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Titolo:
Rural and urban differences in patients with a dual diagnosis
Autore:
Mueser, KT; Essock, SM; Drake, RE; Wolfe, RS; Frisman, L;
Indirizzi:
NH Dartmouth Psychiat Res Ctr, Concord, NH 03301 USA NH Dartmouth PsychiatRes Ctr Concord NH USA 03301 Concord, NH 03301 USA Dartmouth Coll, Hitchcock Med Ctr, Dartmouth Med Sch, Dept Psychiat, Hanover, NH 03756 USA Dartmouth Coll Hanover NH USA 03756 Dept Psychiat, Hanover, NH 03756 USA Dartmouth Coll, Hitchcock Med Ctr, Dartmouth Med Sch, Dept Community Med, Hanover, NH 03756 USA Dartmouth Coll Hanover NH USA 03756 Community Med, Hanover, NH 03756 USA Dartmouth Coll, Hitchcock Med Ctr, Dartmouth Med Sch, Dept Family Med, Hanover, NH 03756 USA Dartmouth Coll Hanover NH USA 03756 ept Family Med, Hanover, NH 03756 USA Mt Sinai Sch Med, Dept Psychiat, New York, NY USA Mt Sinai Sch Med New York NY USA ch Med, Dept Psychiat, New York, NY USA Connecticut Dept Mental Hlth & Addit Serv, Hartford, CT USA Connecticut Dept Mental Hlth & Addit Serv Hartford CT USA rtford, CT USA
Titolo Testata:
SCHIZOPHRENIA RESEARCH
fascicolo: 1, volume: 48, anno: 2001,
pagine: 93 - 107
SICI:
0920-9964(20010301)48:1<93:RAUDIP>2.0.ZU;2-#
Fonte:
ISI
Lingua:
ENG
Soggetto:
SEVERE MENTAL-ILLNESS; SUBSTANCE USE DISORDER; DRUG-USE; SCHIZOPHRENIC-PATIENTS; ABUSE; ILL; COMMUNITY; ALCOHOL; LIFE; ADJUSTMENT;
Keywords:
dual diagnosis; psychopathology; rural; schizophrenia; severe mental illness; substance abuse; urban;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Life Sciences
Citazioni:
60
Recensione:
Indirizzi per estratti:
Indirizzo: Mueser, KT NH Dartmouth Psychiat Res Ctr, Main Bldg,105 Pleasant St, Concord, NH 03301 USA NH Dartmouth Psychiat Res Ctr Main Bldg,105 Pleasant St Concord NH USA 03301
Citazione:
K.T. Mueser et al., "Rural and urban differences in patients with a dual diagnosis", SCHIZOPHR R, 48(1), 2001, pp. 93-107

Abstract

Objectives: To evaluate the differences between two cohorts of patients with severe mental illness (schizophrenia-spectrum or bipolar disorder) and co-occurring substance-use disorders, living in either predominantly rural areas or urban areas. Methods: Two study groups of patients with a dual diagnosis, recruited using the same criteria, were evaluated, including 225 patients from New Hampshire and 166 patients from two cities in Connecticut. The two study groups were compared on demographic characteristics, housing, legal problems, psychiatric and substance use diagnoses, substance use and abuse, psychiatric symptoms, and quality of life. Results: Patients in the Connecticut study group had higher rates of cocaine-use disorder, more involvement in the criminal justice system, more homelessness, and were more likely to be from minority backgrounds. The Connecticut group also had a higher proportion of patients with schizophrenia and more severe symptoms, as well as lower rates of marriage, educational attainment, and work than the New Hampshire study group. Alcohol-use disorder was higher in the New Hampshire group. Subsequent analyses within the Connecticut group indicated that although African American patients had higher rates of cocaine-use disorderthan white patients, cocaine disorder and not minority status was most strongly related to criminal involvement and homelessness. Conclusions: Because of the substances abused and the greater degree of psychiatric illness severity, patients with a dual diagnosis who are living in urban areas may require greater ancillary services, such as residential programs, Assertive Community Treatment, and jail diversion programs in order to treat their disorders successfully. (C) 2001 Elsevier Science B.V. All rights reserved.

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Documento generato il 08/12/19 alle ore 12:23:37