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Sixteen-Year Predictors of Substance Use Disorder Diagnoses for Patients with Mental Health Disorders

机译：精神健康障碍患者物质使用障碍诊断的十六年预测因子

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摘要

Individuals with substance use disorders (SUDs). including co-occurring disorders, are among the highest-risk populations for medical and psychiatric rehospitalizations, and are often underdiagnosed at initial hospitalization. This study examined predictors for these individuals at baseline hospitalization and subsequent rehospitalizations. Three groups were compared from a sample of individuals admitted to inpatient psychiatry (1982 to 1987) with at least one rehospitalization within a 16-year period. Multivariate logistical regressions were used to determine associations with predictor variables. The data showed that individuals' diagnosed with a SUD after baseline hospitalization were more likely to have more medical hospitalizations and to be diagnosed with schizophrenia compared to those who were diagnosed with a SUD, including co-occurring disorders, at baseline. The results of this study indicate the importance of substance use screening to enhance service resources and treatment outcomes for medically and psychiatrically complex populations.
机译：患有药物滥用症（SUD）的个人。包括并发疾病在内，是医疗和精神科住院治疗的最高风险人群，并且在初次住院时常常得不到充分的诊断。这项研究在基线住院和随后的住院治疗中检查了这些个体的预测因素。从一组接受住院精神病学的个人（1982年至1987年）的样本中比较了三组，在16年内至少进行了一次住院治疗。多元逻辑回归用于确定与预测变量的关联。数据显示，与基线时被诊断为SUD（包括并发疾病）的患者相比，基线住院后被诊断为SUD的患者更有可能接受更多的医疗住院治疗并被诊断为精神分裂症。这项研究的结果表明，物质使用筛选对于提高医疗和精神病学复杂人群的服务资源和治疗效果的重要性。

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  • 来源
    《Substance Abuse》 |2009年第1期|40-46|共7页
  • 作者

    Cheryl Irmiter; Kristen L. Barry; Kenneth Cohen; Fredrick C. Blow;

  • 作者单位

    Department of Psychiatry, Mental Health Services, Outcomes, and Translation Section, University of Michigan, Ann Arbor, Michigan, USA|Medicine and Public Health, American Medical Association, Chicago, Illinois, USA;

    Department of Psychiatry, University of Michigan, Ann Arbor, Michigan, USA|Department of Veterans Affairs, National Serious Mental Illness Treatment Research and Evaluation Center, Ann Arbor, Michigan, USA;

    Department of Psychiatry and Behavioral Science, Northwestern University, Evanston, Illinois, USA;

    Department of Psychiatry, University of Michigan, Ann Arbor, Michigan, USA|Department of Veterans Affairs, National Serious Mental Illness Treatment Research and Evaluation Center, Ann Arbor, Michigan, USA;

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  • 正文语种 eng
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  • 关键词

    Comorbid medical issues; dual diagnosis; inpatient psychiatric care; psychiatric diagnosis; substance use disorders;

    机译：合并疾病;双重诊断住院精神病护理;精神病诊断物质使用障碍;

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