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Open AccessJournal ArticleDOI

The epidemiology of co-occurring addictive and mental disorders: implications for prevention and service utilization.

TLDR
General population data from the National Comorbidity Survey are presented on co-occurring DSM-III-R addictive and mental disorders, with the finding that fewer than half of cases with 12-monthCo-occurrence received any treatment in the year prior to interview suggests the need for greater outreach efforts.
Abstract
General population data from the National Comorbidity Survey are presented on co-occurring DSM-III-R addictive and mental disorders. Co-occurrence is highly prevalent in the general population and usually due to the association of a primary mental disorder with a secondary addictive disorder. It is associated with a significantly increased probability of treatment, although the finding that fewer than half of cases with 12-month co-occurrence received any treatment in the year prior to interview suggests the need for greater outreach efforts.

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Journal ArticleDOI

Managing Addiction as a Chronic Condition

TL;DR: Significant progress has been made in adapting addiction treatment to respond more fully to the chronic nature of most patients’ problems, and the importance of adjusting treatment funding and organizational structures to better meet the needs of individuals with a chronic disease is addressed.
Journal ArticleDOI

The duration and correlates of addiction and treatment careers

TL;DR: The exploratory results suggest that multiple episodes of care over several years are the norm and that rather than thinking of multiple episodes in terms of "cumulative dosage," it might be better thought of as further evidence of chronicity and that the authors need to develop and evaluate models of longer term recovery management.
Journal ArticleDOI

Treatment Access Barriers and Disparities Among Individuals with Co-Occurring Mental Health and Substance Use Disorders: An Integrative Literature Review.

TL;DR: In this paper, the authors examined and synthesized extant literature pertaining to barriers to substance abuse and mental health treatment for persons with co-occurring substance use disorders (COD).
Journal ArticleDOI

Longitudinal Study of Co-occurring Psychiatric Disorders and Substance Use

TL;DR: A significant relationship was found between earlier adolescent drug use and later depressive and disruptive disorders in young adulthood, controlling for earlier psychiatric disorders as discussed by the authors, which did not predict changes in young adult drug use.
References
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Journal ArticleDOI

Lifetime and 12-Month Prevalence of DSM-III-R Psychiatric Disorders in the United States: Results From the National Comorbidity Survey

TL;DR: The prevalence of psychiatric disorders is greater than previously thought to be the case, and morbidity is more highly concentrated than previously recognized in roughly one sixth of the population who have a history of three or more comorbid disorders.
Journal ArticleDOI

Posttraumatic stress disorder in the National Comorbidity Survey.

TL;DR: Progress in estimating age-at-onset distributions, cohort effects, and the conditional probabilities of PTSD from different types of trauma will require future epidemiologic studies to assess PTSD for all lifetime traumas rather than for only a small number of retrospectively reported "most serious" traumAs.
Journal ArticleDOI

National Institute of Mental Health diagnostic interview schedule: Its history, characteristics, and validity.

TL;DR: In this article, a new interview schedule allows lay interviewers or clinicians to make psychiatric diagnoses according to DSM-III criteria, Feighner criteria, and Research Diagnostic Criteria.
Journal ArticleDOI

Reliability and validity studies of the WHO-Composite International Diagnostic Interview (CIDI): A critical review

TL;DR: The CIDI is a comprehensive and fully standardized diagnostic interview designed for assessing mental disorders according to the definitions of the Diagnostic Criteria for Research of ICD-10 and DSM-III-R and was found to be appropriate for use in different kinds of settings and countries.
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