RESUMO
BACKGROUND: This article tests the hypothesis that remission from substance use disorders is associated with smoking cessation in nicotine dependent young adults. DESIGN AND METHODS: The sample was composed of 976 young adults with lifetime substance use disorders and nicotine dependence who were subjects in the national epidemiologic survey on alcohol abuse and related conditions (NESARC). The Associated Disabilities Interview Schedule-DSM-IV Version was used to assess lifetime and past year psychiatric disorders. RESULTS: Past year nicotine cessation was obtained by self-report. Remission from substance use disorders was defined as the past year absence of DSM-IV substance use disorders. This study found that remission from substance use disorders increased the likelihood of smoking abstinence (OR=1.7). CONCLUSIONS: Our study found that remission from substance use disorders increased the likelihood of smoking abstinence in early adulthood. This finding is congruent with results from longitudinal studies.
Assuntos
Alcoolismo/terapia , Abandono do Hábito de Fumar/estatística & dados numéricos , Transtornos Relacionados ao Uso de Substâncias/terapia , Tabagismo/epidemiologia , Adulto , Distribuição por Idade , Alcoolismo/epidemiologia , Escolaridade , Feminino , Inquéritos Epidemiológicos , Humanos , Entrevista Psicológica , Masculino , Casamento , Indução de Remissão , Autorrevelação , Distribuição por Sexo , Transtornos Relacionados ao Uso de Substâncias/epidemiologia , Estados Unidos/epidemiologia , Adulto JovemRESUMO
OBJECTIVE: To compare rates of comorbidity, treatment utilization, the course of illness, and past year social functioning of Hypomania with and without Dysphoria Hypomania (mixed state). METHOD: The National Epidemiological Survey on Alcohol and Related Conditions (NESARC) was a nationally representative face-to-face survey of 43,093 respondents, aged 18 years and older, conducted in 2001 through 2002. The target population of the survey is the civilian, noninstitutionalized population residing in the United States. RESULTS: Dysphoric Hypomania was associated with an increased lifetime risk for major depression, dysthymic disorder, anxiety disorders and personality disorders compared to Non-Dysphoric Hypomania. The former group had an earlier onset age of major depression, more episodes major depression and hypomania, and had a higher rate of treatment contact than the later group. Past year personal income and the frequency of full-time employment were lower in the Dysphoric Hypomania compared to Non-Dysphoric Hypomania. CONCLUSIONS: Dysphoric Hypomania is a more severe and persistent mood disorder compared to Non-Dysphoric Hypomania.
Assuntos
Transtorno Bipolar/epidemiologia , Depressão/epidemiologia , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Alcoolismo/diagnóstico , Alcoolismo/epidemiologia , Alcoolismo/psicologia , Transtornos de Ansiedade/diagnóstico , Transtornos de Ansiedade/epidemiologia , Transtornos de Ansiedade/psicologia , Transtorno Bipolar/diagnóstico , Transtorno Bipolar/psicologia , Comorbidade , Depressão/diagnóstico , Depressão/psicologia , Transtorno Depressivo Maior/diagnóstico , Transtorno Depressivo Maior/epidemiologia , Transtorno Depressivo Maior/psicologia , Transtorno Distímico/diagnóstico , Transtorno Distímico/epidemiologia , Transtorno Distímico/psicologia , Emprego , Feminino , Inquéritos Epidemiológicos , Humanos , Renda , Masculino , Programas de Rastreamento , Serviços de Saúde Mental/estatística & dados numéricos , Pessoa de Meia-Idade , Transtornos da Personalidade/diagnóstico , Transtornos da Personalidade/epidemiologia , Transtornos da Personalidade/psicologia , Fatores de Risco , Estatística como Assunto , Estados Unidos , Revisão da Utilização de Recursos de SaúdeRESUMO
A large proportion of patients treated for substance dependencies have attempted suicide. Scarce empirical evidence exists regarding their prognosis. Data from the Drug Abuse Treatment Outcome Survey were analyzed to determine the course of depression and substance dependence of 416 suicide attempters one year after discharge. The likelihood of recovery from drug dependence did not differ between patients who did or did not attempt suicide. Among suicide attempters who recovered from substance dependence, the frequency of Major Depression Disorder was significantly lower compared to admission, but its prevalence was nearly three times higher than that found in the general community.