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    Dual diagnosis in primary care. Detecting and treating both the addiction and mental illness

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    Authors
    Ziedonis, Douglas M.
    Brady, Kathleen
    UMass Chan Affiliations
    Department of Psychiatry
    Document Type
    Journal Article
    Publication Date
    1997-07-01
    Keywords
    Anxiety Disorders
    Attention Deficit Disorder with Hyperactivity
    Depressive Disorder
    Diagnosis, Differential
    Eating Disorders
    Humans
    *Mental Disorders
    Personality Disorders
    Primary Health Care
    Psychotic Disorders
    Somatoform Disorders
    *Substance-Related Disorders
    United States
    Psychiatry
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    Link to Full Text
    http://dx.doi.org/10.1016/S0025-7125(05)70561-7
    Abstract
    The initial phase of treatment includes engaging the patient in a discussion about the doctor's concerns and providing patients with information about the problems as well as the possibility of change. Treatment of dual disorders often requires a heightened awareness of the consequences of the problem and the development of a realistic plan for change. The treatment plan must attempt to evaluate and treat the addiction and the psychiatric and medical illnesses.
    Source
    Med Clin North Am. 1997 Jul;81(4):1017-36.
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/45638
    PubMed ID
    9222266
    Related Resources
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    UMass Chan Faculty and Researcher Publications

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      ADHD with comorbid oppositional defiant disorder or conduct disorder: discrete or nondistinct disruptive behavior disorders

      Connor, Daniel F.; Doerfler, Leonard A. (2008-09-01)
      OBJECTIVE: In children with ADHD who have comorbid disruptive behavior diagnoses distinctions between oppositional defiant disorder (ODD) and conduct disorder (CD) remain unclear. The authors investigate differences between ODD and CD in a large clinical sample of children with ADHD. METHOD: Consecutively referred and systematically assessed male children and adolescents with either ADHD (n = 65), ADHD with ODD (n = 85), or ADHD with CD (n = 50) were compared using structured diagnostic interviews and parent, teacher, and clinician rating scales. RESULTS: In children with ADHD, significant differences emerged between ODD and CD in the domains of delinquency, overt aggression, and ADHD symptom severity; ADHD with CD was most severe, followed by ADHD with ODD, and ADHD had the least severe symptoms. Distinctions between ADHD with CD and the other two groups were found for parenting, treatment history, and school variables. CONCLUSION: Within the limits of a cross-sectional methodology, results support clinically meaningful distinctions between ODD and CD in children with ADHD.
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      Impact of traumatic and violent victimization experiences in individuals with schizophrenia and schizoaffective disorder

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      Childhood trauma and psychiatric disorders as correlates of school dropout in a national sample of young adults

      Porche, Michelle V.; Fortuna, Lisa R.; Lin, Julia; Alegria, Margarita (2011-05-01)
      The effect of childhood trauma, psychiatric diagnoses, and mental health services on school dropout among U.S.-born and immigrant youth is examined using data from the Collaborative Psychiatric Epidemiology Surveys, a nationally representative probability sample of African Americans, Afro-Caribbeans, Asians, Latinos, and non-Latino Whites, including 2,532 young adults, aged 21-29. The dropout prevalence rate was 16% overall, with variation by childhood trauma, childhood psychiatric diagnosis, race/ethnicity, and nativity. Childhood substance and conduct disorders mediated the relation between trauma and school dropout. Likelihood of dropout was decreased for Asians, and increased for African Americans and Latinos, compared to non-Latino Whites as a function of psychiatric disorders and trauma. Timing of U.S. immigration during adolescence increased risk of dropout.
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