Treatment for illegal drug use disorders: the role of comorbid mood and anxiety disorders

BMC Psychiatry

Research Article

Silvia S Martins¹  Pamela J Surkan²  Maria Melchior³  Elena Prokofyeva³  Nadia Younès⁴ 

[1] Department of Epidemiology, Columbia University Mailman School of Public Health, 10032, New York, NY, USA;Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA;Inserm, U1018, Centre for Research in Epidemiology & Population Health (CESP), Epidemiology of occupational and social determinants of health, F-94807, Villejuif, France;University of Versailles Saint-Quentin, UMRS 1018, F-94807, Villejuif, France;Université de Versailles Saint-Quentin EA 4047, Centre Hospitalier de Versailles, Le Chesnay, France;

关键词: Illegal drug use disorder;    Treatment;    Unmet need for treatment;    Mood disorders;    Anxiety disorders;    Epidemiology;    General population sample;   

DOI  :  10.1186/1471-244X-14-89

 received in 2013-04-26, accepted in 2014-03-17,  发布年份 2014

来源: Springer

【 摘 要 】

BackgroundOur aim was to examine whether comorbid mood and anxiety disorders influence patterns of treatment or the perceived unmet need for treatment among those not receiving treatment for illegal drug use disorders.MethodsData came from the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC, 2001–2002 and 2004–2005, n = 34,653). Lifetime DSM-IV illegal drug use disorder (abuse and dependence), as well as comorbid mood (major depression, dysthymia, manic disorder, hypomanic disorder) and anxiety disorders (panic disorder, agoraphobia, social phobia, specific phobia, generalized anxiety) were ascertained by a standardized psychiatric interview. Treatment for illegal drug use disorders and perceived unmet need for treatment were assessed among individuals with illegal drug use disorder. Odds of treatment and odds of perceived unmet need for treatment were assessed using logistic regression, adjusting for socio-demographic characteristics, treatment for mood and anxiety disorders, and comorbid alcohol use disorder.ResultsOut of 34,653 participants, 1114 (3.2%) had a diagnosis of lifetime illegal drug use disorder: 21.2% had a comorbid mood disorder only, 11.8% a comorbid anxiety disorder only, and 45.9% comorbid mood and anxiety disorders. Comorbid mood and anxiety disorders were not related to treatment for illegal drug use disorders but were associated with an elevated likelihood of unmet need for treatment: compared to participants with no comorbidities, multivariate ORs were 2.21 (95% CI: 1.23- 4.10) for mood disorder only, 2.38 (95% CI: 1.27-4.45) for anxiety disorder only, and 2.90 (95% CI: 1.71-4.94) for both mood and anxiety disorders.ConclusionsIndividuals with an illegal drug use disorder and comorbid mood or anxiety disorders are disproportionately likely to report unmet need for treatment. Integrated mental health and substance use programs could prove effective in addressing their treatment needs.

【 授权许可】

CC BY   
© Melchior et al.; licensee BioMed Central Ltd. 2014