Interrelationship of Substance Abuse and Mental Health Problems

  • Melanie E. Bennett

Abstract

There is now considerable evidence documenting high rates of substance use disorders and other forms of mental illness around the world. Such research illustrates the enormous toll that both sets of disorders take on individuals and society, and shows how both types of disorders contribute substantially to poor functioning and compromised well-being. We are now starting to understand much about substance use disorders and other forms of mental illness. We have good evidence regarding the nature and course of many types of mental and substance use disorders, and for many we have studied a range of psychosocial and pharmacological treatments with efficacy ranging from promising to clearly beneficial.

Keywords

Substance Abuse Anxiety Disorder Mental Health Problem Personality Disorder Severe Mental Illness 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. American Psychiatric Association. (1987). Diagnostic and Statistical Manual of Mental Disorders (3rd edition, revised). Washington, DC: American Psychiatric Association.Google Scholar
  2. Anath, J., Vandewater, S., Kamal, M., Brodsky, A., Gamal, R., & Miller, M. (1989). Mixed diagnosis of substance abuse in psychiatric patients. Hospital and Community Psychiatry, 40, 297–299.Google Scholar
  3. Bai, Y.M., Lin, C.C., Hu, PC, & Yeh, H.S. (1998). Risk factors for substance use disorders among inpatients with major affective disorders in Taiwan Chinese. General Hospital Psychiatry, 29(6), 377–380.CrossRefGoogle Scholar
  4. Barbee, J.G., Clark, P.D., Crapanzano, M.S., Heintz, G.C., & Kehoe, C.E. (1989). Alcohol and substance abuse among schizophrenic patients presenting to an emergency psychiatric service. Journal of Nervous and Mental Disease, 177, 400–407.PubMedCrossRefGoogle Scholar
  5. Berkson, J. (1949). Limitations of the application of four-fold tables to hospital data. Biometric Bulletin, 2, 47–53.CrossRefGoogle Scholar
  6. Blanchard, J.J. (2000). The co-occurrence of substance use in other mental disorders: Editor’s introduction. Clinical Psychology Review, 20(2), 145–148.PubMedCrossRefGoogle Scholar
  7. Bonin, M.F., Norton, G.R., Asmundson, G.J., Dicurzio, S., & Pidlubney, S. (2000). Drinking away the hurt: The nature and prevalence of PTSD in substance abuse patient attending a community based treatment program. Journal of Behavior Therapy and Exp Psychiatry, 31(1), 55–66.CrossRefGoogle Scholar
  8. Bowen, R.C., Cipywnyk, D., D’Arcy, C, & Keegan, D. (1984). Alcoholism, anxiety disorders, and agoraphobia. Alcoholism Clinical and Experimental Research, 8(1), 48–50.CrossRefGoogle Scholar
  9. Brady, K.T., Killeen, T.K., Brewerton, T., & Lucerini, S. (2000). Comorbidity of psychiatric disorders and posttraumatic stress disorder. Journal of Clinical Psychiatry, 61 Suppl 7, 22–32.Google Scholar
  10. Brooner, R.K., King, V.L., Kidorf, M., Schmidt, C.W., & Bigelow, G.E. (1997). Psychiatric and substance use comorbidity among treatment-seeking opioid abusers. Archives of General Psychiatry, 54(1), 71–80.PubMedCrossRefGoogle Scholar
  11. Brunello, N., Davidson, J.R., Deahl, M., Kessler, R.C., Mendlewicz, J., Racagni, G., Shalev, A.Y., & Zohar, J. (2001). Posttraumatic stress disorder: Diagnosis and epidemiology, comorbidity and social consequences, biology and treatment. Neuropsychobiology, 43(3), 150–162.PubMedCrossRefGoogle Scholar
  12. Bucholz, K.K. (1999). Nosology and epidemiology of addictive disorders and their comorbidity. Psychiatric Clinics of North America, 22(2), 221–239.PubMedCrossRefGoogle Scholar
