Centre for Health Psychology Practice and Research, University of Wollongong, Wollongong, Australia.
School of Psychology, Faculty of the Arts, Social Sciences and Humanities University of Wollongong, Wollongong, Australia.
J Dual Diagn. 2022 Jul-Sep;18(3):165-176. doi: 10.1080/15504263.2022.2090648. Epub 2022 Jul 5.
Mental health comorbidities among individuals with a substance use disorder are common. This study provides an analysis of the prevalence, risk factors, and treatment outcomes (depression, anxiety and stress, and cravings) of individuals with comorbid depression, anxiety, posttraumatic stress disorder (PTSD), obsessive compulsive disorders (OCD), and/or eating disorders attending residential substance use treatment centers. Intake and three-month post-discharge assessments of 603 (69.3% men) people attending residential substance use treatment services were conducted using the Mental Health Screening Scale, Addiction Severity Index, Depression, Anxiety Stress Scale, and a cravings measure. Anxiety disorders were common (94.5%), followed by depression (89.6%), PTSD (62.0%), OCD (33.7%), and eating disorders (21.4%). Nearly a quarter reported two comorbidities and 8.5% reported five comorbidities. Higher comorbidity levels were associated with having poorer mental health but not cravings at three-month post-discharge follow-up. Comorbidity is common and complex in presentations to residential substance use treatment settings. Higher levels of comorbidity are linked to poorer mental health, which remains over time.
物质使用障碍患者的精神健康共病很常见。本研究分析了共患抑郁症、焦虑症、创伤后应激障碍（PTSD）、强迫症（OCD）和/或饮食障碍的个体在住院物质使用治疗中心的患病率、风险因素和治疗结果（抑郁、焦虑和压力、和渴望）。使用心理健康筛查量表、成瘾严重程度指数、抑郁、焦虑压力量表和渴望量表，对 603 名（69.3%为男性）参加住院物质使用治疗服务的人进行了入组和三个月出院后的评估。焦虑障碍很常见（94.5%），其次是抑郁（89.6%）、创伤后应激障碍（62.0%）、强迫症（33.7%）和饮食障碍（21.4%）。近四分之一的人报告有两种共病，8.5%的人报告有五种共病。更高的共病水平与出院后三个月心理健康较差但渴望程度没有差异有关。共病在住院物质使用治疗环境中的表现很常见且复杂。更高的共病水平与心理健康较差有关，而且随着时间的推移仍然存在。
