Comorbidity psychiatric

A later study used DSM-III-R criteria to assess 716 opioid abusers seeking methadone maintenance treatment (Brooner et al. 1997). In evaluations conducted 1 month after admission, psychiatric comorbidity was found in 47% of... 

Cacciola JS, Alterman Al, Rutherford MJ, et al The relationship of psychiatric comorbidity to treatment outcomes in methadone maintained patients. Drug Alcohol Depend 61 271-280, 2001... 

Krausz M, Verthein U, Degkwitz P Psychiatric comorbidity in opiate addicts. Eur Addict Res 5 55-62, 1999... 

Roozen HG, Kerhof AJ, van den Brink W Experiences with an outpatient relapse program (community reinforcement approach) combined with naltrexone in the treatment of opioid-dependence effect on addictive behaviors and the predictive value of psychiatric comorbidity. Eur Addict Res 9 53—58, 2003 Rosen TS, Johnson HL Long-term effects of prenatal methadone maintenance. NIDA Res Monogr 59 73-83, 1985... 

Busto UE, Romach MK, Sellers EM Multiple drug use and psychiatric comorbidity in patients admitted to the hospital with severe benzodiazepine dependence. J Clin Psychopharmacol 16 51-57, 1996... 

Several studies with alcohol-dependent patients showed that BCT improves outcomes in relationship adjustment and reduces drinking (McCrady et al. 1991 O Farrell et al. 1992). In one study, BCT was found to be more cost-effective than individual or group counseling (O Farrell et al. 1996). However, little is known about the components of BCT that are associated with improved outcomes, and most studies have applied this therapy in groups of patients with little psychiatric comorbidity and with cooperative significant others. 

Lifetime prevalence rates of psychiatric comorbidity co-existing with bipolar disorder are 42% to 50%.16 Comorbidities, especially substance abuse, make it difficult to establish a definitive diagnosis and complicate treatment. Comorbidities also place the patient at risk for a poorer outcome, high rates of suicidal-ity, and onset of depression.2 Psychiatric comorbidities include ... 

Children of opiate addicts have been shown to have poorer social, educational and health status and to be at higher risk of abuse than their peers (Keen et al., 2000). However, given the high rates of psychiatric comorbidity (in particular, depression) in opiate-dependent patients (Brooner et al., 1997 Khantzian and Treece, 1985), it may be that some of the increased risk in children stems from this greater parental depression. Nunes et al. (1998) reported higher incidence of conduct disorder and global and social impairment for children of addicts with major depression compared to addicts without depression and controls, but not compared with children of depressed patients without substance use disorders. 

Kessler RC (1997) The prevalence of psychiatric comorbidity. In Wetzler S, Sanderson WC (eds) Treatment strategies for patients with psychiatric comorbidity. Wiley, New York,... 

Biederman, J., Wilens, T., Mick, E., Milberger, S., Spencer, T., and Faraone, S., (1995b) Psychoactive substance use disorder in adults with attention deficit hyperactivity disorder effects of ADHD and psychiatric comorbidity. Am J Psychiatry 152 1652— 1658. 

Bird, H.R., Gould, M.S., and Staghezza, B.M. (1993) Patterns of psychiatric comorbidity in a community sample of children aged 9 through 16 years. / Am Acad Child Adolesc Psychiatry 32 361—... 

Livingston, R., Dykman, R., and Ackerman, P. (1992) Psychiatric comorbidity and response to two doses of methylphenidate in children with attention deficit disorder. J Child Adolesc Psycho-pharamacol 2 115-122. 

Pliszka, S. (2000) Patterns of psychiatric comorbidity with attention-deficit hyperactivity disorder. Child Adolesc Clin North Am 9 1056-1993. 

Preliminary evidence that this issue is an important one for clinicians derives from post hoc analyses of the double-blind, placebo-controlled paroxetine withdrawal study (Geller et ah, 2001b), in which no strict exclusionary criteria were applied. In that study, 193/ 335 (58%) patients had at least one psychiatric disorder in addition to OCD and 102/335 (30%) had multiple ( 2) other disorders. The response rates in patients with comorbid ADHD, tic disorder, or oppositional defiant disorder (56%, 53%, and 39%, respectively) were significantly less than in patients with OCD only (75%, [ITT LOCF] p < 0.05). Psychiatric comorbidity was also associated with a greater... 

Hospitalization for eating disorder depends on the weight status of the patient, the presence of medical complications, and the presence of related psychiatric comorbidities, such as depression, suicidal behavior, and OCD. Hospitalization for AN may be brief or extended. Inpatient brief hospitalization (7-14 days) is for patients who have (1) relapsed from previous treatment or have been ill for less than 6 months (2) a weight loss of 10%-15% from normal weight if they have relapsed, or 16%-20% if this is their first episode (3) hypokalemic alkalosis with serum potassium < 2.5 mEq/L and (4) cardiac arrhythmias. To promote rapid weight gain, patients can be placed on a liquid formula... 

Braun, D., Sunday, S., and Halmi, K.A. (1994) Psychiatric comorbidity in patients with eating disorders. Psychol Med 24 859—967. Brewerton, T.D., Lydiard, R.B., Herzog, D.B., and Brotman A.W. (1995) Comorbidty of axis I psychiatric diagnoses in bulimia nervosa. J Clin Psychiatry 56 77-80. 

Hovens, J., Cantwell, D., and Kiriakos, R. (1994) Psychiatric comorbidity in hospitalized adolescent substance abusers. / Am Acad Child Adolesc Psychiatry 33 476—483. 

Farrell M, Howes S, Bebbington P, Brugha T, Jenkins R, Lewis G, Marsden J, Taylor C Meltzer H (2001). Nicotine, alcohol and drug dependence and psychiatric comorbidity. British Journal of Psychiatry, 179, 432-7... 

Federman EB, Costello EJ, Angold A, Farmer EMZ Erkanli A (1997). Development of substance use and psychiatric comorbidity in an epidemiologic study of white and... 

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