Comorbidity of opiate dependence and mental disorders.
In a 5-year-follow-up study of 350 opiate addicts in contact with a drug help system in Hamburg, 272 clients (78%) were interviewed a second time after 1 year.
The objective of the study was to examine the correlation between mental disorders and drug consumption and its relationship to clients'general life situation.
In the majority of the opiate addicts, a pattern of polydrug consumption was observed, but the amount of drugs consumed was clearly lower after 1 year.
In the initial survey, a mental disorder according to ICD-10 could be diagnosed for 55% of the sample.
Among groups formed by the severity and course of mental disorders or their symptoms, a significant correlation was observed, particularly at the time of follow-up, between the extent of drug consumption and the course of the mental disorder.
Other areas, like physical health or social problems/conflicts, were also related to comorbidity (i.e., heavy drug consumption and/or mental disorder).
These interrelationships should be taken into account in treatment, care and guidance to increase the prospects for successful treatment.
Mots-clés Pascal : Dépendance, Opiacés, Toxicomanie, Association morbide, Trouble psychiatrique, Etude longitudinale, Epidémiologie, Allemagne, Europe, Santé mentale, Homme, Polytoxicomanie
Mots-clés Pascal anglais : Dependence, Opiates, Drug addiction, Concomitant disease, Mental disorder, Follow up study, Epidemiology, Germany, Europe, Mental health, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0105824
Code Inist : 002B18C05A. Création : 16/11/1999.