  13. Carey, M.P., Carey, K.B., & Kalichman, S.C. (1997). Risk for human immunodeficiency virus (HIV) infection among persons with severe mental illnesses. Clinical Psychology Review, 17, 271–291.PubMedCrossRefGoogle Scholar
  14. Carpenter, W.T.J., Heinrichs, D.W., & Alphs, L.D. (1985). Treatment of negative symptoms. Schizophrenia Bulletin, 11, 440–452.PubMedGoogle Scholar
  15. Chen, C, Balogh, R., Bathija, J., Howanitz, E., Plutchik, R., & Conte, H.R. (1992). Substance abuse among psychiatric inpatients. Comprehensive Psychiatry, 33, 60–64.PubMedCrossRefGoogle Scholar
  16. Clark, R.E., Ricketts, S.K., & McHugo, G.J. (1999). Legal system involvement and costs for persons in treatment for severe mental illness and substance use disorders. Psychiatric Services, 50(5), 641–647.PubMedGoogle Scholar
  17. Cohen, L.J., Test, M.A., & Brown, R.J. (1990). Suicide and schizophrenia: Data from a prospective community treatment study. American Journal of Psychiatry, 147, 602–607. Davis, T.M., & Wood, P.S. (1999). Substance abuse and sexual trauma in a female veteran population. Journal of Substance Abuse Treatment, 16(2), 123–127.Google Scholar
  18. 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.PubMedCrossRefGoogle Scholar
  19. Dixon, L. (1999). Dual diagnosis of substance abuse in schizophrenia: Prevalence and impact on outcomes. Schizophrenia Research, 35, S93–S100.PubMedCrossRefGoogle Scholar
  20. Dixon, L., Haas, G., Weiden, P., Sweeney, J., & Frances, A. (1991). Drug abuse in schizophrenic patients: Clinical correlates and reasons for use. American Journal of Psychiatry, 148, 224–230.PubMedGoogle Scholar
  21. Eisen, J.L., & Rasmussen, S.A. (1989). Coexisting obsessive compulsive disorder and alcoholism Journal of Clinical Psychiatry, 50(3), 96–98.PubMedGoogle Scholar
  22. Evans, D.L. (2000). Bipolar disorder: Diagnostic challenges and treatment consideration. Journal of Clinical Psychiatry, 61 Suppl 13, 26–31.PubMedGoogle Scholar
  23. Farrell, M., Howes, S., Taylor, C, Lewis, G., Jenkins, R., Bebbington, P., Jarvis, M., Brugha, R., Gill, B., & Meltzer, H. (1998). Substance misuse and psychiatric comorbidity: An overview of the OPCS National Psychiatric Morbidity Survey. Addictive Behaviors, 23(6), 909–918.PubMedCrossRefGoogle Scholar
  24. Fichter, M., & Quadflieg, N. (1999). Alcoholism in homeless men in the mid-nineties: Results from the Bavarian Public Health Study on homelessness. European Archives of Psychiatry and Clinical Neuroscience, 249(1), 34–44.PubMedCrossRefGoogle Scholar
  25. Fulwiler, C., Grossman, H., Forbes, C., & Ruthazer, R. (1997). Early-onset substance abuse and community violence by outpatient with chronic mental illness. Psychiatric Services, 48(9), 1181–1185.PubMedGoogle Scholar
  26. Galanter, M., Castaneda, R., & Ferman, J. (1988). Substance abuse among general psychiatric patients: Place of presentation, diagnosis, and treatment. American Journal of Drug and Alcohol Abuse, 14(2), 211–235.PubMedCrossRefGoogle Scholar
  27. Garnick, D.W., Hendricks, A.M., Comstock, C., & Horgan, C. (1997). Do individuals with substance abuse diagnoses incur higher charges than individuals with other chronic conditions? Journal of Substance Abuse Treatment, 14(5), 457–465.PubMedCrossRefGoogle Scholar
  28. Glenn, S.W., & Parsons, O.A. (1991). Prediction of resumption of drinking in posttreatment alcoholics. International Journal of the Addictions, 26(2), 237–254.PubMedGoogle Scholar
  29. Goodwin, F.K., & Jamison, K.R. (1990). Manic-Depressive Illness. New York: Oxford University Press.Google Scholar
