The Prevalence of Psychiatric Disorders in Patients With Alcohol and Other Drug Problems
- 1 November 1988
- journal article
- research article
- Published by American Medical Association (AMA) in Archives of General Psychiatry
- Vol. 45 (11), 1023-1031
- https://doi.org/10.1001/archpsyc.1988.01800350057008
Abstract
• A survey evaluated the lifetime and current prevalence of mental disorders in 501 patients seeking assistance with alcohol and other drug problems at an addiction research and treatment facility. Information was gathered using the National Institute of Mental Health Diagnostic Interview Schedule (DIS) and computer diagnoses were generated according to DSM-III criteria. Four fifths (78%) of the sample had a DIS lifetime psychiatric disorder in addition to substance use, and two thirds (65%) had a current DIS mental disorder. Excluding the unreliably diagnosed generalized anxiety disorder, the most common lifetime disorders were antisocial personality disorder, phobias, psychosexual dysfunctions, major depression, and dysthymia. Patients who abused both alcohol and other drugs were the most psychiatrically impaired. Patients with DIS psychiatric disorders had more severe alcohol and other drug problems. Barbiturate/sedative/hypnotic, amphetamine, and alcohol abusers were the most likely to have a DIS mental disorder.This publication has 24 references indexed in Scilit:
- Adolescent depression, alcohol and drug abuse.American Journal of Public Health, 1987
- The logistic regression analysis of psychiatric dataJournal of Psychiatric Research, 1986
- Use of the Hamilton rating scale for depression and the Carroll self-rating scale in adolescentsPsychiatry Research, 1985
- Lifetime Prevalence of Specific Psychiatric Disorders in Three SitesArchives of General Psychiatry, 1984
- Alcohol Dependence and Phobic Anxiety States I. a Prevalence StudyThe British Journal of Psychiatry, 1984
- The drug abuse screening testAddictive Behaviors, 1982
- Diagnostic concordance in a follow-up study of opiate addictsJournal of Psychiatric Research, 1981
- The Carroll Rating Scale for Depression I. Development, Reliability and ValidationThe British Journal of Psychiatry, 1981
- Alcohol Dependence and Phobias: Clinical Description and RelevanceThe British Journal of Psychiatry, 1979
- Psychiatric disorder in a Skid-Row mission populationComprehensive Psychiatry, 1979