  
pp. 649-659 ◽  
Author(s):  
Hugh Myrick ◽  
Jeff Cluver ◽  
Steve Swavely ◽  
Hamilton Peters
Keyword(s):  
Substance Use ◽  
Substance Use Disorders ◽  
Affective Disorders ◽  
Diagnosis And Treatment

scholarly journals Delays in making initial treatment contact after the first onset of mental health disorders in the Argentinean Study of Mental Health Epidemiology

2018 ◽  
Vol 28 (2) ◽  
pp. 240-250 ◽  
Author(s):  
J. C. Stagnaro ◽  
A. H. Cia ◽  
H. Vommaro ◽  
S. Sustas ◽  
N. Vázquez ◽  
...  
Keyword(s):  
Mental Health ◽  
Substance Use ◽  
Anxiety Disorder ◽  
Anxiety Disorders ◽  
Substance Use Disorders ◽  
Urban Areas ◽  
Survival Curve ◽  
Treatment Delays ◽  
First Onset ◽  
Substance Disorder

Aims.While there are effective treatments for psychiatric disorders, many individuals with such disorders do not receive treatment and those that do often take years to get into treatment. Information regarding treatment contact failure and delay in Argentina is needed to guide public health policy and planning. Therefore, this study aimed to provide data on prompt treatment contact, lifetime treatment contact, median duration of treatment delays and socio-demographic predictors of treatment contact after the first onset of a mental disorder.Methods.The Argentinean Study of Mental Health Epidemiology (EAESM) is a multistage probability sample representative of adults (aged 18+) living in large urban areas of Argentina. A total of 2116 participants were evaluated with the World Mental Health Composite International Diagnostic Interview to assess psychiatric diagnosis, treatment contact and delay.Results.Projections of cases that will make treatment contact by 50 years taken from a survival curve suggest that the majority of individuals with a mood (100%) or anxiety disorder (72.5%) in Argentina whose disorder persist for a sufficient period of time eventually make treatment contact while fewer with a substance disorder do so (41.6%). Timely treatment in the year of onset is rare (2.6% for a substance disorder, 14.6% for an anxiety disorder and 31.3% of those with a mood disorder) with mean delays between 8 years for mood disorders and 21 years for anxiety disorders. Younger cohorts are more likely to make treatment contact than older cohorts, whereas those with earlier ages of disorder onset are least likely to make treatment contact. Those with anxiety disorders and major depressive disorder are more likely to make treatment contact when they have comorbid disorders, whereas those with substance use disorders are less likely.Conclusions.Argentina needs to implement strategies to get individuals with substance use disorders into treatment, and to reduce treatment delays for all, but particularly to target early detection and treatment among children and adolescents.

Factors associated with anxiety disorders among patients with substance use disorders in Lebanon: Results of a cross‐sectional study

2019 ◽  
Vol 56 (4) ◽  
pp. 745-752 ◽  
Author(s):  
Chadia Haddad ◽  
Mouhamad J. Darwich ◽  
Sahar Obeid ◽  
Hala Sacre ◽  
Maha Zakhour ◽  
...  
Keyword(s):  
Substance Use ◽  
Anxiety Disorders ◽  
Substance Use Disorders ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Factors Associated

A prospective examination of Axis I psychiatric disorders in the first 5 years following moderate to severe traumatic brain injury

2016 ◽  
Vol 46 (6) ◽  
pp. 1331-1341 ◽  
Author(s):  
Y. Alway ◽  
K. R. Gould ◽  
L. Johnston ◽  
D. McKenzie ◽  
J. Ponsford
Keyword(s):  
Risk Factors ◽  
Traumatic Brain Injury ◽  
Substance Use ◽  
Brain Injury ◽  
Anxiety Disorders ◽  
Psychiatric Disorders ◽  
Substance Use Disorders ◽  
First Year ◽  
Post Injury ◽  
Over Time