  30. Grant, B.F., & Harford, T.C. (1995). Comorbidity between DSM-IV alcohol use disorders and major depression: Results of a national survey. Drug and Alcohol Dependence, 39, 197–206.PubMedCrossRefGoogle Scholar
  31. Grant, B.F., Harford, T.C, Dawson, D.A., Chou, P., Dufour, M., & Pickering, R. (1994). Prevalence of DSM-IV alcohol abuse and dependence: United States, 1992. Alcohol Health and Research World, 18(3), 243–248.Google Scholar
  32. Greifenhagen, A., & Fichter, M. (1997). Mental illness in homeless women: An epidemiological study in Munich, Germany. European Archives of Psychiatry and Clinical Neuroscience, 247(3), 162–172.PubMedCrossRefGoogle Scholar
  33. Grella, C.E. (1996). Background and overview of mental health and substance abuse treatment systems: Meeting the needs of women who are pregnant or parenting. Journal of Psychoactive Drugs, 28(4), 319–343.PubMedCrossRefGoogle Scholar
  34. Gureje, O., Vazquez-Barquero, J.L., & Janca, A. (1996). Comparisons of alcohol and other drugs: Experience from the WHO collaborative cross-cultural applicability research (CAR) study. Addiction, 91(10), 1529–1538.PubMedCrossRefGoogle Scholar
  35. Handmaker, N. (). Learning what we knew: Integrated services for “dual diagnosis” patients. In W.R. Miller and C. Weisner (Eds.), Changing Substance Abuse Through Health and Social Systems.Google Scholar
  36. Hassin, D.S., Grant, B.F., & Endicott, J. (1988). Lifetime psychiatric comorbidity in hospitalized alcoholics: Subject and familial correlates. The International Journal of the Addictions, 23(8), 827–850.Google Scholar
  37. Hays, P., & Aidroos, N. (1986). Alcoholism followed by schizophrenia. Acta Psychiatrica Scandinavica, 74(2), 187–189.PubMedCrossRefGoogle Scholar
  38. Haywood, T.W., Kravitz, H.M., Grossman, L.S., Cavanaugh, J.L. Jr., Davis, J.M., & Lewis, D.A. (1995). Predicting the “revolving door” phenomenon among patients with schizohprenic, schizoaffective, and affective disorders. American Journal of Psychiatry, 152, 856–861.PubMedGoogle Scholar
  39. Helzer, J.E., & Pryzbeck, T.R. (1988). The co-occurrence of alcoholism with other psychiatric disorders in the general population and its impact on treatment. Journal of Studies on Alcohol, 49(3), 219–224.PubMedGoogle Scholar
  40. Herz, L.R., Volicer, L., D’Angelo, N., & Gadish, D. (1990). Additional psychiatric illness by Diagnostic Interview Schedule in male alcoholics. Comprehensive Psychiatry, 30(1), 72–79.CrossRefGoogle Scholar
  41. Hesselbrock, M.N., Meyer, R.E., & Keener, J.J. (1985). Psychopathology in hospitalized alcoholics. Archives of General Psychiatry, 42, 1050–1055.PubMedCrossRefGoogle Scholar
  42. Hirschfeld, R.M.A., Hassin, D., Keller, M.B., Endicott, J., & Wunder, J. (1990). Depression and alcoholism: Comorbidity in a longitudinal study. In J.D. Maser & C.R. Cloninger (Eds.), Comorbidity of mood and anxiety disorders (pp. 293–303). Washington, DC: American Psychiatric Press.Google Scholar
  43. Hoff, R.A., Beam-Goulet, J., & Rosenheck, R.A. (1997). Mental disorder as a risk factor for human immunodeficiency virus infection in a sample of veterans. Journal of Nervous and Mental Disease, 185(9), 556–560.PubMedCrossRefGoogle Scholar
  44. Keane, T.M., Gerardi, R.J., Lyons, J.A., & Wolfe, J. (1988). The interrelationship of substance abuse and posttraumatic stress disorder: Epidemiological and clinical considerations. In M. Galanter (Ed.), Recent Developments in Alcoholism. New York: Plenum Press.Google Scholar
  45. Kessler, R.C., McGonagle, K.A., Zhao, S., Nelson, C.B., Hughes, M., Eshleman, S., Wittchen, H., & Kendler, K.S. (1994). Lifetime and 12-month prevalence of DSM-III-R psychiatric disorders in the United States. Archives of General Psychiatry, 51, 8–19.PubMedCrossRefGoogle Scholar
