TAILIEUCHUNG - Báo cáo y học: "A cross-sectional study of patients with and without substance use disorders in Community Mental Health Centres"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: A cross-sectional study of patients with and without substance use disorders in Community Mental Health Centres | Wusthoff et al. BMC Psychiatry 2011 11 93 http 1471-244X 11 93 BMC Psychiatry RESEARCH ARTICLE Open Access A cross-sectional study of patients with and without substance use disorders in Community Mental Health Centres Linda E Wusthoff1 Helge Waal1 Torleif Ruud2 3 and Rolf W Grawe1 4 Abstract Background Epidemiological studies have consistently established high comorbidity between psychiatric disorders and substance use disorders SUD . This comorbidity is even more prominent when psychiatric populations are studied. Previous studies have focused on inpatient populations dominated by psychotic disorders whereas this paper presents findings on patients in Community Mental Health Centres CMHCs where affective and anxiety disorders are most prominent. The purpose of this study is to compare patients in CMHCs with and without SUD in regard to differences in socio-demographic characteristics level of morbidity prevalence of different diagnostic categories health services provided and the level of improvement in psychiatric symptoms. Methods As part of the evaluation of the National Plan for Mental Health all patients seen in eight CMHCs during a 4-week period in 2007 were studied n 2154 . The CMHCs were located in rural and urban areas of Norway. The patients were diagnosed according to the ICD-10 diagnoses and assessed with the Health of the Nation Outcome Scales the Alcohol Use Scale and the Drug Use Scale. Results Patients with SUD in CMHCs are more frequently male single and living alone have more severe morbidity less anxiety and mood disorders less outpatient treatment and less improvement in regard to recovery from psychological symptoms compared to patients with no SUD. Conclusion CMHCs need to implement systematic screening and diagnostic procedures in order to detect the special needs of these patients and improve their treatment. Background Epidemiological studies have consistently established high comorbidity between psychiatric .

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