Skip to main content

Advertisement

Log in

Typology of Individuals with Substance Dependence Based on a Montreal Longitudinal Catchment Area Study

  • Original Article
  • Published:
Administration and Policy in Mental Health and Mental Health Services Research Aims and scope Submit manuscript

Abstract

This study sought to develop a typology of individuals with substance dependence (ISD) based on a longitudinal survey (n = 2,434) and 121 ISD. The latter were divided into three groups: newly abstinent individuals, chronic dependents and acute dependents. Individuals’ typology was developed by cluster analysis. Newly abstinent individuals had fewer emotional problems and mental disorders in the previous 12 months. Four classes of ISD were identified, labelled respectively “chronic multi-substance consumption and mental disorders comorbidities,” “multi-substance consumption,” “alcohol and marijuana consumption” and “alcohol consumption only.” Strategies adapted to each of these profiles could be promoted for more effective treatment.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

References

  • Albert, M., Becker, T., McCrone, P., & Thornicroft, G. (1998). Social networks and mental health service utilisation. A literature review. International Journal of Social Psychiatry, 44(4), 248–266.

    Article  CAS  PubMed  Google Scholar 

  • Andersen, R. M. (1995). Revisiting the behavioral model and access to medical care: does it matter? Journal of Health and Social Behavior, 36(1), 1–10.

    Article  CAS  PubMed  Google Scholar 

  • Andrade, L., Caraveo-Anduaga, J., Berglund, P., Arbor, A., Bijl, R. V., Kessler, R. C., et al. (2000). Cross-national comparisons of the prevalences and correlates of mental disorders. WHO International Consortiunm in Psychiatric Epidemiology. Bulletin of the World Health Organization, 78(4), 413–426.

  • Baker, F., & Intagliata, J. (1982). Quality of life in the evaluation of community support systems. Evaluation and Program Planning, 5(1), 69–79.

  • Barratt, E. S. (1985). Impulsiveness substraits: Arousal and information processing. In J. T. Spence & C. E. Izards (Eds.), Motivation, emotion and personnality (pp. 137–146). North Holland: Elsevier Science Publishers.

  • Beitchman, J. H., Adlaf, E. M., Douglas, L., Atkinson, L., Young, A., Johnson, C. J., et al. (2001). Comorbidity of psychiatric and substance use disorders in late adolescence: a cluster analytic approach. American Journal of Drug and Alcohol Abuse, 27(3), 421–440.

    Article  CAS  PubMed  Google Scholar 

  • Bengtsson-Tops, A., Hansson, L., Sandlund, M., Bjarnason, O., Korkeila, J., Merinder, L., et al. (2005). Subjective versus interviewer assessment of global quality of life among persons with schizophrenia living in the community: a Nordic multicentre study. Quality of Life Research, 14(1), 221–229.

    Article  PubMed  Google Scholar 

  • Blanchard, J. J., Brown, S. A., Horan, W. P., & Sherwood, A. R. (2000). Substance use disorders in schizophrenia: review, integration, and a proposed model. Clinical Psychology Review, 20(2), 207–234.

    Article  CAS  PubMed  Google Scholar 

  • Bonin, J.-P., Fournier, L., & Blais, R. (2007). Predictors of mental health service utilization by people using resources for homeless people in Canada. Psychiatric Services, 58(7), 936–941.

    Article  PubMed  Google Scholar 

  • Bucholz, K. K., Shayka, J. J., Marion, S. L., Lewis, C. E., Pribor, E. F., & Rubio, D. M. (1996). Is a history of alcohol problems or of psychiatric disorder associated with attrition at 11-year follow-up? Annals of Epidemiology, 6(3), 228–234.

    Article  CAS  PubMed  Google Scholar 

  • Caron, J., Fleury, M., Perreault, M., Crocker, A., Tremblay, J., Tousignant, M., et al. (2012). Prevalence of psychological distress and mental disorders, and use of mental health services in the epidemiological catchment area of Montreal South-West. BMC Psychiatry, 12(1), 183.

