This article reports the results of a cross-national investigation of patterns of comorbidity between substance use and psychiatric disorders in six studies participating in the International Consortium in Psychiatric Epidemiology.
In general, there was a strong association between mood and anxiety disorders as well as conduct and antisocial personality disorder with substance disorders at all sites.
The results also suggest that there is a continuum in the magnitude of comorbidity as a function of the spectrum of substance use category (use, problems, dependence), as well as a direct relationship between the number of comorbid disorders and increasing levels of severity of substance use disorders (which was particularly pronounced for drugs).
Finally, whereas there was no specific temporal pattern of onset for mood disorders in relation to substance disorders, the onset of anxiety disorders was more likely to precede that of substance disorders in all countries.
These results illustrate the contribution of cross-national data to understanding the patterns and risk factors for psychopathology and substance use disorders.
Mots-clés Pascal : Dépendance, Abus, Boisson alcoolisée, Drogue illicite, Alcoolisme, Toxicomanie, Association morbide, Trouble humeur, Trouble anxieux, Trouble personnalité, Prévalence, Epidémiologie, Etats Unis, Amérique du Nord, Amérique, Mexique, Amérique Centrale, Allemagne, Europe, Pays Bas, Canada, Santé mentale, Homme
Mots-clés Pascal anglais : Dependence, Abuse, Alcoholic beverage, Illicit drug, Alcoholism, Drug addiction, Concomitant disease, Mood disorder, Anxiety disorder, Personality disorder, Prevalence, Epidemiology, United States, North America, America, Mexico, Central America, Germany, Europe, Netherlands, Canada, Mental health, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0105532
Code Inist : 002B18C05A. Création : 16/11/1999.