Comorbid dysthymia and substance disorder : Treatment history and cost.
The purpose of this study was to determine the treatment history and cost of previous treatment among patients with comorbid substance-related disorder and dysthymia, as compared to patients with substance-related disorder only.
Retrospective data were obtained regarding past treatment.
Treatment cost was calculated on the basis of the 1996 cost of various treatment modalities.
The setting was alcohol-drug programs located within departments of psychiatry in two centers.
A total of 642 patients were assessed, of whom 39 had substance-related disorder and dysthymia and 308 had substance-related disorder only (the remaining patients had other comorbid conditions).
Data collection instruments included an interview-based questionnaire regarding previous psychiatric and substance abuse treatment.
Current cost of treatment in various settings was assessed on the basis of a survey of facilities used by patients in this area.
Patients with substance-related disorder and dysthymia had received more substance-related disorder treatment in 18 of 20 measures.
Patients with substance-related disorder and dysthymia used 4.7 times more substance-related disorder treatment dollars than patients with substance-related disorder only, although their demographic characteristics were similar.
Past self-help activities and pharmacotherapy were remarkably similar for both groups. (...)
Mots-clés Pascal : Dysthymie, Association morbide, Alcoolisme, Toxicomanie, Sevrage toxique, Traitement, Coût financement, Santé mentale, Etats Unis, Amérique du Nord, Amérique, Homme, Trouble humeur
Mots-clés Pascal anglais : Dysthymia, Concomitant disease, Alcoholism, Drug addiction, Detoxification, Treatment, Financing cost, Mental health, United States, North America, America, Human, Mood disorder
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0044264
Code Inist : 002B18H05B. Création : 31/05/1999.