The role of psychiatric comorbidity in the prediction of readmission for detoxification

2.50
Hdl Handle:
http://hdl.handle.net/2336/49473
Title:
The role of psychiatric comorbidity in the prediction of readmission for detoxification
Authors:
Tomasson, K; Vaglum, P
Citation:
Compr Psychiatry. 1998, 39(3):129-36
Issue Date:
1-May-1998
Abstract:
In a prospective study over a 28-month period in Iceland using a representative sample (N = 351), the association among patients seeking detoxification between comorbid psychopathology and (1) number of lifetime admissions, (2) readmissions for detoxification, and (3) a "revolving-door" career (i.e., at least four admissions within 30 months) was studied. Psychiatric diagnoses were assigned using the Diagnostic Interview Schedule (DIS), and the patients were asked about prior admissions for detoxification and then evaluated for 28 months for readmissions. Patients with no comorbid diagnoses had the fewest lifetime admissions. Agoraphobia/panic disorder predicted readmission (odds ratio [OR], 5.8) for those with less than two prior admissions. For those with more than three prior admissions, readmissions were primarily related to polysubstance abuse. The development of a revolving-door career was rare (6%) among those with less than four prior admissions. Among others (27%), it was primarily predicted by polysubstance abuse. Thus, early recognition and treatment of anxiety disorders among substance abusers might prevent further readmissions.
Description:
To access publisher full text version of this article. Please click on the hyperlink in Additional Links field
Additional Links:
http://www.sciencedirect.com/science/article/B6WCV-4CR906Y-7N/2/593dc99f76d28a61b1593373228db4be

Full metadata record

DC FieldValue Language
dc.contributor.authorTomasson, K-
dc.contributor.authorVaglum, P-
dc.date.accessioned2009-02-19T09:23:21Z-
dc.date.available2009-02-19T09:23:21Z-
dc.date.issued1998-05-01-
dc.date.submitted2009-02-19-
dc.identifier.citationCompr Psychiatry. 1998, 39(3):129-36en
dc.identifier.issn0010-440X-
dc.identifier.pmid9606578-
dc.identifier.doi10.1016/S0010-440X(98)90071-2-
dc.identifier.urihttp://hdl.handle.net/2336/49473-
dc.descriptionTo access publisher full text version of this article. Please click on the hyperlink in Additional Links fielden
dc.description.abstractIn a prospective study over a 28-month period in Iceland using a representative sample (N = 351), the association among patients seeking detoxification between comorbid psychopathology and (1) number of lifetime admissions, (2) readmissions for detoxification, and (3) a "revolving-door" career (i.e., at least four admissions within 30 months) was studied. Psychiatric diagnoses were assigned using the Diagnostic Interview Schedule (DIS), and the patients were asked about prior admissions for detoxification and then evaluated for 28 months for readmissions. Patients with no comorbid diagnoses had the fewest lifetime admissions. Agoraphobia/panic disorder predicted readmission (odds ratio [OR], 5.8) for those with less than two prior admissions. For those with more than three prior admissions, readmissions were primarily related to polysubstance abuse. The development of a revolving-door career was rare (6%) among those with less than four prior admissions. Among others (27%), it was primarily predicted by polysubstance abuse. Thus, early recognition and treatment of anxiety disorders among substance abusers might prevent further readmissions.en
dc.language.isoenen
dc.publisherW.B. Saundersen
dc.relation.urlhttp://www.sciencedirect.com/science/article/B6WCV-4CR906Y-7N/2/593dc99f76d28a61b1593373228db4been
dc.subject.meshAdulten
dc.subject.meshAlcohol Drinkingen
dc.subject.meshAntisocial Personality Disorderen
dc.subject.meshAnxiety Disordersen
dc.subject.meshChi-Square Distributionen
dc.subject.meshConfidence Intervalsen
dc.subject.meshDepressionen
dc.subject.meshDiagnosis, Dual (Psychiatry)en
dc.subject.meshFemaleen
dc.subject.meshForecastingen
dc.subject.meshHumansen
dc.subject.meshIcelanden
dc.subject.meshMaleen
dc.subject.meshMental Disordersen
dc.subject.meshMiddle Ageden
dc.subject.meshOdds Ratioen
dc.subject.meshPatient Readmissionen
dc.subject.meshProspective Studiesen
dc.subject.meshRecurrenceen
dc.subject.meshRegression Analysisen
dc.subject.meshRisk Factorsen
dc.subject.meshSex Distributionen
dc.subject.meshSubstance-Related Disordersen
dc.titleThe role of psychiatric comorbidity in the prediction of readmission for detoxificationen
dc.typeArticleen
dc.identifier.eissn1532-8384-
dc.contributor.departmentDepartment of Psychiatry, National University Hospital, Reykjavík, Iceland.en
dc.identifier.journalComprehensive psychiatryen
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