Dual diagnosis affects prognosis in patients with drug dependence in integrative care setting

dc.contributor.author	Προδρόμου, Μαρία	el
dc.contributor.author	Κυρίτση - Κουκουλάρη, Ελένη	el
dc.contributor.author	Σαμαρτζής, Λάμπρος	el
dc.date.accessioned	2014-07-20T21:13:00Z
dc.date.available	2014-07-20T21:13:00Z
dc.date.issued	2014-07-21
dc.identifier.uri	http://hdl.handle.net/11400/1496
dc.rights	Αναφορά Δημιουργού-Μη Εμπορική Χρήση-Όχι Παράγωγα Έργα 3.0 Ηνωμένες Πολιτείες	*
dc.rights.uri	http://creativecommons.org/licenses/by-nc-nd/3.0/us/	*
dc.source	www.hsj.gr	en
dc.subject	Drug addiction
dc.subject	Dual diagnosis--Patients--Care
dc.subject	Comorbidity
dc.subject	Addicts--Rehabilitation
dc.subject	Relapse
dc.subject	Εξάρτηση
dc.subject	Ναρκωτικά
dc.subject	Εθισμός
dc.subject	Διπλή διάγνωση
dc.subject	Αποκατάσταση
dc.subject	Υποτροπή
dc.subject	Πρόληψη
dc.subject	Prevention
dc.title	Dual diagnosis affects prognosis in patients with drug dependence in integrative care setting	en
heal.type	journalArticle
heal.generalDescription	Research article	en
heal.classification	Primary care (Medicine)
heal.classification	Ιατρική
heal.classification	Νοσηλευτική
heal.classificationURI	http://id.loc.gov/authorities/subjects/sh92006808
heal.classificationURI	N/A-Ιατρική
heal.classificationURI	N/A-Νοσηλευτική
heal.keywordURI	http://id.loc.gov/authorities/subjects/sh85089810
heal.keywordURI	http://id.loc.gov/authorities/subjects/sh2010011333
heal.keywordURI	http://id.loc.gov/authorities/subjects/sh98006573
heal.keywordURI	http://id.loc.gov/authorities/subjects/sh2009113568
heal.keywordURI	http://id.loc.gov/authorities/subjects/sh00007586
heal.language	en
heal.access	free
heal.recordProvider	Τεχνολογικό Εκπαιδευτικό Ίδρυμα Αθήνας.Σχολή Επαγγελμάτων Υγείας και Πρόνοιας. Τμήμα Νοσηλευτικής	el
heal.publicationDate	2014-04
heal.bibliographicCitation	Prodromou, M, Kyritsi, E. & Samartzis, L . (April 2014). Dual diagnosis affects prognosis in patients with drug dependence in integrative care setting. “Health Science Journal”. 8(2):215-228.	en
heal.abstract	Background:Dual diagnosis is a special case of psychiatric comorbidity in which the drug dependent patient also qualifies for other than dependence co-occurring mental health disorder. This old term is still maintained in bibliography in order to underline the difficulties in treating these patients. Dual diagnosis was found to negatively affect prognosis in patients with drug dependence. Nowadays, the treatment model for dual diagnosis has transformed its focus, from treating each disorder in independent setting to providing integrating care in one setting. The aim of this study was to explore whether dual diagnosis is related with worse prognosis than simple drug dependence, even when integrative care is provided. Methods: Fourty-five consecutive patients (30 males, mean age 27.5 Â± 6.7, 15 females, mean age 26.4 Â± 4.1), 16 of them were dually diagnosed, were admitted to a therapeutic community inspired, abstinence oriented, relapse prevention and rehabilitation program. Integrative care was provided in the sense that both diagnoses were managed by the same multidisciplinary team. Retention in the treatment was used as the endpoint for comparisons. Results: By using time-to-event analysis differences revealed in time to relapse between the group of dually diagnosed and the group with drug-dependence only. (Log Rank Mantel-Cox test shown Chi-Square: 4.52, df=1, p< .05). Univariate and multivariate Cox-regression analysis was conducted and did not show any significant effects of gender, age, multiple-drug dependence, on time to relapse. Conclusion: This study adds evidence to the fact that drug dependent patients with a comorbid mental health disorder show worse prognosis. Treating these dually diagnosed populations according to the integrative care model seems to have advantages in comparison to the previous model of treating each disorder in independent settings, namely a relapse prevention and rehabilitation program and an inpatient or outpatient mental health clinic. Despite these advantages, our findings underline the fact that dual diagnosis is still characterised by a higher relapse rate, even when treatment is provided according to a modern, integrative care model.	en
heal.publisher	Μαρβάκη, Χριστίνα	el
heal.journalName	Health Science Journal	en
heal.journalType	peer-reviewed
heal.fullTextAvailability	true