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Effect of Comorbid Depression on Substance Use Disorders

NCJ Number
232032
Journal
Substance Abuse Volume: 31 Issue: 3 Dated: July - September 2010 Pages: 162-169
Author(s)
Salwa Erfan, M.D.; Abdel Hameed Hashim, M.D.; Moustafa Shaheen, M.D.; Noha Sabry, M.D.
Date Published
July 2010
Length
8 pages
Annotation
This study evaluated the effect of depression on the pattern of substance use disorders.
Abstract
The aim of the study was to investigate the effect of depression on pattern of substance use disorders (SUDs). Consecutive samples of (200) Egyptian male SUD inpatients were examined over 1-year period. Study and control samples were chosen. Study group consisted of 30 patients with comorbid substance dependence and depression. Control group consisted of 30 substance-dependent patients without depression. Semistructured interviews, Addiction Severity Index (ASI) and Hamilton Rating Scale for Depression (HDRS), were applied. Comparison between both groups showed significant differences for prescribed opioid use (100 percent versus 86 percent), polysubstance use (73 percent versus 43 percent), frequency of suicidal attempts (86 percent versus 43 percent), mean of admissions to substance use treatment (SUT) units (5 versus 2.2), mean of abstinence periods (3.8 versus 1.2); study group showed greater medical status impairment (P = .05), social and psychiatric impairment (P = .01). It was concluded that depression might affect SUD as regards type of substance used, pattern of use, suicide rate, duration of hospitalization, rate of rehospitalization, and finally medical, social, and psychiatric status impairment. Tables, figure, and references (Published Abstract)