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Ware OD, Lee KA, Lombardi B, Buccino DL, Lister JJ, Park E, Roberts K, Estreet A, Van Deinse T, Neukrug H, Wilson AB, Park D, Lanier P. Artificial Neural Network Analysis Examining Substance Use Problems Co-Occurring with Anxiety and Depressive Disorders Among Adults Receiving Mental Health Treatment. J Dual Diagn 2024:1-12. [PMID: 38796732 DOI: 10.1080/15504263.2024.2357623] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 05/28/2024]
Abstract
Objective: The co-occurrence of anxiety disorders, depressive disorders, and substance use problems was examined. Methods: The Mental Health Client-Level Data dataset was used to conduct logistic regression models and an artificial neural network analysis. Logistic regression analyses were conducted among adults with anxiety (n = 547,473) or depressive disorders (n = 1,610,601) as their primary diagnosis who received treatment in a community mental health center. The artificial neural network analysis was conducted with the entire sample (N = 2,158,074). Results: Approximately 30% of the sample had co-occurring high-risk substance use or substance use disorder. Characteristics including region of treatment receipt, age, education, gender, race and ethnicity, and the presence of co-occurring anxiety and depressive disorders were associated with the co-occurring high-risk substance use or a substance use disorder. Conclusions: Findings from this study highlight the importance of mental health facilities to screen for and provide integrated treatment for co-occurring disorders.
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Affiliation(s)
- Orrin D Ware
- School of Social Work, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA
| | - Kerry A Lee
- Graduate School of Social Work and Social Research, Bryn Mawr College, Bryn Mawr, Pennsylvania, USA
| | - Brianna Lombardi
- School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA
| | - Daniel L Buccino
- School of Medicine, Johns Hopkins University, Baltimore, Maryland, USA
| | - Jamey J Lister
- School of Social Work, Rutgers University, New Brunswick, New Jersey, USA
| | - Eunsong Park
- School of Social Work, University of Maryland, Baltimore, Maryland, USA
| | - Kate Roberts
- Graduate School of Social Work and Social Research, Bryn Mawr College, Bryn Mawr, Pennsylvania, USA
| | | | - Tonya Van Deinse
- School of Social Work, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA
| | - Hannah Neukrug
- School of Social Work, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA
| | - Amy Blank Wilson
- School of Social Work, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA
| | - Daejun Park
- Department of Social Work, Ohio University, Athens, Ohio, USA
| | - Paul Lanier
- School of Social Work, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA
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Ware OD, Baik S, Becker TD, Neukrug H, Zimmerman S. Substance use problems and disorders among adults 50 years and older receiving mental health treatment for a primary neurocognitive disorder. Aging Ment Health 2024:1-6. [PMID: 38533723 DOI: 10.1080/13607863.2024.2335396] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/16/2023] [Accepted: 03/04/2024] [Indexed: 03/28/2024]
Abstract
OBJECTIVES This study sought to (1) identify the percentage of high-risk substance use or substance use disorder (SUD) and (2) examine the factors associated with high-risk substance use or SUD in adults aged 50 years and older receiving mental health treatment with a primary delirium or dementia diagnosis. METHOD This study used 7 years (2013-2019) of national administrative data on community mental health center patients aged 50 years and older with a primary delirium or dementia diagnosis receiving treatment in the United States (U.S.). To examine factors associated with the dependent variable (high-risk substance use or SUD), a multivariable binary logistic regression model was utilized. RESULTS The sample included 77,509 individuals who were mostly aged 65 years and older (69.7%), and did not have co-occurring high-risk substance use or SUD (90.1%). Receiving treatment in a U.S. region other than the Northeast, being younger, male, not non-Hispanic White, and having multiple mental health diagnoses had greater odds of co-occurring high-risk substance use or SUD. CONCLUSION One in ten persons in this sample having high-risk substance use or SUD highlights the clinical necessity for screening and subsequent treatment for co-occurring high-risk substance use among persons receiving treatment for a neurocognitive disorder.
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Affiliation(s)
- Orrin D Ware
- School of Social Work, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
| | - Sol Baik
- Weldon Cooper Center for Public Service, University of Virginia, Charlottesville, VA, USA
| | - Todd D Becker
- School of Medicine, Washington University in St. Louis, St. Louis, MO, USA
| | - Hannah Neukrug
- School of Social Work, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
| | - Sheryl Zimmerman
- School of Social Work, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
- Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
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Roche DJO, Foster KT. Introduction to Part 2 of the Special Issue on Trauma and Substance Misuse. J Dual Diagn 2024; 20:3-4. [PMID: 38252968 DOI: 10.1080/15504263.2023.2296005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/24/2024]
Affiliation(s)
- Daniel J O Roche
- Maryland Psychiatric Research Center, Department of Psychiatry, University of Maryland School of Medicine, Baltimore, Maryland, USA
| | - Katherine T Foster
- Department of Psychology, University of Washington, Seattle, Washington, USA
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Roche DJO, Foster KT. Trauma and Substance Misuse: Charting Heterogeneity in Comorbidity Dynamics, Vulnerable Populations, and Treatment Adaptation. J Dual Diagn 2023; 19:177-179. [PMID: 37813401 DOI: 10.1080/15504263.2023.2260325] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/11/2023]
Affiliation(s)
- Daniel J O Roche
- Maryland Psychiatric Research Center, Department of Psychiatry, University of Maryland School of Medicine, Baltimore, Maryland, USA
| | - Katherine T Foster
- Department of Psychology, University of Washington, Seattle, Washington, USA
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