  46. Koegel, P., Sullivan, G., Burman, A., Morton, S.C., & Wenzel, S. (1999). Utilization of mental health and substance abuse services among homeless adults in Los Angeles. Med Care, 37(3), 306–317.PubMedCrossRefGoogle Scholar
  47. Kokkevi, A., Stephanis, N., Anastasopoulou, E., & Kostogianni, C. (1998). Personality disorders in drug abusers: Prevalence and their association with Axis I disorders as predictors of treatment retention. Addictive Behaviors, 23(6), 841–853.PubMedCrossRefGoogle Scholar
  48. Kozaric-Kovacic, D., Folnegovic-Smalc, V., Folnegovic, Z., & Marusic, A. (1995). Influence of alcoholism on the prognosis of schizophrenic patients. Journal of Studies on Alcohol, 56, 622–627.PubMedGoogle Scholar
  49. Kushner, M.G., Sher, K.J., & Beitman, B.D. (1990). The relation between alcohol problems and the anxiety disorders. American Journal of Psychiatry, 147(6), 685–695.PubMedGoogle Scholar
  50. Lambert, M.T., Griffith, J.M., & Hendrickse, W. (1996). Characteristics of patients with substance abuse diagnoses on a general psychiatry unit in a VA Medical Center. Psychiatric Services, 47(10), 1104–1107.PubMedGoogle Scholar
  51. Landmark, J., Cernovsky, Z.Z., & Merskey, H. (1987). Correlates of suicide attempts and ideation in schizophrenia. British Journal of Psychiatry, 151, 18–20.PubMedCrossRefGoogle Scholar
  52. Lewis, C.E., Rice, J., Andreasen, N., Endicott, J., & Hartman, A. (1986). Clinical and family correlates of alcoholism in men with unipolar major depression. Alcoholism: Clinical and Experimental Research, 10(6), 657–662.CrossRefGoogle Scholar
  53. Linszen, D.H., Dingemans, P.M., & Lenior, M.E. (1994). Cannabis abuse and the course of recent-onset schizophrenic disorders. Archives of General Psychiatry, 51, 273–279.PubMedCrossRefGoogle Scholar
  54. Liskow, B., Powell, B.J., Nickel, E.J., & Penick, E. (1991). Antisocial alcoholics: Are there clinically significant diagnostic subtypes? Journal of Studies on Alcohol, 52(1), 62–69.PubMedGoogle Scholar
  55. Marzuk, P.M. (1996). Violence, crime, and mental illness: How strong a link? Archives of General Psychiatry, 53, 481–486.PubMedCrossRefGoogle Scholar
  56. Menezes, P.R., Johnson, S., Thomicroft, G., Marshall, J., Prosser, D., Bebbington, P., & Kuipers, E. (1996). Drug and alcohol problems among individuals with severe mental illnesses in South London. British Journal of Psychiatry, 168, 612–619.PubMedCrossRefGoogle Scholar
  57. Merikangas, K.R., Angst, J., Eaton, W., Canino, G., Rubio-Stipec, M., Wacker, H., Wittchen, H.U., Andrade, L., Essau, C., Whitaker, A., Kraemer, H., Robins, L.N., & Kupfer, D.J. (1996). Comorbidity and boundaries of affective disorders with anxiety disorders and substance misuse: Results of an international task force. British Journal of Psychiatry, 168 (suppl. 30), 58–67.Google Scholar
  58. Merikangas, K.R. & Gelernter, C.S. (1990). Comorbidity for alcoholism and depression. Psychiatric Clinics of North America, 13(4), 613–633.PubMedGoogle Scholar
  59. Merikangas, K.R., Leckman, J.F., Prusoff, B.A., Pauls, D.L., & Weissman, M.M. (1985). Familial transmission of depression and alcoholism. Archives of General Psychiatry, 42, 367–372.PubMedCrossRefGoogle Scholar
  60. Merikangas, K.R., Mehta, R.L., Molnar, B.E., Walters, E.E., Swendsen, J.D., Aguilar-Gaziola, S., Bijl, R., Borges, G., Caraveo-Anduaga, J.J., Dewit, D.J., Kolody, B., Vega, W.A., Wittchen, H., & Kessler, R.C. (1998). Comorbidity of substance use disorders with mood and anxiety disorders: Results of the International Consortium in Psychiatric Epidemiology. Addictive Behaviors, 23(6), 893–907.PubMedCrossRefGoogle Scholar
