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DC Field | Value | Language |
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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 |
Appears in Collections: | Journal/Magazine Articles |
Files in This Item:
File | Description | Size | Format | |
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Hapangama-CMJ-2013-111.pdf | 33.4 kB | Adobe PDF | View/Open |
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