Title
Characteristics of substance-abusing persons with schizophrenia: the paradox of the dually diagnosed
UMMS Affiliation
Department of Psychiatry
Publication Date
2000-04-20
Document Type
Article
Subjects
Activities of Daily Living; Adult; Alcoholism; Combined Modality Therapy; Diagnosis, Dual (Psychiatry); Female; Humans; Male; Middle Aged; Psychiatric Status Rating Scales; Schizophrenia; *Schizophrenic Psychology; Social Adjustment; Substance-Related Disorders
Disciplines
Health Services Research | Mental and Social Health | Psychiatric and Mental Health | Psychiatry | Psychiatry and Psychology
Abstract
Previous studies have noted the paradox of the dually-diagnosed (serious mental illness and substance abuse) in which the dually-diagnosed are judged to be both behaviorally more disorganized and simultaneously more socially competent. This study sought to further assess this paradox with a large sample size and a comprehensive assessment approach. In this study, the dually-diagnosed (N = 233) differed significantly from the non-dually-diagnosed (N = 262) in the symptom paradox. The dually-diagnosed were judged both more behaviorally disorganized and socially intact. The comprehensive assessment approach yielded empirical data in support of three possible hypotheses to explain the paradox. The implications of the findings and the three possible hypotheses are discussed.
Source
J Addict Dis. 2000;19(1):23-30.
Journal/Book/Conference Title
Journal of addictive diseases
Related Resources
PubMed ID
10772600
Repository Citation
Penk, Walter E.; Flannery, Raymond B. Jr.; Irvin, Elizabeth A.; Geller, Jeffrey L.; Fisher, William H.; and Hanson, M. Annette, "Characteristics of substance-abusing persons with schizophrenia: the paradox of the dually diagnosed" (2000). Implementation Science and Practice Advances Research Center Publications. 185.
https://escholarship.umassmed.edu/psych_cmhsr/185