  61. Mezzich, J.E., Ahn, C.W., Fabrega, H., & Pilkonis, P. (1990). Patterns of psychiatric comorbidity in a large population presenting for care. In J.D. Maser & C.R. Cloninger (Eds.), Comorbidity of mood and anxiety disorders (pp. 189–204). Washington, DC: American Psychiatric Press.Google Scholar
  62. Milby, J.B., Sims, M.K., Khuder, S., Schumzcher, J.E., Huggins, N., McLellan, A.T., Woody, G., & Haas, N. (1996). Psychiatric comorbidity: Prevalence in methadone maintenance treatment. American Journal of Drug and Alcohol Abuse, 22(1), 95–107.PubMedCrossRefGoogle Scholar
  63. Mirin, S.M., Weiss, R.D., Griffin, M.L., & Michael, J.L. (1991). Psychopathology in drug abusers and their families. Comprehensive Psychiatry, 32(1), 36–51.PubMedCrossRefGoogle Scholar
  64. 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.PubMedCrossRefGoogle Scholar
  65. Mueller, T.I., Lavori, P.W., Keller, M.B., Swartz, A., Warshaw, M., Hasin, D., Coryell, W., Endicott, J., Rice, J., & Akiskal, H. (1994). Prognostic effect of the variable course of alcoholism on the 10-year course of depression. American Journal of Psychiatry, 151(5), 701–706.PubMedGoogle Scholar
  66. Mueser, K.T., Bellack, A.S., & Blanchard, J.J. (1992). Comorbidity of schizophrenia and substance abuse: Implications for treatment. Journal of Consulting and Clinical Psychology, 60(6), 845–856.PubMedCrossRefGoogle Scholar
  67. Mueser, K.T., Yarnold, PR., Levinson, D.F., Singh, H., Bellack, A.S., Kee, K., Morrison, R.L., & Yadalam, K.G. (1990). Prevalence of substance abuse in schizophrenia: Demographic and clinical correlates. Schizophrenia Bulletin, 16(1), 31–56.PubMedGoogle Scholar
  68. Nace, E.P., Davis, C.W., & Gaspari, J.P. (1991). Axis II comorbidity in substance abusers. American Journal of Psychiatry, 148(1), 118–120.PubMedGoogle Scholar
  69. Najavitis, L.M., Gastfriend, D.R., Barber, J.P., Reif, S., Muenz, L.R., Blaine, J., Frank, A., Crits-Christoph, P., Thase, M., & Weiss, R.D. (1998). Cocaine dependence with and without PTSD among subjects in the National Institute on Drug Abuse Collaborative Cocaine Treatment Study. American Journal of Psychiatry, 155(2), 214–219.Google Scholar
  70. Newman, D.L., Moffitt, T.E., Caspi, A., Magdol, L., Silva, PA., & Stanton, W.R. (1996). Psychiatric disorder in a birth cohort of young adults: Prevalence, comorbidity, clinical significance, and new case incidence from ages 11 to 21. Journal of Consulting and Clinical Psychology, 64(3), 552–562.PubMedCrossRefGoogle Scholar
  71. Newman, D.L., Moffitt, T.E., Caspi, A., & Silva, P. (1998). Comorbid mental disorders: Implications for treatment and sample selection. Journal of Abnormal Psychology, 107(2), 305–311.PubMedCrossRefGoogle Scholar
  72. O’Connell, R.A., Mayo, J.A., Flatow, L., Cuthbertson, B., & O’Brien, B.E. (1991). Outcome of bipolar disorder on long-term treatment with lithium. British Journal of Psychiatry, 159, 123–129.PubMedCrossRefGoogle Scholar
  73. Owen, R.R., Fischer, E.P., Booth, B.M., & Cuffel, B.J. (1996). Medication noncompliance and substance abuse among persons with schizophrenia. Psychiatric Services, 47(8), 853–858.PubMedGoogle Scholar
  74. Pages, K.P., Russo, J.E., Roy-Byrne, P.P., Ries, R.K., & Cowley, D.S. (1997). Determinants of suicidal ideation: The role of substance use disorders. Journal of Clinical Psychiatry, 58(11), 510–515.PubMedCrossRefGoogle Scholar
  75. Pages, K.P., Russo, J.E., Wingerson, D.K., Ries, R.K., Roy-Byrne, P.P., & Cowley, D.S. (1998). Predictors and outcome of discharge against medical advice from the psychiatric units of a general hospital. Psychiatric Services, 49(9), 1187–1192.PubMedGoogle Scholar
