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  1. Comorbid dysthymia and substance disorder : Treatment history and cost.

    Article - En anglais


    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

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 99-0044264

    Code Inist : 002B18H05B. Création : 31/05/1999.