    Article  PubMed Central  PubMed  Google Scholar 

  • Caron, J., Mercier, C., Diaz, P., & Martin, A. (2005). Socio-demographic and clinical predictors of quality of life in patients with schizophrenia or schizo-affective disorder. Psychiatry Research, 137(3), 203–213.

    Article  PubMed  Google Scholar 

  • Casper, E. S., & Donaldson, B. (1990). Subgroups in the population of frequent users of inpatient services. Hospital & Community Psychiatry, 41(2), 189–191.

    CAS  Google Scholar 

  • Cassidy, F., Ahearn, E. P., & Carroll, B. J. (2001). Substance abuse in bipolar disorder. Bipolar Disorders, 3(4), 181–188.

    Article  CAS  PubMed  Google Scholar 

  • Castel, S., Rush, B. R., Urbanoski, K., & Toneatto, T. (2006). Overlap of clusters of psychiatric symptoms among clients of a comprehensive addiction treatment service. Psychology of Addictive Behaviors, 20(1), 28–35.

    Article  PubMed  Google Scholar 

  • Clark, R. E. (1994). Family costs associated with severe mental illness and substance use. Hospital & Community Psychiatry, 45(8), 808–813.

    CAS  Google Scholar 

  • Clements, F. E. (1954). Use of cluster analysis with anthropological data. American Anthropologist, 56(2), 180–199.

    Article  Google Scholar 

  • Compton, W. M., Cottler, L. B., Ben Abdallah, A., Phelps, D. L., Spitznagel, E. L., & Horton, J. C. (2000). Substance dependence and other psychiatric disorders among drug dependent subjects: race and gender correlates. American Journal on Addictions, 9(2), 113–125.

    Article  PubMed  Google Scholar 

  • Compton, W. M., Thomas, Y. F., Stinson, F. S., & Grant, B. F. (2007). Prevalence, correlates, disability, and comorbidity of DSM-IV drug abuse and dependence in the United States: results from the national epidemiologic survey on alcohol and related conditions. Archives of General Psychiatry, 64(5), 566–576.

    Article  PubMed  Google Scholar 

  • Compton, M. T., Weiss, P. S., West, J. C., & Kaslow, N. J. (2005). The association between substance use disorders, schizophrenia-spectrum disorders, and Axis IV psychosocial problems. Social Psychiatry and Psychiatric Epidemiology, 40(12), 939–946.

    Article  PubMed  Google Scholar 

  • Cramer, V., Torgersen, S., & Kringlen, E. (2010). Mood disorders and quality of life. A community study. Nordic Journal of Psychiatry, 64(1), 58–62.

    Article  PubMed  Google Scholar 

  • Cusack, K. J., Morrissey, J. P., & Ellis, A. R. (2008). Targeting trauma-related interventions and improving outcomes for women with co-occurring disorders. Administration and Policy In Mental Health, 35(3), 147–158.

    Article  PubMed Central  PubMed  Google Scholar 

  • Cutrona, C. E. (1989). Behavioral manifestation of social support: A micro-analytic study. Journal of Personality and Social Psychology, 51(1), 201–208.

  • De Graaf, R., Bijl, R. V., Ravelli, A., Smit, F., & Vollebergh, W. A. (2002). Predictors of first incidence of DSM-III-R psychiatric disorders in the general population: findings from the Netherlands Mental Health Survey and Incidence Study. Acta Psychiatrica Scandinavica, 106(4), 303–313.

    Article  PubMed  Google Scholar 

  • De Graaf, R., Bijl, R. V., Smit, F., Ravelli, A., & Vollebergh, W. A. (2000). Psychiatric and sociodemographic predictors of attrition in a longitudinal study: the Netherlands Mental Health Survey and Incidence Study (NEMESIS). American Journal of Epidemiology, 152(11), 1039–1047.

    Article  PubMed  Google Scholar 

  • Dennis, M. L., Scott, C. K., Funk, R., & Foss, M. A. (2005). The duration and correlates of addiction and treatment careers. Journal of Substance Abuse Treatment, 28(Suppl. 1), S51–S62.

