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Prevalence of dual diagnosis among clinic attending patients in a de-addiction centre of a tertiary care hospital.

Abstract Indian research on dual diagnosis is mostly on prevalence of co-morbidity in a particular type of substance use disorder or psychiatric disorder. They were not on overall prevalence of dual diagnosis in a clinical sample. The study aims to assess prevalence of dual diagnosis among first time visitors to a tertiary care deaddiction centre.
PMID
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Authors

Mayor MeshTerms
Keywords

Affective disorders

Alcohol

Dual diagnosis

Opioids

Psychosis

Journal Title asian journal of psychiatry
Publication Year Start




PMID- 28262143
OWN - NLM
STAT- MEDLINE
DA  - 20170306
DCOM- 20170314
LR  - 20170314
IS  - 1876-2026 (Electronic)
IS  - 1876-2018 (Linking)
VI  - 25
DP  - 2017 Feb
TI  - Prevalence of dual diagnosis among clinic attending patients in a de-addiction
      centre of a tertiary care hospital.
PG  - 169-174
LID - S1876-2018(15)30030-7 [pii]
LID - 10.1016/j.ajp.2016.10.020 [doi]
AB  - BACKGROUND & AIMS: Indian research on dual diagnosis is mostly on prevalence of
      co-morbidity in a particular type of substance use disorder or psychiatric
      disorder. They were not on overall prevalence of dual diagnosis in a clinical
      sample. The study aims to assess prevalence of dual diagnosis among first time
      visitors to a tertiary care deaddiction centre. METHODOLOGY: The study
      participants were recruited using computer-generated random number table from
      10th Apr 2013 to 28 June 2013 from a deaddiction centre in North India.
      Psychiatric diagnosis was done by qualified psychiatrist and confirmed by Mini
      International Neuropsychiatric Interview (M.I.N.I.). RESULTS: One seventy nine
      participants were recruited during the study period. The prevalence of dual
      diagnosis was 58 (32.4%). Affective disorder group 22 (12.3%) is the most common 
      group followed by anxiety disorders group 20 (11.2%) and psychotic disorder group
      9 (5.0%). Duration of use and dependence (in months) of alcohol, opioids, and
      nicotine was shorter and of cannabis and benzodiazepines was longer in dual
      diagnosis group compared to non dual diagnosis group. CONCLUSIONS: This study
      screened the largest number of substance use disorders patients visiting a
      tertiary care centre in India using a sound methodology. The study reported that 
      nearly one third of substance use disorder patients are cases of dual diagnosis. 
      The prevalence reported in our study is lower than reported in some western
      hospital based and community based studies.
CI  - Copyright (c) 2016 Elsevier B.V. All rights reserved.
FAU - Subodh, Bhagyalakshmi Nanjayya
AU  - Subodh BN
AD  - Department of Psychiatry, Post Graduate Institute of Medical Education and
      Research, Chandigarh, 160012, India. Electronic address:
      drsubodhbn2002@gmail.com.
FAU - Hazari, Nandita
AU  - Hazari N
AD  - Department of Psychiatry, Post Graduate Institute of Medical Education and
      Research, Chandigarh, 160012, India.
FAU - Elwadhi, Deeksha
AU  - Elwadhi D
AD  - Department of Psychiatry, Post Graduate Institute of Medical Education and
      Research, Chandigarh, 160012, India.
FAU - Basu, Debasish
AU  - Basu D
AD  - Department of Psychiatry, Post Graduate Institute of Medical Education and
      Research, Chandigarh, 160012, India.
LA  - eng
PT  - Journal Article
DEP - 20161105
PL  - Netherlands
TA  - Asian J Psychiatr
JT  - Asian journal of psychiatry
JID - 101517820
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Anxiety Disorders/*epidemiology
MH  - Comorbidity
MH  - Diagnosis, Dual (Psychiatry)/statistics & numerical data
MH  - Humans
MH  - India/epidemiology
MH  - Male
MH  - Middle Aged
MH  - Mood Disorders/*epidemiology
MH  - Outpatients
MH  - Prevalence
MH  - Psychotic Disorders/*epidemiology
MH  - Substance-Related Disorders/*epidemiology
MH  - Tertiary Care Centers/statistics & numerical data
MH  - Young Adult
OTO - NOTNLM
OT  - Affective disorders
OT  - Alcohol
OT  - Dual diagnosis
OT  - Opioids
OT  - Psychosis
EDAT- 2017/03/07 06:00
MHDA- 2017/03/16 06:00
CRDT- 2017/03/07 06:00
PHST- 2015/10/12 [received]
PHST- 2016/10/26 [revised]
PHST- 2016/10/29 [accepted]
AID - S1876-2018(15)30030-7 [pii]
AID - 10.1016/j.ajp.2016.10.020 [doi]
PST - ppublish
SO  - Asian J Psychiatr. 2017 Feb;25:169-174. doi: 10.1016/j.ajp.2016.10.020. Epub 2016
      Nov 5.

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