P01-33 Psychiatric comorbidity in patients with substance dependence-socio demographic & relationship characteristicsabdul majid gania MD (original) (raw)
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Psychiatric comorbidity in substance abusing population in Garhwal hills of Uttarakhand
International Journal of Research in Medical Sciences, 2020
Background: Psychiatric morbidity occurs more frequently in patients with substance abuse than in the general population. Routine evaluation and treatment of psychiatric morbidity can be helpful in improving care of substance abusing population but such data are relatively meager from developing countries.Methods: This study was conducted in the Out-patient facility of the Department of Psychiatry, Veer Chandra Singh Garhwali Government Institute of Medical Science & Research, Srinagar (Uttarakhand), starting from 23 September 2015. One hundred consecutive treatment seeking subjects fulfilling international classification of diseases and related health problems, 10th Revision (ICD-10), criteria for mental and behavioral disorders due to psychoactive substance use were included in the study. All the participants were required to sign an informed consent approved by the institutional ethical committee before being enrolled in the study. All the subjects included in the study were admi...
Springer Nature, 2020
Background: Many international studies have reported a high prevalence of psychiatric comorbidity in alcoholdependent individuals and highlighted the clinical, prognostic, and treatment implications of such findings. However, there is a paucity of such information within the context of India. This study investigates the prevalence of psychiatric comorbidity in treatment-seeking alcohol-dependent individuals and its relationship with the severity of this dependence. Result: This was a prevalence study conducted for a period of 1 year. Patients were identified from Mahbubnagar, a local area in rural south India, and recruited at outpatient deaddiction clinic of SVS hosital. Application for research ethics approval was approved. A consecutive sample of 100 inpatients diagnosed with alcohol dependence syndrome was recruited. The Mini-International Neuropsychiatric Interview was used to assess psychiatric comorbidity 2 weeks after detoxification. The severity of dependence was judged using the Severity of Alcohol Dependence questionnaire. One-hundred (male, n = 65; female, n = 35) alcohol-dependent patients were recruited. The mean age of participants was 41.9 (SD = 9.3) years. Participants (n = 33, 33%) had a co-occurring psychiatric disorder, the commonest being mood disorder (n = 18), which subdivided into major depressive disorder (n = 8), dysthymia (n = 5), manic episode (n = 3), and hypomanic episode (n = 2), followed by anxiety disorders (n = 11) and then psychotic disorder (n = 4). The comorbid psychiatric disorders were significantly associated with the severity of dependence (p = 0.001) and longer duration of alcohol (p = 0.003) use. Conclusion: This result emphasizes the need to thoroughly assess patients for possible under-identified dual diagnosis and provide treatments accordingly.
Galore International Journal of Health Sciences and Research, 2019
Introduction: The mental illness and addictive disorders are among most burdensome disorders and often coexist but go undetected. There is very limited data available about the correlation between socio demographic profile and psychiatric illness among patient admitted in ward. Aim & Objective: The aim and objective of the study is to assess relationship between components of socio-demographic profile and type of substance addiction among patients admitted in psychiatric ward. Methods: A total of 125 participants, 90 males and 35 females were taken into study came across over the periods of 3 months. The tools used in the study were socio demographic questionnaire and WHO-ASSIST. It is a cross sectional hospital-based study. Only those who gave informed consent and met inclusion criteria were taken into study. The data was double entered, cleaned, and both descriptive and Chi-square done using the statistical package for social sciences (SPSS) version 16. Result: Out of 125 patients taken into study 90 are found to be male and 35 are female. Most of the patients belongs to Hindu religion (99.2%). 53.6% are married and 46.4% are unmarried. Most of the patients are belongs to age group between 20-49 (89.6%). Substance use is more common in low education group up to secondary level (69.6%). Most of the patients are either unemployed or self-employed (72.8%). 88.8% patient came from rural area whereas 11.2% are from urban area. 57.6% patient belongs to joint family, 40% are belongs to nuclear family and 2.4% are belongs to extended family. Conclusion: The overall result of the study confirms that substance addiction significantly present in psychiatric patients. There is significant correlation found between the gender, age, religion, educational level, occupation, domicile, types of family with substance use among patients admitted in psychiatric ward.
