dc.contributor.author |
Hapangama, A. |
en_US |
dc.contributor.author |
Kuruppuarachchi, K.A.L.A. |
en_US |
dc.contributor.author |
Pathmeswaran, A. |
en_US |
dc.date.accessioned |
2014-10-29T09:40:40Z |
|
dc.date.available |
2014-10-29T09:40:40Z |
|
dc.date.issued |
2013 |
en_US |
dc.identifier.citation |
The Ceylon Medical Journal. 2013; 58(3): 111-5 |
en_US |
dc.identifier.issn |
0009-0875 (Print) |
en_US |
dc.identifier.other |
10.4038/cmj.v58i3.6103. |
en |
dc.identifier.uri |
http://repository.kln.ac.lk/handle/123456789/2245 |
|
dc.description |
Indexed in MEDLINE |
en |
dc.description.abstract |
OBJECTIVES: To determine the prevalence, and demographic and clinical correlates of substance use disorders among the mentally ill. DESIGN AND SETTING: Cross sectional analytical study. Data were collected from consecutive patients treated at a Tertiary care Psychiatry Unit, Western Province, Sri Lanka using an interview schedule administered by a senior registrar in psychiatry. MEASUREMENTS: Diagnosis was based on ICD 10 criteria and the Clinician Rating Scale: Alcohol Use Scale (AUS) and the Drug Use Scale (DUS). The data were analysed using SPSS and WinPepi software programmes, utilising the chi squared, t test and median test. RESULTS: Among a sample of 325 patients, 66% were male; 33% were diagnosed with depressive disorder, 30% with schizophrenia, 23% with bipolar affective disorder and 13% with other disorders. Prevalence of comorbid substance use disorders was 43% (95% CI 38 - 49%). Alcohol was the commonest type of substance used. Those who had a comorbid substance use diagnosis were more likely to be male, have a lower educational level, be unemployed and have a poorer level of social support. They were also found to have poorer treatment adherence, increased number of hospital admissions and an increased association with episodes of violence. CONCLUSION: A significant proportion of patients were found to have a comorbid substance use diagnosis and associated complications. These findings have important implications for service provision for mentally ill patients with a comorbid substance use disorder. |
|
dc.publisher |
Sri Lanka Medical Association |
en_US |
dc.source.uri |
http://cmj.sljol.info/articles/abstract/10.4038/cmj.v58i3.6103/ |
en |
dc.title |
Substance use disorders among mentally ill patients in a General Hospital in Sri Lanka: prevalence and correlates |
en_US |
dc.type |
Article |
en_US |
dc.identifier.department |
Psychiatry |
en_US |
dc.identifier.department |
Public Health |
en_US |
dc.creator.corporateauthor |
Sri Lanka Medical Association |
en_US |