학술논문

Bipolar affective disorder and substance use: the dual diagnosis in treatment seeking patients
ORIGINAL ARTICLE
Document Type
Report
Source
Journal of Evolution of Medical and Dental Sciences. January 28, 2013, Vol. 2 Issue 4, p340, 3 p.
Subject
Diagnosis
Distribution
Research
Company distribution practices
Medical case management -- Research
Medical research
Comorbidity -- Diagnosis -- Distribution
Bipolar disorder -- Diagnosis -- Distribution
Medicine, Experimental
Language
English
ISSN
2278-4748
Abstract
INTRODUCTION: Interest in the study of co-occurrence between mood, anxiety disorders and substance use disorders has grown tremendously in past decade and a half. It has become clear that co-occurrence [...]
Dually diagnosed patients pose a unique challenge to the psychiatrists during evaluation and management. Presence of comorbidity in substance using patients is a rule rather than exception. Working on these lines an outpatient based study was carried out in a tertiary care hospital, Srinagar, on 561 substance using patients, to work out the prevalence and patterns of comorbid BPAD. The subjects were assessed using MINI plus. Of these, 62.56% (n = 351) had comorbidity, with BPAD being comorbid in 23.64% (n = 83). Most of the patients were in the age group of 15-26 years (39.75%). Majority were males (63.85%) and unmarried (49.39%). Most of the patients belonged to the middle class (78.32 %). Educated patients (89.16%) outnumbered illiterates (10.89%). Such high rates of comorbidity suggests functional relation between these two disorders and further discourse is warranted. KEYWORDS: Substance use, comorbidity, BPAD.