Time Trend For Substance Use Disorder And Psychiatric Disorders Among Patients Seeking Treatment From A Dual Diagnosis Clinic Of A Tertiary Care Substance Use Disorder Treatment Centre In India
- Author:
Yatan Pal Singh Balhara
;
Rishi Gupta
;
Rakesh Lal
- Publication Type:Journal Article
- Keywords:
Comorbidity, Dual Diagnosis, Dual Disorders, Substance Use Disorders, Mental Disorders
- From:ASEAN Journal of Psychiatry
2016;17(2):139-143
- CountryMalaysia
- Language:English
-
Abstract:
Objective: The study is aimed at assessment of time trend for substance use
disorder and psychiatric disorders among patients seeking treatment from a
dual diagnosis clinic of a tertiary care substance use disorder treatment centre in
India. Methods: The study is based on chart review of the patients seeking
treatment from the Dual Diagnosis Clinic of a tertiary care substance use
disorder treatment centre. The records of the patients seeking treatment over a
six-year period (2009-2014) were reviewed. Information was collected on sociodemographic
variables, substance use disorder and co-occurring psychiatric
disorder. Results: A total of 289 patients sought treatment from the dual
diagnosis clinic of the centre. Majority were male (97.2%). Primary drugs of
abuse were nicotine (74.4%), alcohol (49.5%), cannabis (38.4%), and opioids
(28.7%). Most common co-occurring psychiatric disorders were psychiatric
disorders, including schizophrenia (45.0%), Major depressive disorder (24.9%),
Bipolar disorder (18.3%), anxiety disorder (4.5%) and OCD (2.4%). Most
patients with psychotic disorders and depressive disorders had co-occurring
alcohol dependence. Most patients with bipolar disorder had co-occurring
cannabis dependence. There was a marginally significant increase in proportion
of subjects with cannabis dependence (PTrend= .07). There was no significant time
trend for various co-occurring psychiatric disorders. Conclusions: The findings
of the current study suggest that there has been a marginally significant increase
in proportion of subjects with cannabis dependence over the six study years.
However, the proportion of co-occurring psychiatric disorders was stable across
these years. The findings of the current study suggest that the centre should be
prepared to cater to an increasing proportion of patients with cannabis
dependence and possibly co-occurring psychotic disorders in the coming years.
ASEAN Journal of Psychiatry, Vol. 17 (2): July – December 2016: XX XX.
- Full text:P020170619544614347380.pdf