Bengal Journal of Psychiatry, 2015
Background : Psychiatric comorbidities are not very uncommon particularly in alcohol dependent patients. They are sometime very difficult to treat and overall prognosis is unpredictable most of the time.Aims : To measure the prevalence of several psychiatric comorbidities in patients with alcohol dependence.Settings and Design : The study assessed the prevalence of psychiatric comorbidities among 100 alcohol dependent patients admitted in Institute of Psychiatry, Kolkata.Methods and Material : A semistructuredproforma and Structured Clinical Interview for DSM-IV (SCID) diagnostic tools were used among alcohol dependent patients who met inclusion and exclusion criteria.Statistical Analysis used : Statistical analysis was done by using Statistical Package for Social Sciences (SPSS).Results : The psychiatric comorbidities among alcohol dependent patients were depression (32%), Bipolar affective disorder (20%), Anxiety disorder (18%), Personality disorder (10%), Schizophrenia (10%).Conc...
ORIGINAL ARTICLE, 2022
Introduction: The rampant increase in substance use in India makes it a serious public health hazard, in consonance with the western trend. The upsurge of substance use is getting so alarming that the preventive strategies have become a matter of national priority. The youth constitute the most vulnerable section in the society. Similar to the unprecedented rise of substance use all over India, Madhya Pradesh did not remain untouched by this erosion. In the recent past, the pattern of substance use in this region has worsened leading to an increase in behavioural disturbances due to substance use, poor family dynamics, illegal issues and restrained interpersonal relationships. Aim: To study the clinical and socio-demographic profile of various substance users in the Vindhya region. Materials and Methods: The present hospital-based cross-sectional study was conducted in the Department of Psychiatry, Shyam Shah Medical College, Rewa, Madhya Pradesh, India, from January 2019 to May 2019. Patients of all ages, both genders, diagnosed under substance use disorders as per Diagnostic and Statistical Manual of Mental Disorders, fifth edition (DSM-5) criteria were included in the study. A detailed assessment including socio-demographic and clinical history, physical examination and other relevant investigations were done. Statistical analysis was done using Statistical Package for the Social Sciences (SPSS), version 21.0. Results: After the screening of 432 patients, 339 fulfilled the inclusion criteria. Total 92 (27.29%) patients were multiple substance users, followed by opioids 82 (24.33%), and benzodiazepines 66 (19.58%). Alcohol, tobacco, and cannabis users were 42 (12.46%), 29 (8.6%), and 28 (8.3%) respectively. Majority of the study participants 160 (47.2%) were in the younger age group (21-30 years). Most of them were males 303 (89.4%), single 230 (67.8%), from urban areas 204 (60.2%), and belonging to the lower-middle socioeconomic class 108 (32%). The bulk of participants were students 95 (28%), and well-educated (undergraduate and above). The chief reason for seeking the treatment was withdrawal symptoms. The majority of the subjects with substance use had onset within the age range of 10-20 years (149, 44%). Peer group influence was the most common factor responsible for the initiation of substance use overall (145, 42.7%). Strong craving (77, 22.7%) was the most important continuation/maintenance factor. Conclusion: The younger age groups with a family history were at a high risk of developing substance use disorders. Easy accessibility of substances along with peer motivation for substance-taking behavior has increased the number of adolescent and young substance users. Keywords Alcohol, Benzodiazepine,Cannabis,Opioid, Tobacco
Comorbidity of Substance Dependence and Other Psychiatric Disorders
2008
Background and aim: The relationship between psychiatric and drug abuse disorders had been suggested by psychometric studies and structured clinical interviews. An individual suffering from these forms of comorbidity also have a worsened clinical course outcome and are at an increased risk of suicide, impairment and disability. This study aims to detect comorbid psychiatric disorder in substance dependent patients and associated pattern of personality traits. Method: Psychiatric morbidity and personality assessment were studied in a sample of 65 male patients recruited from the inpatient psychiatric unit of Assiut University Hospital who were admitted for treatment either of drug dependence or associated psychiatric disorder. The subjects were interviewed using the Arabic translation of the Structured Clinical Interview for DSM-III-R (SCID). In addition, Structured Interview for Five Factor Model of personality (SIFFM) was used for assessment of personality. Results: Smoking represe...