  • Dickey, B., & Azeni, H. (1996). Persons with dual diagnoses of substance abuse and major mental illness; their excess costs of psychiatric care. American Journal of Public Health, 86(7), 973–977.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  • Drake, R. E., McHugo, G. J., Xie, H., Fox, M., Packard, J., & Helmstetter, B. (2006). Ten-year recovery outcomes for clients with co-occurring schizophrenia and substance use disorders. Schizophrenia Bulletin, 32(3), 464–473.

    Article  PubMed Central  PubMed  Google Scholar 

  • Eaton, W. W., Anthony, J. C., Tepper, S., & Dryman, A. (1992). Psychopathology and attrition in the epidemiologic catchment area surveys. American Journal of Epidemiology, 135(9), 1051–1059.

    CAS  PubMed  Google Scholar 

  • Evans, S., Huxley, P., & Priebe, S. (1999). A comparison of the quality of life of severely mentally ill people in UK & German samples. International Journal of Social Psychiatry, 46(1), 47–56.

    Article  Google Scholar 

  • Farrell, M., Howes, S., Bebbington, P., Brugha, T., Jenkins, R., Lewis, G., et al. (2001). Nicotine, alcohol and drug dependence and psychiatric comorbidity. Results of a national household survey. British Journal of Psychiatry, 179, 432–437.

    Article  CAS  PubMed  Google Scholar 

  • Fava, M., Rankin, M. A., Wright, E. C., Alpert, J. E., Nierenberg, A. A., Pava, J., et al. (2000). Anxiety disorders in major depression. Comprehensive Psychiatry, 41(2), 97–102.

    Article  CAS  PubMed  Google Scholar 

  • Fisher, S., & Stevens, R. F. (1999). Subgroups of frequent users of an inpatient mental health program at a community hospital in Canada. Psychiatric Services, 50(2), 244–247.

    Article  CAS  PubMed  Google Scholar 

  • Fleury, M. J., Grenier, G., Bamvita, J. M., Perreault, M., & Caron, J. (2012a). Determinants associated with the utilization of primary and specialized mental health services. Psychiatric Quarterly, 83(1), 41–51.

    Article  PubMed  Google Scholar 

  • Fleury, M. J., Grenier, G., Bamvita, J. M., Perreault, M., & Jean, C. (2011). Typology of adults diagnosed with mental disorders based on socio-demographics and clinical and service use characteristics. BMC Psychiatry, 11, 67.

    Article  PubMed Central  PubMed  Google Scholar 

  • Fleury, M. J., Grenier, G., Bamvita, J. M., Perreault, M., Kestens, Y., & Caron, J. (2012b). Comprehensive determinants of health service utilisation for mental health reasons in a Canadian catchment area. International Journal for Equity in Health, 11, 20.

    Article  PubMed Central  PubMed  Google Scholar 

  • Gilbert, A. R., Domino, M. E., Morrissey, J. P., & Gaynes, B. N. (2012). Differential service utilization associated with trauma-informed integrated treatment for women with co-occurring disorders. Administration and Policy in Mental Health, 39(6), 426–439.

    Article  PubMed Central  PubMed  Google Scholar 

  • Gilbert, A. R., Morrissey, J. P., & Domino, M. E. (2011). Service utilization patterns as predictors of response to trauma-informed integrated treatment for women with co-occurring disorders. Journal of Dual Diagnosis, 7(3), 117–129.

    Article  PubMed Central  PubMed  Google Scholar 

  • Grant, B. F., Hasin, D. S., Stinson, F. S., Dawson, D. A., Goldstein, R. B., Smith, S., et al. (2006). The epidemiology of DSM-IV panic disorder and agoraphobia in the United States; results from the National Epidemiologic Survey on Alcohol and Related Conditions. Journal of Clinical Psychiatry, 67(3), 363–374.

    Article  PubMed  Google Scholar 

  • Grella, C. E. (2003). Effects of gender and diagnosis on addiction history, treatment utilization, and psychosocial functioning among a dually-diagnosed sample in drug treatment. Journal of Psychoactive Drugs, 35(Suppl 1), 169–179.

