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Comorbid substance use disorders with other Axis I and II mental disorders among treatment-seeking Asian Americans, Native Hawaiians/Pacific Islanders, and mixed-race people.

Publication ,  Journal Article
Wu, L-T; Blazer, DG; Gersing, KR; Burchett, B; Swartz, MS; Mannelli, P; NIDA AAPI Workgroup,
Published in: J Psychiatr Res
December 2013

Little is known about behavioral healthcare needs of Asian Americans (AAs), Native Hawaiians/Pacific Islanders (NHs/PIs), and mixed-race people (MRs)-the fastest growing segments of the U.S. population. We examined substance use disorder (SUD) prevalences and comorbidities among AAs, NHs/PIs, and MRs (N = 4572) in a behavioral health electronic health record database. DSM-IV diagnoses among patients aged 1-90 years who accessed behavioral healthcare from 11 sites were systematically captured: SUD, anxiety, mood, personality, adjustment, childhood-onset, cognitive/dementia, dissociative, eating, factitious, impulse-control, psychotic/schizophrenic, sleep, and somatoform diagnoses. Of all patients, 15.0% had a SUD. Mood (60%), anxiety (31.2%), adjustment (30.9%), and disruptive (attention deficit-hyperactivity, conduct, oppositional defiant, disruptive behavior diagnosis, 22.7%) diagnoses were more common than others (psychotic 14.2%, personality 13.3%, other childhood-onset 11.4%, impulse-control 6.6%, cognitive 2.8%, eating 2.2%, somatoform 2.1%). Less than 1% of children aged <12 years had SUD. Cannabis diagnosis was the primary SUD affecting adolescents aged 12-17. MRs aged 35-49 years had the highest prevalence of cocaine diagnosis. Controlling for age at first visit, sex, treatment setting, length of treatment, and number of comorbid diagnoses, NHs/PIs and MRs were about two times more likely than AAs to have ≥ 2 SUDs. Regardless of race/ethnicity, personality diagnosis was comorbid with SUD. NHs/PIs with a mood diagnosis had elevated odds of having SUD. Findings present the most comprehensive patterns of mental diagnoses available for treatment-seeking AAs, NHs/PIs, and MRs in the real-world medical setting. In-depth research is needed to elucidate intraracial and interracial differences in treatment needs.

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Published In

J Psychiatr Res

DOI

EISSN

1879-1379

Publication Date

December 2013

Volume

47

Issue

12

Start / End Page

1940 / 1948

Location

England

Related Subject Headings

  • Young Adult
  • Substance-Related Disorders
  • Sex Factors
  • Psychiatry
  • Psychiatric Status Rating Scales
  • Prevalence
  • Personality Inventory
  • Native Hawaiian or Other Pacific Islander
  • Middle Aged
  • Mental Disorders
 

Citation

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Chicago
ICMJE
MLA
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Wu, L.-T., Blazer, D. G., Gersing, K. R., Burchett, B., Swartz, M. S., Mannelli, P., & NIDA AAPI Workgroup, . (2013). Comorbid substance use disorders with other Axis I and II mental disorders among treatment-seeking Asian Americans, Native Hawaiians/Pacific Islanders, and mixed-race people. J Psychiatr Res, 47(12), 1940–1948. https://doi.org/10.1016/j.jpsychires.2013.08.022
Wu, Li-Tzy, Dan G. Blazer, Kenneth R. Gersing, Bruce Burchett, Marvin S. Swartz, Paolo Mannelli, and Paolo NIDA AAPI Workgroup. “Comorbid substance use disorders with other Axis I and II mental disorders among treatment-seeking Asian Americans, Native Hawaiians/Pacific Islanders, and mixed-race people.J Psychiatr Res 47, no. 12 (December 2013): 1940–48. https://doi.org/10.1016/j.jpsychires.2013.08.022.
Wu L-T, Blazer DG, Gersing KR, Burchett B, Swartz MS, Mannelli P, et al. Comorbid substance use disorders with other Axis I and II mental disorders among treatment-seeking Asian Americans, Native Hawaiians/Pacific Islanders, and mixed-race people. J Psychiatr Res. 2013 Dec;47(12):1940–8.
Wu, Li-Tzy, et al. “Comorbid substance use disorders with other Axis I and II mental disorders among treatment-seeking Asian Americans, Native Hawaiians/Pacific Islanders, and mixed-race people.J Psychiatr Res, vol. 47, no. 12, Dec. 2013, pp. 1940–48. Pubmed, doi:10.1016/j.jpsychires.2013.08.022.
Wu L-T, Blazer DG, Gersing KR, Burchett B, Swartz MS, Mannelli P, NIDA AAPI Workgroup. Comorbid substance use disorders with other Axis I and II mental disorders among treatment-seeking Asian Americans, Native Hawaiians/Pacific Islanders, and mixed-race people. J Psychiatr Res. 2013 Dec;47(12):1940–1948.
Journal cover image

Published In

J Psychiatr Res

DOI

EISSN

1879-1379

Publication Date

December 2013

Volume

47

Issue

12

Start / End Page

1940 / 1948

Location

England

Related Subject Headings

  • Young Adult
  • Substance-Related Disorders
  • Sex Factors
  • Psychiatry
  • Psychiatric Status Rating Scales
  • Prevalence
  • Personality Inventory
  • Native Hawaiian or Other Pacific Islander
  • Middle Aged
  • Mental Disorders