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Prevalence of psychiatric disorders among young injection drug users.
Drug Alcohol Depend. 2012 Jul 01; 124(1-2):70-8.DA

Abstract

BACKGROUND

Studies of individuals in treatment for substance use have found high rates of psychiatric disorders, however little is known about the mental health of drug users not in treatment. This study aimed to assess the prevalence of lifetime and recent substance use and psychiatric disorders among young injection drug users (IDU) outside of a treatment setting.

METHODS

Participants were recruited through outreach and respondent-driven sampling. Trained interviewers administered the Psychiatric Research Instrument for Substance and Mental Disorders. Interviews were conducted at two field stations operated by Community Outreach Intervention Projects in Chicago. Participants were 570 young adults (18-25 years) who injected drugs in the previous 30 days. Heroin was the primary drug used in this sample. Past 12-month and lifetime substance use disorders and primary and substance-induced mental disorders were based on DSM-IV diagnostic criteria.

RESULTS

Nearly all participants met the criteria for heroin dependence. Multiple substance use disorders were common; cannabis was the most common substance involved after heroin, followed by alcohol and cocaine. Major depression, alcohol dependence, antisocial personality disorder, and borderline personality disorder were highly prevalent. Other psychiatric disorders were observed at levels consistent with other young adult samples.

CONCLUSIONS

Young IDU experience major depression, alcohol dependence, anti-social personality disorder, and borderline personality disorder at high rates, and multiple substance use disorders are common. Anxiety disorders in this population appear to be similar in prevalence to young adults in general.

Authors+Show Affiliations

Community Outreach Intervention Projects, Division of Epidemiology and Biostatistics, School of Public Health, University of Illinois at Chicago, 1603 West Taylor Street, Chicago, IL 60612, USA. mmamiti@uic.eduNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural

Language

eng

PubMed ID

22226707

Citation

Mackesy-Amiti, Mary E., et al. "Prevalence of Psychiatric Disorders Among Young Injection Drug Users." Drug and Alcohol Dependence, vol. 124, no. 1-2, 2012, pp. 70-8.
Mackesy-Amiti ME, Donenberg GR, Ouellet LJ. Prevalence of psychiatric disorders among young injection drug users. Drug Alcohol Depend. 2012;124(1-2):70-8.
Mackesy-Amiti, M. E., Donenberg, G. R., & Ouellet, L. J. (2012). Prevalence of psychiatric disorders among young injection drug users. Drug and Alcohol Dependence, 124(1-2), 70-8. https://doi.org/10.1016/j.drugalcdep.2011.12.012
Mackesy-Amiti ME, Donenberg GR, Ouellet LJ. Prevalence of Psychiatric Disorders Among Young Injection Drug Users. Drug Alcohol Depend. 2012 Jul 1;124(1-2):70-8. PubMed PMID: 22226707.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Prevalence of psychiatric disorders among young injection drug users. AU - Mackesy-Amiti,Mary E, AU - Donenberg,Geri R, AU - Ouellet,Lawrence J, Y1 - 2012/01/09/ PY - 2011/10/06/received PY - 2011/11/30/revised PY - 2011/12/14/accepted PY - 2012/1/10/entrez PY - 2012/1/10/pubmed PY - 2012/10/17/medline SP - 70 EP - 8 JF - Drug and alcohol dependence JO - Drug Alcohol Depend VL - 124 IS - 1-2 N2 - BACKGROUND: Studies of individuals in treatment for substance use have found high rates of psychiatric disorders, however little is known about the mental health of drug users not in treatment. This study aimed to assess the prevalence of lifetime and recent substance use and psychiatric disorders among young injection drug users (IDU) outside of a treatment setting. METHODS: Participants were recruited through outreach and respondent-driven sampling. Trained interviewers administered the Psychiatric Research Instrument for Substance and Mental Disorders. Interviews were conducted at two field stations operated by Community Outreach Intervention Projects in Chicago. Participants were 570 young adults (18-25 years) who injected drugs in the previous 30 days. Heroin was the primary drug used in this sample. Past 12-month and lifetime substance use disorders and primary and substance-induced mental disorders were based on DSM-IV diagnostic criteria. RESULTS: Nearly all participants met the criteria for heroin dependence. Multiple substance use disorders were common; cannabis was the most common substance involved after heroin, followed by alcohol and cocaine. Major depression, alcohol dependence, antisocial personality disorder, and borderline personality disorder were highly prevalent. Other psychiatric disorders were observed at levels consistent with other young adult samples. CONCLUSIONS: Young IDU experience major depression, alcohol dependence, anti-social personality disorder, and borderline personality disorder at high rates, and multiple substance use disorders are common. Anxiety disorders in this population appear to be similar in prevalence to young adults in general. SN - 1879-0046 UR - https://www.unboundmedicine.com/medline/citation/22226707/Prevalence_of_psychiatric_disorders_among_young_injection_drug_users_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0376-8716(11)00545-X DB - PRIME DP - Unbound Medicine ER -