    Article  PubMed  Google Scholar 

  • Grella, C. E., Hser, Y. I., & Hseieh, S. C. (2003). Predictors of drug treatment re-entry following relapse to cocaine use in DATOS. Journal of Substance Abuse Treatment, 25, 145–154.

    Article  PubMed  Google Scholar 

  • Hasin, D. S., Stinson, F. S., Ogburn, E., & Grant, B. F. (2007). Prevalence, correlates, disability, and comorbidity of DSM-IV alcohol abuse and dependence in the United States: results from the National Epidemiologic Survey on Alcohol and Related Conditions. Archives of General Psychiatry, 64(7), 830–842.

    Article  PubMed  Google Scholar 

  • Hättenschwiller, J., Rüesch, P., & Modestin, J. (2001). Comparison of four groups of substance-abusing in-patients with different psychiatric comorbidity. Acta Psychiatrica Scandinavica, 104(1), 59–65.

    Article  Google Scholar 

  • Herbeck, D. M., Hser, Y. I., Lu, A. T., Stark, M. E., & Paredes, A. (2006). A 12-year follow-up study of psychiatric symptomatology among cocaine-dependent men. Addictive Behaviors, 31(11), 1974–1987.

    Article  PubMed  Google Scholar 

  • Horwood, L. J., Fergusson, D. M., Coffey, C., Patton, G. C., Tait, R., Smart, D., et al. (2012). Cannabis and depression: an integrative data analysis of four Australasian cohorts. Drug and Alcohol Dependence, 126(3), 369–378.

    Article  PubMed  Google Scholar 

  • Jacobi, F., Wittchen, H. U., Holting, C., Höfler, M., Pfister, H., Müller, N., et al. (2004). Prevalence, co-morbidity and correlates of mental disorders in the general population: results from the German Health Interview and Examination Survey (GHS). Psychological Medicine, 34(4), 597–611.

    Article  CAS  PubMed  Google Scholar 

  • Kandel, D. B., Huang, F. Y., & Davies, M. (2001). Comorbidity between patterns of substance use dependence and psychiatric syndromes. Drug and Alcohol Dependence, 64(2), 233–241.

    Article  CAS  PubMed  Google Scholar 

  • Kay, A., Taylor, T. E., Barthwell, A. G., Wichelecki, J., & Leopold, V. (2010). Substance use and women’s health. Journal of Addictive Diseases, 29(2), 139–1633.

    Article  PubMed  Google Scholar 

  • Kay, S. R., Wolkenfield, F., & Murrill, L. M. (1988). Profiles of aggression among psychiatric patients. I. Nature and prevalence. Journal of Nervous and Mental Diseases, 176(9), 539–546.

  • Kelly, J. F., McKellar, J. D., & Moos, R. (2003). Major depression in patients with substance use disorders: Relationship to 12-Step self-help involvement and substance use outcomes. Addiction, 98(4), 499–508.

    Article  PubMed  Google Scholar 

  • Kessler, R. C., Andrews, G., Mroczek, D., Ustun, B., & Wittchen H. U. (1998). The World Health Organization Composite International Diagnostic Interview Short Form (CIDI-SF). International Journal of Methods in Psychiatric Research, 7(4), 171–185.

  • Kessler, R. C., Crum, R. M., Warner, L. A., Nelson, C. B., Schulenberg, J., & Anthony, J. C. (1997). Lifetime co-occurrence of DSM-III-R alcohol abuse and dependence with other psychiatric disorders in the National Comorbidity Survey. Archives of General Psychiatry, 54(4), 313–321.

    Article  CAS  PubMed  Google Scholar 

  • Kessler, R. C., McGonagle, K. A., Zhao, S., Nelson, C. B., Hughes, M., Eshleman, S., et al. (1994). Lifetime and 12-month prevalence of DSM-III-R psychiatric disorders in the United States: results from the National Comorbidity Survey. Archives of General Psychiatry, 51(1), 8–19.

    Article  CAS  PubMed  Google Scholar 

  • Kirmayer, L. J., Weinfeld, M., Burgos, G., du Fort, G. G., Lasry, J. C., & Young, A. (2007). Use of health care services for psychological distress by immigrants in an urban multicultural milieu. Canadian Journal of Psychiatry, 52(5), 295–304.

