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Psychiatric comorbidity in white and African-American cocaine addicts seeking substance abuse treatment.
Hosp Community Psychiatry. 1994 Jan; 45(1):43-9.HC

Abstract

OBJECTIVE

Few diagnostic studies have reported rates of psychiatric comorbidity among cocaine addicts according to race. This study examines psychiatric comorbidity in African-American and white cocaine addicts.

METHODS

Rates of psychiatric comorbidity were assessed in 263 cocaine addicts seeking substance abuse treatment. The sample included 163 non-Hispanic whites and 100 African Americans. Diagnoses were based on patient interviews using the Schedule for Affective Disorders and Schizophrenia-Lifetime Version (SADS-L). The SADS-L was supplemented to include DSM-III-R criteria for substance abuse or dependence and other psychiatric diagnoses and DSM-III criteria for attention deficit disorder.

RESULTS

Overall, 55.7 percent of the cocaine addicts met Research Diagnostic Criteria for a current psychiatric diagnosis, and 73.5 percent met criteria for a lifetime psychiatric diagnosis. Whites and African Americans did not differ significantly in overall psychiatric comorbidity. However, whites had significantly higher rates of life-time major depression, alcohol dependence, attention deficit disorder, and conduct disorder. African-American addicts, particularly women, were more likely to meet criteria for a current diagnosis of phobia.

CONCLUSIONS

Psychiatric comorbidity is common among cocaine addicts, and the rates for specific disorders vary by race. Differences in current and lifetime rates should be noted. Cocaine addicts seeking treatment should be assessed for comorbid alcohol dependence and other psychiatric disorders, including anxiety, affective, and personality disorders.

Authors+Show Affiliations

Department of Psychiatry, Yale University School of Medicine, New Haven, CT 06519.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

8125458

Citation

Ziedonis, D M., et al. "Psychiatric Comorbidity in White and African-American Cocaine Addicts Seeking Substance Abuse Treatment." Hospital & Community Psychiatry, vol. 45, no. 1, 1994, pp. 43-9.
Ziedonis DM, Rayford BS, Bryant KJ, et al. Psychiatric comorbidity in white and African-American cocaine addicts seeking substance abuse treatment. Hosp Community Psychiatry. 1994;45(1):43-9.
Ziedonis, D. M., Rayford, B. S., Bryant, K. J., & Rounsaville, B. J. (1994). Psychiatric comorbidity in white and African-American cocaine addicts seeking substance abuse treatment. Hospital & Community Psychiatry, 45(1), 43-9.
Ziedonis DM, et al. Psychiatric Comorbidity in White and African-American Cocaine Addicts Seeking Substance Abuse Treatment. Hosp Community Psychiatry. 1994;45(1):43-9. PubMed PMID: 8125458.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Psychiatric comorbidity in white and African-American cocaine addicts seeking substance abuse treatment. AU - Ziedonis,D M, AU - Rayford,B S, AU - Bryant,K J, AU - Rounsaville,B J, PY - 1994/1/1/pubmed PY - 1994/1/1/medline PY - 1994/1/1/entrez SP - 43 EP - 9 JF - Hospital & community psychiatry JO - Hosp Community Psychiatry VL - 45 IS - 1 N2 - OBJECTIVE: Few diagnostic studies have reported rates of psychiatric comorbidity among cocaine addicts according to race. This study examines psychiatric comorbidity in African-American and white cocaine addicts. METHODS: Rates of psychiatric comorbidity were assessed in 263 cocaine addicts seeking substance abuse treatment. The sample included 163 non-Hispanic whites and 100 African Americans. Diagnoses were based on patient interviews using the Schedule for Affective Disorders and Schizophrenia-Lifetime Version (SADS-L). The SADS-L was supplemented to include DSM-III-R criteria for substance abuse or dependence and other psychiatric diagnoses and DSM-III criteria for attention deficit disorder. RESULTS: Overall, 55.7 percent of the cocaine addicts met Research Diagnostic Criteria for a current psychiatric diagnosis, and 73.5 percent met criteria for a lifetime psychiatric diagnosis. Whites and African Americans did not differ significantly in overall psychiatric comorbidity. However, whites had significantly higher rates of life-time major depression, alcohol dependence, attention deficit disorder, and conduct disorder. African-American addicts, particularly women, were more likely to meet criteria for a current diagnosis of phobia. CONCLUSIONS: Psychiatric comorbidity is common among cocaine addicts, and the rates for specific disorders vary by race. Differences in current and lifetime rates should be noted. Cocaine addicts seeking treatment should be assessed for comorbid alcohol dependence and other psychiatric disorders, including anxiety, affective, and personality disorders. SN - 0022-1597 UR - https://www.unboundmedicine.com/medline/citation/8125458/Psychiatric_comorbidity_in_white_and_African_American_cocaine_addicts_seeking_substance_abuse_treatment_ L2 - https://medlineplus.gov/childmentalhealth.html DB - PRIME DP - Unbound Medicine ER -