Psychiatric disease and drug abuse

Current Opinion in Pediatrics
Karen Santucci

Abstract

The term 'dual diagnosis' most commonly refers to the combination of severe mental illness and substance-use disorder (SUD). It is estimated that 7-10 million people in the USA alone have at a minimum one psychiatric disorder in addition to a SUD. As many of the psychiatric illnesses implicated have their origins in childhood, the pediatric population is not immune to this 'dual diagnosis', particularly with the increasing availability of street drugs and increasing accessibility to prescription drugs. The purpose of this review is to identify the magnitude of the problem and strengthen awareness among pediatric healthcare professionals who may provide prevention and/or early intervention. Causes for the dual diagnosis are unknown, but there are four hypotheses: common factors (risk factors common to both disorders), secondary mental disorder (substance use precipitates mental disorder), secondary substance use ('self-medication hypothesis') and bidirectional (presence of either mental illness or SUD can contribute to the development of the other). Those with the presence of this dual diagnosis are more likely to be nonadherent to treatment and may well have poorer outcomes. Integrated care for the maladies rather than split or...Continue Reading

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Citations

Apr 15, 2015·PeerJ·Colleen E Crangle, Joyce Brothers Kart
Apr 8, 2019·Addiction·Lisa E HaugerAstrid Bjørnebekk
Aug 20, 2019·Therapeutic Drug Monitoring·Ramon R ContrucciLaura Hondebrink
Apr 3, 2019·Journal of Burn Care & Research : Official Publication of the American Burn Association·Harriet KiwanukaClifford C Sheckter
Aug 1, 2020·Journal of Clinical Medicine·Syune HakobyanChristian G Schutz
Jan 27, 2021·International Journal of Environmental Research and Public Health·Alessandro PallucchiniGiulio Perugi
Jan 1, 2021·Mind, Brain and Education : the Official Journal of the International Mind, Brain, and Education Society·Nina T LichtenbergRafael Romero-Calderón
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Aug 18, 2020·Drug and Alcohol Dependence·Mahdi MoradiUNKNOWN Tulsa 1000 Investigators
Apr 21, 2021·Biological Psychiatry·Shile QiUNKNOWN IMAGEN Consortium
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Aug 5, 2021·Clinical Toxicology : the Official Journal of the American Academy of Clinical Toxicology and European Association of Poisons Centres and Clinical Toxicologists·Michelle C PaulusMarcel A G van der Heyden

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