    Google Scholar 

  • Lam, J. A., & Rosenheck, R. A. (2000). Correlates of improvement in quality of life among homeless persons with serious mental illness. Psychiatric Services, 51(1), 116–118.

    Article  CAS  PubMed  Google Scholar 

  • Landheim, A. S., Bakken, K., & Vaglum, P. (2006). Impact of comorbid psychiatric disorders on the outcome of substance abusers: a six year prospective follow-up in two Norwegian counties. BMC Psychiatry, 6, 44.

    Article  PubMed Central  PubMed  Google Scholar 

  • Laudet, A. B., Magura, S., Vogel, H. S., & Knight, E. (2000). Support, mutual aid and recovery from dual diagnosis. Community Mental Health Journal, 36(5), 321–329.

    Article  Google Scholar 

  • Leggio, L., Kenna, G. A., Fenton, M., Bonenfant, E., & Swift, R. M. (2009). Typologies of alcohol dependence. From Jellinek to genetics and beyond. Neuropsychology Review, 19(1), 115–129.

    Article  PubMed  Google Scholar 

  • Lemming, M. R., & Calsyn, R. J. (2004). Utility of the behavioral model in predicting service utilization by individuals suffering from severe mental illness and homelessness. Community Mental Health Journal, 40(4), 347–364.

    Article  PubMed  Google Scholar 

  • Lewinsohn, P. M., Rohde, P., Seely, J. R., & Fischer, S. A. (1991). Age and depression: unique and shared effects. Psychology and Aging, 6(2), 247–260.

    Article  CAS  PubMed  Google Scholar 

  • Lipsky, S., Caetano, R., & Roy-Byrne, P. (2010). Triple jeopardy; impact of partner violence perpetration, mental health and substance abuse on perceived unmet for mental health care among men. Social Psychiatry and Psychiatric Epidemiology, 46(9), 843–852.

    Article  PubMed Central  PubMed  Google Scholar 

  • Lora, A., Cosentino, U., Rossini, M. S., & Lanzara, D. (2001). A cluster analysis of patients with schizophrenia in community care. Psychiatric Services, 52(5), 682–684.

    Article  CAS  PubMed  Google Scholar 

  • Luke, D. A., Mowbray, C. T., Klump, K., Herman, S. E., & BootsMiller, B. (1996). Exploring the diversity of dual diagnosis: utility of cluster analysis for program planning. The Journal of Mental Health Administration, 23(3), 298–316.

    Article  CAS  Google Scholar 

  • Marmorstein, N. R. (2012). Anxiety disorders and substance use disorders: different associations by anxiety disorder. Journal of Anxiety Disorders, 26(1), 88–94.

    Article  PubMed Central  PubMed  Google Scholar 

  • McHugo, G. J., Kammerer, N., Jackson, E. W., Markoff, L. S., Gatz, M., Larson, M. J., et al. (2005). Women, co-occurring disorders, and violence study: evaluation design and study population. Journal of Substance Abuse Treatment, 28(2), 91–107.

    Article  CAS  PubMed  Google Scholar 

  • Moos, R. H., Moos, B. S., & Andrassy, J. M. (1999). Outcomes of four treatment approaches in community residential programs for patients with substance use disorders. Psychiatric Services, 50(12), 1577–1583.

    Article  CAS  PubMed  Google Scholar 

  • Morgenstern, J., Langenbucher, J., Labouvie, E., & Miller, K. J. (1997). The comorbidity of alcoholism and personality disorders in a clinical population; prevalence rates and relation to alcohol typology variables. Journal of Abnormal Psychology, 106(1), 74–84.

    Article  CAS  PubMed  Google Scholar 

  • Mueser, K. T., Yarnold, P. R., & Bellack, A. S. (1992). Diagnostic and demographic correlates of substance abuse in schizophrenia and major affective disorder. Acta Psychiatrica Scandinavica, 85(1), 48–55.