European Psychiatry, 2015
Background: Kashmir valley is thought to be one of the hardest hit places with drug use and the scenario worsened by the prevailing turmoil. The present study was undertaken to find the epidemiological profile and pattern of drug use in patients seeking treatment at De-addiction Centres in Srinagar India. Methods: The present cross sectional study, was conducted at two Drug De-addiction and treatment Centers in Srinagar. Total of 125 Substance Use Disorder Patients were interviewed by using pretested semi-structured proforma, emphasizing on socio-demographic profile and reasons for starting use of substance. Results: Majority (50.4%) of patients belonged to young and productive age group. Most of the patients started taking substances in the age group of 10-19 years and more so in case of nicotine (76.8%), volatile substances (76.9%) and cannabis (70.5%). Besides nicotine (89.6%), the most common substances used were cannabis (48.8%), codeine (48%), propoxyphene (37.6%), alcohol (36.8%) and benzodiazepines (36%). Peer pressure was the most common (72.8%) reason for starting the use of substance. Conclusion: There is need for further studies to find the community prevalence of drug use. The service provision is very limited restricted to the capital city and none in the rural areas. There is a worrying trend of early age of initiation with adverse consequences including dropping out of school. The control of prescription drug use is another major issue which needs to be addressed. It is also worrying that female drug users are not able to seek help due to lack of appropriate facilities.
International Journal of High Risk Behaviors and Addiction, 2016
Background: There is limited literature available on the diagnosis and treatment of dual disorders in non-western settings. Objectives: The present study aims to describe the profile of patients diagnosed at a dual disorders clinic over a period of 12 years. Patients and Methods: This retrospective study analyzed the case records of patients registered in the dual diagnosis clinic of the national drug dependence treatment centre (NDDTC) in Ghaziabad. Information relating to the demographics of the sample, substance use disorders, and psychiatric disorders were extracted from the case records. The association between the use of specific substances and psychiatric illnesses was assessed. Results: The study included 492 patients, the majority of whom were male, married, and employed. Psychotic disorders were the largest category among the comorbid psychiatric disorders (38.7%), followed by depressive disorders (27.5%), and bipolar disorders (20.0%). Among the patients with primarily psychotic disorders, 40.8% were deemed to have substance-induced psychosis. Cannabis use had greater odds of being associated with psychotic disorders, opiates and benzodiazepines with depressive disorders, and alcohol with anxiety disorders. Conclusions: The establishment of a dual diagnosis clinic offers an opportunity to gain further insights into the characteristics of patients diagnosed with dual disorders. It may also offer opportunities for training health-care personnel, evaluating specific treatment approaches, and providing comprehensive services customized to the patients' needs.
Background: Kashmir valley is thought to be one of the hardest hit places with drug use and the scenario worsened by the prevailing turmoil. The present study was undertaken to find the epidemiological profile and pattern of drug use in patients seeking treatment at De-addiction Centres in Srinagar India. Methods: The present cross sectional study, was conducted at two Drug De-addiction and treatment Centers in Srinagar. Total of 125 Substance Use Disorder Patients were interviewed by using pretested semi-structured proforma, emphasizing on socio-demographic profile and reasons for starting use of substance. Results: Majority (50.4%) of patients belonged to young and productive age group. Most of the patients started taking substances in the age group of 10-19 years and more so in case of nicotine (76.8%), volatile substances (76.9%) and cannabis (70.5%). Besides nicotine (89.6%), the most common substances used were cannabis (48.8%), codeine (48%), propoxyphene (37.6%), alcohol (36.8%) and benzodiazepines (36%). Peer pressure was the most common (72.8%) reason for starting the use of substance. Conclusion: There is need for further studies to find the community prevalence of drug use. The service provision is very limited restricted to the capital city and none in the rural areas. There is a worrying trend of early age of initiation with adverse consequences including dropping out of school. The control of prescription drug use is another major issue which needs to be addressed. It is also worrying that female drug users are not able to seek help due to lack of appropriate facilities.