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Use of psychoactive substances and health care in response to anxiety and depressive disorders
- Source :
- Psychiatric Services, Psychiatric Services, American Psychiatric Publishing, 2009, 60 (3), pp.351-7. ⟨10.1176/appi.ps.60.3.351⟩, Psychiatric Services, American Psychiatric Publishing, 2009, 60 (3), pp.351-7. <10.1176/appi.ps.60.3.351>
- Publication Year :
- 2009
- Publisher :
- HAL CCSD, 2009.
-
Abstract
- Objectives: The use of psychoactive substances in response to psychological distress is not well documented in the general population and has never been studied in combination with health care use. This study estimated the frequency of health care and substance use in response to anxiety or depressive disorders and determined factors associated with these behaviors. Methods: From a large survey of adults from four French regions, the authors selected those with a 12-month probable anxiety or depressive disorder without a substance use disorder (N=4,071). These disorders were determined with the Composite International Diagnostic Interview Short Form, and participants were asked whether they used substances or health care in response to each disorder. Results: The use of substances in response to anxiety or depressive disorders was 12.9% among men and 5.2% among women. Compared with those who used health care only, those who used substances (with or without health care) were more likely to be men, single, and young. Those who used both substances and health care were also less likely to have a depressive disorder. Conclusions: This study shows that a sizeable portion of the general population uses substances in response to anxiety or depressive disorders. It also shows that these substance users have distinctive sociodemographic characteristics and can thus be targeted by prevention programs. Strategies to reach substance users with depressive or anxiety disorders who do not use health care remain to be elaborated. (Psychiatric Services 60:351–357, 2009)
- Subjects :
- Male
MESH: Depressive Disorder
Health care
[SDV.SPEE] Life Sciences [q-bio]/Public Health and Epidemiology
Odds Ratio
Depression (differential diagnoses)
education.field_of_study
MESH: Middle Aged
MESH: Sex Distribution
MESH: Patient Acceptance of Health Care
Middle Aged
Anxiety Disorders
Substance abuse
Psychiatry and Mental health
MESH: Young Adult
Anxiety
Female
France
medicine.symptom
Psychology
Anxiety disorder
Clinical psychology
Adult
medicine.medical_specialty
Adolescent
MESH: Psychotropic Drugs
Population
MESH: Primary Health Care
Young Adult
MESH: Cross-Sectional Studies
MESH: Interview, Psychological
Interview, Psychological
medicine
Humans
Sex Distribution
education
Psychiatry
MESH: Adolescent
Depressive Disorder
Psychotropic Drugs
MESH: Humans
Primary Health Care
business.industry
Public health
MESH: Adult
Patient Acceptance of Health Care
medicine.disease
Mental health
MESH: Odds Ratio
MESH: Male
MESH: France
Cross-Sectional Studies
MESH: Anxiety Disorders
[SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie
business
MESH: Female
Subjects
Details
- Language :
- English
- ISSN :
- 10752730
- Database :
- OpenAIRE
- Journal :
- Psychiatric Services, Psychiatric Services, American Psychiatric Publishing, 2009, 60 (3), pp.351-7. ⟨10.1176/appi.ps.60.3.351⟩, Psychiatric Services, American Psychiatric Publishing, 2009, 60 (3), pp.351-7. <10.1176/appi.ps.60.3.351>
- Accession number :
- edsair.doi.dedup.....c5a02dafa8100ed0d1fdcc611a5cb7c6