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Influence of comorbid alcohol and psychiatric disorders on utilization of mental health services in the National Comorbidity Survey.

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Date
1999-08
Authors
Wu, LT
Kouzis, AC
Leaf, PJ
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102
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Abstract
OBJECTIVE: This study sought to determine how comorbidity of psychiatric and substance abuse disorders affects the likelihood of using mental health services. METHOD: The analysis was based on data on adults aged 18-54 years in the National Comorbidity Survey (N = 5,393). Users and nonusers of mental health and substance abuse services were compared in terms of their demographic characteristics, recent stressful life events, social support, parental history of psychopathology, self-medication, and symptoms of alcohol abuse/dependence. RESULTS: The prevalence of service utilization varied by diagnostic configurations. Comorbid psychiatric or alcohol disorders were stronger predictors of service utilization than a pure psychiatric or alcohol disorder. Factors predicting utilization of services differed for each disorder. CONCLUSIONS: Since comorbidity increases the use of mental health and substance abuse services, research on the relationship of psychiatric and alcohol-related disorders to service utilization needs to consider the coexistence of mental disorders. Attempts to reduce barriers to help seeking for those in need of treatment should be increased.
Type
Journal article
Subject
Humans
Alcoholism
Diagnosis, Dual (Psychiatry)
Factor Analysis, Statistical
Probability
Odds Ratio
Marital Status
Mental Disorders
Mental Health Services
Age Factors
Comorbidity
Sex Factors
Adolescent
Adult
Middle Aged
Continental Population Groups
Substance Abuse Treatment Centers
United States
Female
Male
Permalink
https://hdl.handle.net/10161/20023
Published Version (Please cite this version)
10.1176/ajp.156.8.1230
Publication Info
Wu, LT; Kouzis, AC; & Leaf, PJ (1999). Influence of comorbid alcohol and psychiatric disorders on utilization of mental health services in the National Comorbidity Survey. The American journal of psychiatry, 156(8). pp. 1230-1236. 10.1176/ajp.156.8.1230. Retrieved from https://hdl.handle.net/10161/20023.
This is constructed from limited available data and may be imprecise. To cite this article, please review & use the official citation provided by the journal.
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Scholars@Duke

Wu

Li-Tzy Wu

Professor in Psychiatry and Behavioral Sciences
Education/Training: Pre- and post-doctoral training in mental health service research, psychiatric epidemiology (NIMH T32), and addiction epidemiology (NIDA T32) from Johns Hopkins University School of Public Health (Maryland); Fellow of the NIH Summer Institute on the Design and Conduct of Randomized Clinical Trials.Director: Duke Community Based Substance Use Disorder Research Program.Research interests: COVID-19, Opioid misuse, Opioid overdose, Opioid use disorder
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