Search results for ‘Subject term:"mental health problems"’ Sort:
Results 1 - 5 of 5
Comparison of the internal state scale to clinician-administered assessments in patients with bipolar disorder and alcohol abuse or dependence
- Authors:
- SRISINROONGRUANG Rattapol, et al
- Journal article citation:
- Journal of Dual Diagnosis, 1(3), 2005, pp.61-69.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Self-report measures require less clinician time to administer than clinician-rated assessments. The Internal State Scale (ISS) is a well-validated self-report measure that assesses symptoms of mania and depression in patients with bipolar disorder (BPD). However, the ISS has never been specifically evaluated in patients with BPD and comorbid substance misuse. Substances can induce mood symptoms complicating diagnosis and mood state assessment. The ISS was compared with the Hamilton Rating Scale for Depression (HRSD), Young Mania Rating Scale (YMRS), and Brief Psychiatric Rating Scale (BPRS) in 21 patients with BPD and alcohol abuse/dependence at baseline and for up to 16 weeks postbaseline. In addition, ISS-determined mood state was compared to mood state from a structured diagnostic interview. Significant baseline correlations were observed between the ISS depression subscale and HRSD, ISS activation subscale and YMRS, and ISS perceived conflict subscale and BPRS. Significant correlations of baseline to exit change scores were found between the ISS activation and YMRS, but not ISS depression and HRSD, or ISS perceived conflict and BPRS. All participants had a mixed mood state by structured diagnostic interview. The ISS diagnosed the manic/hypomanic portion of this mood state in 76% of participants but found depression in only 38%. As in BPD patients without substance abuse, the ISS generally showed correlations with clinician-rated scales at baseline, with less strong correlations observed on change scores. The ISS diagnosis of mania or hypomania appeared to correspond more highly than depression with the findings from a structured diagnostic interview.(Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580)
Links between drug and alcohol misuse and psychiatric disorders
- Author:
- LITTLEJOHN Christopher
- Journal article citation:
- Nursing Times, 4.1.05, 2005, pp.34-37.
- Publisher:
- Nursing Times
Substance use is common in a wide range of psychiatric disorders, which can increase the risks of use developing into a substance use disorder. Conversely, substance use disorders are frequently accompanied by psychiatric symptoms. In some people these indicate formal psychiatric disorder. Whatever the causes, comorbidity may complicate treatment and resolution of both disorders, often presenting as a vicious circle that is difficult to break.
Annual cost of bipolar disorder to UK society
- Authors:
- GUPTA Roben Das, GUEST Julian F.
- Journal article citation:
- British Journal of Psychiatry, 180, March 2002, pp.227-233.
- Publisher:
- Cambridge University Press
The socio-economic impact of bipolar disorder in the UK is unknown. This study estimated the annual socio-economic burden imposed by bipolar disorder on UK society. The annual cost to UK society attributable to bipolar disorder was estimated to be £2 billion at 1991/2000 prices. Ten per cent of this cost is attributable to NHS resource use, 4% to non-health-care resource use and 86% to indirect costs.
Assessment and management of risk of harm in clients with dual diagnosis
- Authors:
- ALCOHOL CONCERN, DRUGSCOPE
- Publisher:
- Alcohol Concern/Drugscope
- Publication year:
- 2002
- Pagination:
- 23p.
- Place of publication:
- London
Examines how to provide integrated treatment for clients with both substance abuse and mental health problems. Reviews the diagnosis and assessment of dual diagnosis clients, and goes on to discuss treatment and risk management of schizophrenia, depression, bipolar disorders and personality disorders, where they are complicated by substance abuse.
Dual diagnosis: an integrated approach to treatment
- Authors:
- WATKINS Ted R., LEWELLEN Ara, BARRETT Marjie C
- Publisher:
- Sage
- Publication year:
- 2001
- Pagination:
- 217p.,bibliog.
- Place of publication:
- Thousand Oaks, CA
Examines how to provide integrated treatment for clients with both substance abuse and mental health problems. Reviews the diagnosis and assessment of dual diagnosis clients, and goes on to discuss treatment of schizophrenia, depression, bipolar disorders and personality disorders, where they are complicated by substance abuse. Also discusses primary substance abuse disorders.