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An exploratory investigation of co-occurring substance-related and psychiatric disorders

This exploratory, quantitative study investigated the prevalence rate of people with cooccurring
substance-related and psychiatric disorders (CODs). A treatment-seeking
sample from Houghton House Addiction Recovery Centre in Johannesburg, South Africa
was used. Details of the case histories of the clients were collected, coded and analysed
using Statistical Analysis System (SAS). The results indicated that 57.1% of 419 clients
had one or more co-occurring psychiatric disorder, along with a substance-related
disorder. Of the 239 with a COD, 155 had a mood disorder, 40 had an anxiety disorder,
39 had ADHD, 35 had an eating disorder, 8 had a conduct disorder and 5 had
schizophrenia. Statistically significant relationships were found for ADHD with
cannabis-related disorders and polysubstance dependence; anxiety-related disorders with
alcohol-related disorders; and mood disorders with cocaine-related disorders, possibly
substance-induced disorders and substance-induced disorders. These results showed that
there was large group of people who presented for substance abuse treatment who have
one or more COD. Having a COD made the nature of their problems particularly
complex. There is a need for greater awareness of this vulnerable group. This would
serve to improve the treatment that people with CODs receive.

Identiferoai:union.ndltd.org:netd.ac.za/oai:union.ndltd.org:wits/oai:wiredspace.wits.ac.za:10539/4848
Date19 May 2008
CreatorsFabricius, Victoria
Source SetsSouth African National ETD Portal
LanguageEnglish
Detected LanguageEnglish
TypeThesis
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