PSYCHIATRIC COMORBIDITIES IN PATIENTS WITH SUBSTANCE USE DISORDERS COMING FOR DE-ADDICTION TREATMENT IN A TERTIARY CARE HOSPITAL OF WESTERN INDIA.

Corresponding Author:
Dr. Jaiprakash Agrawal,
Associate Professor,
Department of Psychiatry,
Gandhi Medical College,
Bhopal, Madhya Pradesh,
India.
E-mail: jaiprakash_agrawal@yahoo.com

ABSTRACT

BACKGROUND

Psychiatric comorbidities are common in patients with substance use disorder & they tend to complicate the management, course & prognosis of both disorders. So, this study was conducted in the M.B.S. Hospital of Govt. Medical College, Kota, to know the psychiatric comorbidities in patients with substance use disorder, coming for the de-addiction treatment in a tertiary care hospital of western India.

MATERIALS & METHODS

This is a case control study. 50 patients of substance use disorder were compared with the 50 age & sex matched controls & assessed by the especially designed semistructured performa, General Health Questionnaire & Indian Psychiatric Interview Schedule. Convenience sampling method was used for taking the sample. Data so collected was displayed in the form of various tables. Chi square test was used to test the significance.

RESULTS

54% patients with substance use disorder were found to have co-morbid psychiatric diagnoses in comparison to 12% psychiatric morbidity in control group. In psychiatric co-morbidities, depressive disorder was the commonest diagnosis followed by anxiety disorder, personality disorder, bipolar disorder & schizophrenia spectrum disorders.

CONCLUSION

Effective management of psychiatric comorbidities is necessary for improvement in substance related behavioural & psychosocial outcomes. So the regular screening & management of psychiatric comorbidities should be the essential routine practice in deaddiction clinics & mental health care settings.

KEY WORDS

Dependence, Comorbidities, Deaddiction.