Title

Problem substance use among depressed patients in managed primary care

UMMS Affiliation

Department of Psychiatry and Behavioral Sciences

Date

9-26-2002

Document Type

Article

Medical Subject Headings

Adolescent; Adult; Cross-Sectional Studies; Depressive Disorder, Major; Female; Humans; Male; *Managed Care Programs; *Primary Health Care; Questionnaires; Substance-Related Disorders

Disciplines

Psychiatry

Abstract

This study identifies characteristics associated with problem substance use among 1,187 patients with either depressive symptoms (44%) or depressive disorders (56%) in primary care clinics of six managed care organizations. Sedative misuse (reported by 14% of all patients) was associated with greater wealth, social phobia, and misuse of prescription opioids. Cannabis use (11%) was associated with younger age, male gender, single marital status, white ethnicity, less education, recurrent depression, agoraphobia, and hazardous alcohol use. Hazardous drinking (11%) was significantly associated with younger age, male gender, single marital status, and cannabis use. Greater understanding of substance use problems in primary care patients with depressive symptoms and disorders may aid efforts to more quickly identify, educate, and provide services for those in need.

Rights and Permissions

Citation: Psychosomatics. 2002 Sep-Oct;43(5):405-12.

Related Resources

Link to Article in PubMed

PubMed ID

12297610