الفهرس | Only 14 pages are availabe for public view |
Abstract 1 Introduction Definition Dual diagnosis refers to the concurrence of two separate entities in one person in the area of substance abuse. This means that a substance abuse disorder occurs together with a psychiatric disorder (Slaby 1991). Importance of Dual diagnosis 1. Unrecognized dual diagnosed patients drain both public and private health care systems by repeated and lengthy hospitalization. (Slaby et al 1986). 2. High relapse rate,. these individuals rapidly resume substance abuse after discharge~ (Dackis and Gold 1992) 3. Dual diagnosed patient fail to confirm to treatment plans and don’t respond to self help groups (Slaby et al 1986) 4. It was reported that 35. of patients seeking emergency care for psychiatric disorders were substance abusers ( Trier and levy 1969). 5. Dual diagnosed patients with psychiatric illness associated with suicidal homicidal tendencies requires hospitalization and can’t be managed on an outpatient basis in standard (Dackis and Gold 1992). 2 Ep”idem-ie>le>gy 1 • 74% of psychiatric inpatients reportedly have abused substances, 13%~ abused drugs other then alcohol (Davis , 1984). 2. Frank alcoholism occurs in 8.7-17.1% of general medical patients (Davis, 1984). 3. 26% among adolescent suicide victims reported as alcohol abuse and dependence ( Marttunen at a1, 1991). 4. Major depression, found comorbidly in 58% of the alcoholics who committed suicide (Murphy, 1992). 5. 57% of alcohol and drug abusers diagnosed as personality disorder (Hace et al, 1991). 6. At least 30% of alcoholics have evidence of preexisting disorder (Schuckit, 1989). 7. About 70S of men with antisocial personality disorder have secondary alcohol problems during the course of their disorder, (Anthenilli and schuckit, 1992) 8. During the manic phase of bipolar disorder, about 20~ of patients develop sever ethanol related difficulties. (Anthenilli and Schuckit, 1992). |