  76. Penick, E.C., Powell, B.J., Othmer, E., Binghan, S.F., Rice, A.S., & Liese, B.S. (1984). Subtyping alcoholics by coexisting psychiatric syndromes: Course, family history, outcome. In D.W. Goodwin, K.T. Van Dusen, & S.A. Mednick (Eds.), Longitudinal Research in Alcoholism. Boston: Kluwer-Nijhoff Publishing.Google Scholar
  77. Polcin, D.L. (1992). Issues in the treatment of dual diagnosis clients who have chronic mental illness. Professional Psychology: Research and Practice. 23(1), 30–37.CrossRefGoogle Scholar
  78. Potash, J.B., Kane, H.S., Chiu, Y.F., Simpson, S.G., MacKinnon, D.F., Mclnnis, M.G., McMahon, F.J., & DePaulo. (2000). Attempted suicide and alcoholism in bipolar disorder: Clinical and familial relationships. American Journal of Psychiatry, 157(12), 2048–2050.PubMedCrossRefGoogle Scholar
  79. Powell, B.J., Penick, E.C., Othmer, E., Bingham, S.F., & Rice, A.S. (1982). Prevalence of additional psychiatric syndromes among male alcoholics. Journal of Clinical Psychiatry, 43(10), 404–407.PubMedGoogle Scholar
  80. Pozzi, G., Bacigalupi, M., & Tempesta, E. (1997). Comorbidity of drug dependence and other mental disorders: A two-phase study of prevalence at outpatient treatment centers in Italy. Drug and Alcohol Dependence, 46(1–2), 69–77.PubMedCrossRefGoogle Scholar
  81. Quattrocki, E., Baird, A., & Yurgelun-Todd, D. (2000). Biological aspects of the link between smoking and depression. Harvard Review of Psychiatry, 8(3), 99–110.PubMedGoogle Scholar
  82. Rabinowitz, J., Mark, M., Popper, M., & Slyuzberg, M. (1996). Reported comorbidity of mental disorders with substance abuse among psychiatric inpatients in Israel. Journal of Mental Health Administration, 23(4), 471–478.PubMedCrossRefGoogle Scholar
  83. Regier, D.A., Farmer, M.E., Rae, D.S., Locke, B.Z., Keither, S.J., Judd, L.L., & Goodwin, F.K. (1990). Comorbidity of mental disorders with alcohol and other drug abuse. Journal of the American Medical Association, 264, 2511–2518.PubMedCrossRefGoogle Scholar
  84. Ridgely, M.S., Lambert, D., Goodman, A., Chichester, C.S., & Ralph, R. (1998). Interagency collaboration in services for people with co-occurring mental illness and substance use disorder. Psychiatric Services, 49, 236–238.PubMedGoogle Scholar
  85. Ross, H.E., & Cunningham, J. (1999). Mental health service use: A comparison of treated and untreated individuals with substance use disorders in Ontario. Canadian Journal of Psychiatry, 44(6), 570–577.Google Scholar
  86. Ross, H.E., Glaser, F.B., & Germanson, T. (1988). The prevalence of psychiatric disorders in patients with alcohol and other drug problems. Archives of General Psychiatry, 45, 1023–1031.PubMedCrossRefGoogle Scholar
  87. Ross, H.E., Glaser, F.B., & Stiasny, S. (1988). Differences in the prevalence of psychiatric disorders in patients with alcohol and drug problems. British Journal of Addiction, 83, 1179–1192.PubMedCrossRefGoogle Scholar
  88. Ross, H.E., Lin, E., & Cunningham, J. (1999). Mental health service use: A comparison of treated and untreated individuals with substance use disorders in Ontario. Canadian Journal of Psychiatry, 44, 570–577.Google Scholar
  89. Rounsaville, B.J., Anton, S.F, Carroll, K., Budde, D., Prusoff, & Gawin. (1991). Psychiatric diagnoses of treatment seeking cocaine abusers. Archives of General Psychiatry, 48(1), 43–51.PubMedCrossRefGoogle Scholar
