VA South Central Mental Illness Research, Education and Clinical Center (a virtual center), USA; VA HSR&D Center for Innovations in Quality, Effectiveness and Safety, Michael E. DeBakey VA Medical Center (MEDVAMC 152), 2002 Holcombe Blvd., Houston, TX 77030, USA; Menninger Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, One Baylor Plaza, Houston, TX 77030, USA.
Menninger Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, One Baylor Plaza, Houston, TX 77030, USA.
J Subst Abuse Treat. 2020 Feb;109:46-49. doi: 10.1016/j.jsat.2019.11.003. Epub 2019 Nov 5.
Cannabis use disorder (CUD) is the most common illicit substance use disorder in the United States and is related to a range of functional impairment. CUD is associated with comorbid mental health disorders and other substance use disorders, compounding impairment from either type of disorder alone. U.S. military veterans also experience CUD at high rates; however, less is known about comorbidity and its impact on service utilization among veterans. Better understanding of comorbidity in this group is important, given that the Veterans Health Administration is the largest U.S. healthcare provider and is uniquely positioned to potentially address the challenges of comorbid CUD. The current study aimed to examine rates of comorbidity among veterans with CUD and the impact of comorbidity on mental health service utilization. Data were obtained through national Veterans Health Administration administrative and clinical records from 2010 to 2016. 79.1% of veterans with CUD were also diagnosed with a mental health disorder, and 76.8% were diagnosed with another substance use disorder. Overall, veterans with CUD and a comorbid mental health disorder used more individual psychotherapy than those with CUD alone. These findings suggest that CUD among veterans is rarely diagnosed independent of other disorders and that comorbidity is associated with greater mental healthcare utilization. Improved screening for CUD and integration of its treatment within current models of care may be important to consider in large healthcare systems.
大麻使用障碍（CUD）是美国最常见的非法物质使用障碍，与一系列功能障碍有关。CUD 与合并的心理健康障碍和其他物质使用障碍有关，这两种类型的障碍单独存在时都会导致功能障碍加重。美国退伍军人也经历着高比率的 CUD；然而，关于合并症及其对退伍军人服务利用的影响，我们知之甚少。鉴于退伍军人健康管理局是美国最大的医疗保健提供者，并且具有独特的潜力来解决合并 CUD 的挑战，因此，更好地了解该群体中的合并症非常重要。本研究旨在检查患有 CUD 的退伍军人中的合并症发生率，以及合并症对心理健康服务利用的影响。数据来自 2010 年至 2016 年期间退伍军人健康管理局的国家行政和临床记录。患有 CUD 的退伍军人中有 79.1%还被诊断出患有心理健康障碍，76.8%被诊断出患有另一种物质使用障碍。总体而言，患有 CUD 和合并心理健康障碍的退伍军人比仅患有 CUD 的退伍军人使用更多的个体心理治疗。这些发现表明，退伍军人中的 CUD 很少与其他疾病独立诊断，并且合并症与更多的心理健康保健利用有关。在大型医疗保健系统中，应考虑更好地筛查 CUD 并将其治疗纳入当前的护理模式。