    Article  CAS  PubMed  Google Scholar 

  • Mulder, R. T., Frampton, C. M., Peka, H., Hampton, G., & Marsters, T. (2009). Predictors of 3-month retention in a drug treatment therapeutic community. Drug and Alcohol Review, 28(4), 366–371.

    Article  PubMed  Google Scholar 

  • Norusis, M. J. (2008). Chapter 16- Cluster Analysis SPSS 17.0. Statistical Procedures Companion. Upper Saddle River, N.J.: Prentice Hall.

  • Parrott, A. C., Sisk, E., & Turner, J. J. (2000). Psychosocial problems in heavy ‘ecstasy’ (MDMA) polydrug users. Drug and Alcohol Dependence, 60(1), 105–110.

    CAS  PubMed  Google Scholar 

  • Parslow, R. A., & Jorm, A. F. (2000). Who uses mental health services in Australia? An analysis of data from the National Survey of Mental Health and Wellbeing. Australian and New Zealand Journal of Psychiatry, 34(6), 997–1008.

    Article  CAS  PubMed  Google Scholar 

  • Pearson, C., Janz, T., & Ali, J. (2013). Mental and substance use disorders in Canada. Health at a Glance. Statistics Canada Catalogue, September (no 82-624-X).

  • Putkonen, H., Weizman-Henelius, G., Lindberg, N., Romano, T., & Häkkänen-Nyholm, H. (2010). Gender differences in homicide offenders’ criminal career, substance abuse and mental health care. A nationwide register-based study of Finnish homicide offender 1995–2004. Criminal Behaviour and Mental Health, 21(1), 51–62.

    Article  Google Scholar 

  • Regier, D. A., Farmer, M. E., Rae, D. S., Locke, B. Z., Keith, S. J., Judd, L. L., et al. (1990). Comorbidity of mental disorders with alcohol and other drug abuse. Results from the Epidemiologic Catchment Area (ECA) Study. Journal of the American Medical Association, 264(19), 2511–2518.

    Article  CAS  PubMed  Google Scholar 

  • Rehm, J., Ballunas, D., Brochu, B., Fischer, B., Gnam, W., Patra, J., et al. (2006). Les coûts de l’abus de substance au Canada 2002-Points saillants.: CCLSAT-CCSA.

  • Rubin, W. V., & Panzano, P. C. (2002). Identifying meaningful subgroups of adults with severe mental illness. Psychiatric Services, 53(4), 452–457.

    Article  PubMed  Google Scholar 

  • Ruggeri, M., Gater, R., Bisoffi, G., Barbui, C., & Tansella, M. (2002). Determinants of subjective quality of life in patients attending community-based mental health services. The South-Verona Outcome Project 5. Acta Psychiatrica Scandinavica, 105(2), 131–140.

    Article  CAS  PubMed  Google Scholar 

  • Ruggeri, M., Nosè, M., Bonetto, C., Cristofalo, D., Lasalvia, A., Salvi, G., et al. (2005). Changes and predictors of change in objective and subjective quality of life: multiwave follow-up study in community psychiatric practice. British Journal of Psychiatry, 187, 121–130.

    Article  PubMed  Google Scholar 

  • Rush, B. R., Urbanoski, K. A., Bassani, D. G., Castel, S., & Wild, T. C. (2010). The epidemiology of co-occurring substance use and other mental disorders in Canada: Prevalence, service use, and unmet needs. In J. Cairney & D. L. Streiner (Eds.), Mental disorder in Canada. An epidemiological perspective (pp. 170–204). Toronto: University of Toronto Press.

    Google Scholar 

  • Rush, B. R., Urbanoski, K., Bassani, D. G., Castel, S., Wild, T. C., Strike, C., et al. (2008). Prevalence of co-occurring substance use and other mental disorders in the Canadian population. Canadian Journal of Psychiatry, 53(12), 800–809.

    Google Scholar 

  • Somers, J. M., Goldner, E. M., Waraich, P., & Hsu, L. (2004). Prevalence studies of substance-related disorders: a systematic review of the literature. Canadian Journal of Psychiatry, 49(6), 373–384.

