期刊
DRUG AND ALCOHOL REVIEW
卷 36, 期 3, 页码 317-324出版社
WILEY
DOI: 10.1111/dar.12419
关键词
comorbidity; substance use disorder; mood disorder; anxiety disorder; prevalence
资金
- Australian Government Department of Health and Ageing
- Australian Government under the Substance Misuse Prevention and Service Improvements Grants Fund
- Australian Rotary Health
- University of New South Wales
- Centre for Research Excellence in Mental Health and Substance Use
- National Health and Medical Research Council
Introduction and AimsSubstance use disorders (SUDs) are common and frequently co-occur with mood and anxiety disorders. This paper provides a detailed analysis of patterns, prevalence and correlates of mood and anxiety disorders among those with a (i) pure SUD; (ii) SUD plus a mood or anxiety disorder (SUDs+1); and (iii) SUD plus a mood and anxiety disorder (SUDs+2). Design and MethodsData came from the 2007 National Survey of Mental Health and Wellbeing; a nationally representative household survey of 8841 Australians aged 16-85years. ResultsThe 12-month prevalence of SUDs was 5.1%. Of those with a 12-month SUD, 65% met the criteria for pure SUDs, 19% for SUDs+1 and 16% for SUDs+2. Major depression was the most common mood disorder in both comorbid groups. One-third of SUDs+1 experienced social phobia, while over half of SUDs+2 experienced generalised anxiety disorder. Compared with pure SUDs, SUDs+1 experienced two times more and SUDs+2 experienced over four times more days out of role in the preceding 30days. Both comorbid groups were more likely to experience severe levels of impairment. SUDs+2 were over 18 times more likely to experience suicidal thoughts in the same year. SUDs+1 were over three times and SUDs+2 were over 10 times more likely to have had one or more consultations with a health professional in the previous year. Discussions and ConclusionsThese findings highlight the complexities inherent with responding to and treating multiple comorbidities among substance users and emphasise the need for coordinated, cohesive responses from drug and alcohol treatment services.[Prior K, Mills K, Ross J, Teesson M. Substance use disorders comorbid with mood and anxiety disorders in the Australian general population. Drug Alcohol Rev 2017;36:317-324]
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