BackgroundPsychiatric disorders commonly emerge during the first year following traumatic brain injury (TBI). However, it is not clear whether these disorders soon remit or persist for long periods post-injury. This study aimed to examine, prospectively: (1) the frequency, (2) patterns of co-morbidity, (3) trajectory, and (4) risk factors for psychiatric disorders during the first 5 years following TBI.MethodParticipants were 161 individuals (78.3% male) with moderate (31.2%) or severe (68.8%) TBI. Psychiatric disorders were diagnosed using the Structured Clinical Interview for DSM-IV, administered soon after injury and 3, 6 and 12 months, and 2, 3, 4 and 5 years post-injury. Disorder frequencies and generalized estimating equations were used to identify temporal relationships and risk factors.ResultsIn the first 5 years post-injury, 75.2% received a psychiatric diagnosis, commonly emerging within the first year (77.7%). Anxiety, mood and substance-use disorders were the most common diagnostic classes, often presenting co-morbidly. Many (56.5%) experienced a novel diagnostic class not present prior to injury. Disorder frequency ranged between 61.8 and 35.6% over time, decreasing by 27% [odds ratio (OR) 0.73, 95% confidence interval (CI) 0.65–0.83] with each year post-injury. Anxiety disorders declined significantly over time (OR 0.73, 95% CI 0.63–0.84), whilst mood and substance-use disorder rates remained stable. The strongest predictors of post-injury disorder were pre-injury disorder (OR 2.44, 95% CI 1.41–4.25) and accident-related limb injury (OR 1.78, 95% CI 1.03–3.07).ConclusionsFindings suggest the first year post-injury is a critical period for the emergence of psychiatric disorders. Disorder frequency declines thereafter, with anxiety disorders showing greater resolution than mood and substance-use disorders.

Anxiety disorders among patients with co-occurring bipolar and substance use disorders

2005 ◽  
Vol 80 (2) ◽  
pp. 251-257 ◽  
Author(s):  
Monika E. Kolodziej ◽  
Margaret L. Griffin ◽  
Lisa M. Najavits ◽  
Michael W. Otto ◽  
Shelly F. Greenfield ◽  
...  
Keyword(s):  
Substance Use ◽  
Anxiety Disorders ◽  
Substance Use Disorders

scholarly journals Comorbidity of substance use disorders with mood and anxiety disorders

1998 ◽  
Vol 23 (6) ◽  
pp. 893-907 ◽  
Author(s):  
Kathleen R. Merikangas ◽  
Rajni L. Mehta ◽  
Beth E. Molnar ◽  
Ellen E. Walters ◽  
Joel D. Swendsen ◽  
...  
Keyword(s):  
Substance Use ◽  
Anxiety Disorders ◽  
Substance Use Disorders ◽  
Mood And Anxiety Disorders

scholarly journals Prevalence, Comorbidity, and Sociodemographic Correlates of Psychiatric Disorders in the All Of Us Biobank

2021 ◽  
Author(s):  
Peter B. Barr ◽  
Tim B. Bigdeli ◽  
Jacquelyn M. Meyers
Keyword(s):  
Substance Use ◽  
Anxiety Disorders ◽  
Personality Disorders ◽  
Psychiatric Disorders ◽  
Substance Use Disorders ◽  
Low Socioeconomic Status ◽  
Large Scale ◽  
Demographic Correlates ◽  
Sociodemographic Correlates ◽  
Demographic Covariates

ABSTRACTImportanceAll of Us is a landmark initiative for population-scale research into the etiology of psychiatric disorders and disparities across various sociodemographic categories.ObjectiveTo estimate the prevalence, comorbidity, and demographic covariates of psychiatric and substance use disorders in the All of Us biobank.Design, Setting, and ParticipantsWe estimated prevalence, overlap, and demographic correlates for psychiatric disorders derived from electronic health records in the All of Us biobank (release 5; N = 331,380)ExposuresSocial and demographic covariates.Main Outcome and MeasuresPsychiatric disorders derived from ICD10CM codes and grouped into phecodes across six broad domains: mood disorders, anxiety disorders, substance use disorders, stress-related disorders, schizophrenia, and personality disorders.ResultsThe prevalence of various disorders ranges from approximately 15% to less than 1%, with mood and anxiety disorders being the most common, followed by substance use disorders, stress-related disorders, schizophrenia, and personality disorders. There is substantial overlap among disorders, with a large portion of those with a disorder (~57%) having two or more registered diagnoses and tetrachoric correlations ranging from 0.43 – 0.74. The prevalence of disorders across demographic categories demonstrates that non-Hispanic whites, those of low socioeconomic status, women and those assigned female at birth, and sexual minorities are at greatest risk for most disorders.Conclusions and RelevanceAlthough the rates of disorders in All of Us are lower than rates for disorders in the general population, there is considerable variation, comorbidity, and differences across social groups. Large-scale resources like All of Us will prove to be invaluable for understanding the causes and consequences of psychiatric conditions. As we move towards an era of precision medicine, we must work to ensure it is delivered in an equitable manner.

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