  90. Rounsaville, B.J., Weissman, M.M., Wilber, C.H., Crits-Christoph, K., & Kleber, H.D. (1982). Diagnosis and symptoms of depression in opiate addicts: Course and relationship to treatment outcome. Archives of General Psychiatry, 39, 151–156.PubMedCrossRefGoogle Scholar
  91. Russell, J.M., Newman, S.C., & Bland, R.C. (1994). Epidemiology of psychiatric disorders in Edmonton. Drug abuse and dependence. Acta Psychiatrica Scandinavica, 376 Suppl., 54–62.PubMedCrossRefGoogle Scholar
  92. Saladin, M.E., Brady, K.T., Dansky, B.S., & Kilpatrick, D.G. (1995). Understanding comorbidity between PTSD and substance use disorders: Two preliminary investigations. Addictive Behaviors, 20(5), 643–655.PubMedCrossRefGoogle Scholar
  93. Schuckit, M.A. (1983). Alcoholism and other psychiatric disorders. Hospital and Community Psychiatry, 34(11), 1022–1027.PubMedGoogle Scholar
  94. Sokolski, K.N., Cummings, J.L., Abrams, B.I., DeMet, E.M., Katz, L.S., & Costa, J.F. (1994). Effects of substance abuse on hallucination rates and treatment responses in chronic psychiatric patients. Journal of Clinical Psychiatry, 55, 380–387.PubMedGoogle Scholar
  95. Soyka, M. (2000). Substance misuse, psychiatric disorder and violent and disturbed behaviour. British Journal of Psychiatry, 176, 345–350.PubMedCrossRefGoogle Scholar
  96. Thomas, S.E., Thevos, A.K., & Randall, C.L. (1999). Alcoholics with and without social phobia: A comparison of substance use and psychiatric variables. Journal of Studies on Alcohol, 60, 472–479.PubMedGoogle Scholar
  97. Thompson, S.C., Checkley, G.E., Hocking, J.S., Crofts, N., Mijch, A.M., & Judd, F.K. (1997). HIV risk behavior and HIV testing of psychiatric patients in Melbourne. Australia and New Zealand Journal of Psychiatry, 31(4), 566–576.CrossRefGoogle Scholar
  98. Tomasson, K., & Vaglum, P. (1995). A nationwide representative sample of treatment-seeking alcoholics: A study of psychiatric comorbidity. Acta Psychiatrica Scandinavica, 92, 378–385.PubMedCrossRefGoogle Scholar
  99. Tomasson, K., & Vaglum, P. (1997). The 2-year course following detoxification treatment of substance abuse: The possible influence of psychiatric comorbidity. European Archives of Psychiatry and Clinical Neuroscience, 247(6), 320–327.PubMedCrossRefGoogle Scholar
  100. Triffleman, E.G., Marmar, C.R., Delucchi, K.L., & Ronfeldt, H. (1995). Childhood trauma and posttraumatic stress disorder in substance abuse inpatients. Journal of Nervous and Mental Disease, 183(3), 172–176.PubMedCrossRefGoogle Scholar
  101. Widiger, T.A., & Shea, T. (1991). Differentiation of Axis I and Axis II disorders. Journal of Abnormal Psychology, 100(3), 399–406.PubMedCrossRefGoogle Scholar
  102. Wittchen, H., Essau, C.A., von Zerssen, D., Krieg, J., & Zaudig, M. (1992). Lifetime and six-month prevalence of mental disorders in the Munich follow-up study. European Archives of Psychiatry and Clinical Neuroscience, 241, 247–258.PubMedCrossRefGoogle Scholar
  103. Wittchen, H., Perkonigg, A., & Reed, V. (1996). Comorbidity of mental disorders and substance use disorders. European Addiction Research, 2, 36–47.CrossRefGoogle Scholar
  104. World Health Organization. (1991). Composite International Diagnostic Interview (CIDI). Geneva, Switzerland: World Health Organization.Google Scholar
  105. Ziedonis, D.M., & George, T.P. (1997). Schizophrenia and nicotine use: Report of a pilot smoking cessation program and review of neurobiological and clinical issues. Schizophrenia Bulletin, 23, 247–254.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2002

Authors and Affiliations

  • Melanie E. Bennett
    • 1
  1. 1.Department of PsychiatryUniversity of Maryland School of MedicineBaltimoreUSA

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