TY  - JOUR
PY  - 2022//
TI  - Patterns of substance use disorders and associated co-occurring psychiatric morbidity among patients seen at the psychiatric unit of a tertiary health center
JO  - Addiction and health
A1  - Obadeji, Adetunji
A1  - Oluwole, Lateef Olutoyin
A1  - Kumolalo, Banji Ferdinand
A1  - Dada, Mobolaji Usman
SP  - 35
EP  - 43
VL  - 14
IS  - 1
N2  - BACKGROUND: Understanding the pattern of co-occurring mental illness in patients with substance use disorders (SUDs) is essential in improving the prevention and treatment of substance use-related problems. This study examined the pattern of SUDs, the associated co-occurring psychiatric morbidities, and associated factors among patients with SUDs managed at a tertiary health center. <br><br>METHODS: The records of patients who presented with SUDs between 2010 and 2019 were examined. Socio-demographics of interest were extracted from case files. Substance use diagnoses, as well as associated co-occurring mental illness, were extracted and entered into SPSS software. Bivariate analyses including the risk of developing co-occurring mental disorder were calculated. <br><br>FINDINGS: For most patients, the initiation of substance use was before the age of 21 years, while the onset of SUDs was between 21-30 years. Cannabis use disorders (CUDs), alcohol use disorders (AUDs), and nicotine use disorders (NUDs) were the commonest SUDs. Compared with those with CUDs, non-users of cannabis were significantly less likely to develop co-occurring mental illness [odds ratio (OR) = 0.25, 95% confidence interval (CI) =0.13-0.42, P = 0.001]. Those with tramadol use disorders (OR = 2.13, 95% CI = 1.03-4.41, P = 0.040) and those without pentazocine use disorders (P = 0.003) were more likely to have a comorbid mental illness. Patients with AUDs (P = 0.001), CUDs (P = 0.001), NUDs (P = 0.001), and tramadol use disorders (P = 0.045) were significantly more likely to be multiple substance users. <br><br>CONCLUSION: Results suggest an association between SUDs and co-occurring mental illness, though differences in these associations were noticed across the categories of substances. This emphasizes a holistic approach to prevention and care of patients presenting with SUDs.<p />  <p>Language: en</p>
LA  - en
SN  - 2008-4633
UR  - http://dx.doi.org/10.22122/ahj.v14i1.1275
ID  - ref1
ER  -