Literature DB >> 17999769

The mental status of 1090 heroin addicts at entry into treatment: should depression be considered a 'dual diagnosis'?

Icro Maremmani1, Matteo Pacini, Pier Paolo Pani, Giulio Perugi, Joseph Deltito, Hagop Akiskal.   

Abstract

BACKGROUND: Mental symptoms are common in heroin addiction and may arise from issues of addiction and withdrawal, raising doubts about the patients truly having co-morbid psychiatric diagnoses.
METHODS: We studied the mental status of 1090 heroin addicts (831 males and 259 females aged between 16 and 51 years) at the beginning of treatment, and its relationship to relevant demographic and clinical data through the use of standardised instruments.
RESULTS: A total of 506 (46.42%) heroin addicts showed depressive-anxious symptomatology, 421 (38.62%) had psychomotor excitement and 163 (14.95%) demonstrated a psychotic state. Patients with depressive-anxious symptomatology on the whole had a less severe addictive illness compared to those demonstrating excited and psychotic symptoms. The presence of depressive-anxious features was felt to not necessarily be indicative of the presence of a dual diagnosis.
CONCLUSION: The presence of depressive-anxious symptomatology in the clinical presentation in heroin addicts appears to be unrelated to 'dual diagnosis'.

Entities:  

Year:  2007        PMID: 17999769      PMCID: PMC2216008          DOI: 10.1186/1744-859X-6-31

Source DB:  PubMed          Journal:  Ann Gen Psychiatry        ISSN: 1744-859X            Impact factor:   3.455


  16 in total

1.  Methadone dose and retention during treatment of heroin addicts with Axis I psychiatric comorbidity.

Authors:  I Maremmani; O Zolesi; M Aglietti; G Marini; A Tagliamonte; M Shinderman; S Maxwell
Journal:  J Addict Dis       Date:  2000

2.  Criteria for the "soft" bipolar spectrum: treatment implications.

Authors:  H S Akiskal; G Mallya
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3.  A comparison of the SADS/RDC and the DSM-III. Diagnosing drug abusers.

Authors:  B J Rounsaville; P Rosenberger; C Wilber; M M Weissman; H D Kleber
Journal:  J Nerv Ment Dis       Date:  1980-02       Impact factor: 2.254

4.  Depression among needle exchange program and methadone maintenance clients.

Authors:  R S Brienza; M D Stein; M Chen; A Gogineni; M Sobota; J Maksad; P Hu; J Clarke
Journal:  J Subst Abuse Treat       Date:  2000-06

Review 5.  Toward a unitary perspective on the bipolar spectrum and substance abuse: opiate addiction as a paradigm.

Authors:  Icro Maremmani; Giulio Perugi; Matteo Pacini; Hagop S Akiskal
Journal:  J Affect Disord       Date:  2006-05-03       Impact factor: 4.839

6.  The prevalence of psychiatric disorders in patients with alcohol and other drug problems.

Authors:  H E Ross; F B Glaser; T Germanson
Journal:  Arch Gen Psychiatry       Date:  1988-11

7.  Diagnosis and symptoms of depression in opiate addicts. Course and relationship to treatment outcome.

Authors:  B J Rounsaville; M M Weissman; K Crits-Christoph; C Wilber; H Kleber
Journal:  Arch Gen Psychiatry       Date:  1982-02

8.  Heterogeneity of psychiatric diagnosis in treated opiate addicts.

Authors:  B J Rounsaville; M M Weissman; H Kleber; C Wilber
Journal:  Arch Gen Psychiatry       Date:  1982-02

9.  Prevalence of substance abuse in schizophrenia: demographic and clinical correlates.

Authors:  K T Mueser; P R Yarnold; D F Levinson; H Singh; A S Bellack; K Kee; R L Morrison; K G Yadalam
Journal:  Schizophr Bull       Date:  1990       Impact factor: 9.306

10.  Gender-mediated clinical features of depressive illness. The importance of temperamental differences.

Authors:  G Perugi; L Musetti; E Simonini; F Piagentini; G B Cassano; H S Akiskal
Journal:  Br J Psychiatry       Date:  1990-12       Impact factor: 9.319

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  6 in total

1.  Agitated depression in substance dependence.

Authors:  Adam M Leventhal; Joel Gelernter; David Oslin; Raymond F Anton; Lindsay A Farrer; Henry R Kranzler
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2.  Neurotransmitter-precursor-supplement intervention for detoxified heroin addicts.

Authors:  Dingyan Chen; Yan Liu; Wulong He; Hongxing Wang; Zengzhen Wang
Journal:  J Huazhong Univ Sci Technolog Med Sci       Date:  2012-06-09

3.  The relative roles of bipolar disorder and psychomotor agitation in substance dependence.

Authors:  Adam M Leventhal; Mark Zimmerman
Journal:  Psychol Addict Behav       Date:  2010-06

4.  Psychopathological symptoms of patients with heroin addiction entering opioid agonist or therapeutic community treatment.

Authors:  Pier Paolo Pani; Emanuela Trogu; Federica Vigna-Taglianti; Federica Mathis; Roberto Diecidue; Ursula Kirchmayer; Laura Amato; Marina Davoli; Joli Ghibaudi; Antonella Camposeragna; Alessio Saponaro; Fabrizio Faggiano; Angelo Giovanni Icro Maremmani; Icro Maremmani
Journal:  Ann Gen Psychiatry       Date:  2014-11-18       Impact factor: 3.455

5.  Gender and Age Effects on the Trajectory of Depression in Opioid Users during Methadone Maintenance Treatment.

Authors:  Peng-Wei Wang; Huang-Chi Lin; Yi-Hsin Connie Yang; Chih-Yao Hsu; Kuan-Sheng Chung; Hung-Chi Wu; Cheng-Fang Yen
Journal:  Front Psychiatry       Date:  2017-12-13       Impact factor: 4.157

6.  Patients admitted to treatment for substance use disorder in Norway: a population-based case-control study of socio-demographic correlates and comparative analyses across substance use disorders.

Authors:  Ellen J Amundsen; Anne Line Bretteville-Jensen; Ingeborg Rossow
Journal:  BMC Public Health       Date:  2022-04-20       Impact factor: 4.135

  6 in total

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