    Google Scholar 

  • Strakowski, S. M., & DelBello, M. P. (2000). The co-occurrence of bipolar and substance use disorders. Clinical Psychology Review, 20(2), 191–206.

    Article  CAS  PubMed  Google Scholar 

  • Torrey, W. C., Drake, R. E., Cohen, M., Fox, L. B., Lynde, D., Gorman, P., et al. (2002). The challenge of implementing and sustaining integrated dual disorder treatment programs. Community Mental Health Journal, 38(6), 507–521.

    Article  PubMed  Google Scholar 

  • Urbanoski, K., Cairney, J., Bassani, D. G., & Rush, B. R. (2008). Perceived unmet need for mental health care for Canadians with co-occurring mental and substance use disorders. Psychiatric Services, 59(3), 283–289.

    Article  PubMed  Google Scholar 

  • Urbanoski, K., Rush, B. R., Wild, T. C., Bassani, D. G., & Castel, S. (2007). Use of mental health care services by Canadians with co-occurring substance dependence and mental disorders. Psychiatric Services, 58(7), 962–969.

    Article  PubMed  Google Scholar 

  • Vasiliadis, H. M., Lesage, A., Adair, C., & Boyer, R. (2005). Service use for mental health raisons: cross-provincial differences in rates, determinants, and equity of access. Canadian Journal of Psychiatry, 50(10), 614–619.

    Google Scholar 

  • Vasiliadis, H. M., Lesage, A., Adair, C., Wang, P. S., & Kessler, R. C. (2007). Do Canada and the United States differ in prevalence of depression and utilization of services? Psychiatric Services, 58(1), 63–71.

    Article  PubMed  Google Scholar 

  • Verduin, M. L., Carter, R. E., Brady, K. T., Myrick, H., & Timmerman, M. A. (2005). Health service use among persons with comorbid bipolar and substance use disorders. Psychiatric Services, 56(4), 475–480.

    Article  PubMed  Google Scholar 

  • Wang, P. S., Berglund, P., Olfson, M., Pincus, H. A., Wells, K. B., & Kessler, R. C. (2005a). Failure and delay in initial treatment contact after first onset of mental disorders in the National Comorbidity Survey Replication. Archives of General Psychiatry, 62(6), 603–613.

    Article  PubMed  Google Scholar 

  • Wang, P. S., Lane, M., Olfson, M., Pincus, H. A., Wells, K. B., & Kessler, R. C. (2005b). Twelve-month use of mental health services in the United States: results from the National Comorbidity Survey Replication. Archives of General Psychiatry, 62(6), 629–640.

    Article  PubMed  Google Scholar 

  • Whisman, M. A., & Uebelacker, L. A. (2006). Impairment and distress associated with relationship discord in a national sample of married or cohabiting adults. Journal of Family Psychology, 20(3), 369–377.

    Article  PubMed  Google Scholar 

  • White, W. L. (2012). Recovery/remission form substance use disorders: an analysis of reported outcomes in 415 scientific reports, 18682011. Philadelphia: Department of Behavioral Health and Intellectual DisAbility Services, Great Lakes Addiction Technology Transfer Center.

  • WHO. (2004). Neuroscience of psychoactive substance use and dependence. Geneva: World Health Organization.

    Google Scholar 

  • Wilson, N. J., & Cadet, J. L. (2009). Comorbid mood, psychosis, and marijuana abuse disorders: a theoretical review. Journal of Addictive Diseases, 28(4), 309–319.

    Article  PubMed Central  PubMed  Google Scholar 

Download references

Acknowledgments

This study was funded by the Canadian Institute of Health Research (CTP-79839). We would like to thank this grant agency and all the individuals who participated in the research. All authors declare no conflict of interest that would inflict on the present study.

Conflict interests

The authors declare that they have no competing interests.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Marie-Josée Fleury.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Fleury, MJ., Grenier, G., Bamvita, JM. et al. Typology of Individuals with Substance Dependence Based on a Montreal Longitudinal Catchment Area Study. Adm Policy Ment Health 42, 405–419 (2015). https://doi.org/10.1007/s10488-014-0581-1

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10488-014-0581-1

Keywords

Navigation