TY  - CHAP
M1  - Book, Section
TI  - Depression and Substance Use Disorders
A1  - Suzuki, Joji
A2  - Barsky, Arthur J.
A2  - Silbersweig, David A.
A2  - Boland, Robert J.
PY  - 2016
T2  - Depression in Medical Illness
AB  - The  comorbidity  of  major  depression  and  substance  use  disorder  (SUD),  which  includes  both  alcohol  and  drugs,  remains  very  common  in  medical  and  psychiatric  settings  (Fig.  19-1).1–3  Both  major  depression  and  SUD  are  among  of  the  most  common  psychiatric  disorders,  each  leading  to  significant  morbidity  and  mortality  and  placing  a  heavy  burden  on  the  health  care  system.4  In  clinical  settings,  however,  SUDs  are  often  underdiagnosed  or  missed  entirely.  Even  if  the  SUD  is  correctly  identified,  treatment  is  often  inadequate  or  not  offered  at  all.5,6  Studies  have  consistently  noted  that  patients  with  both  depression  and  SUD  present  with  worse  symptoms  and  have  poorer  outcomes,  including  a  higher  incidence  of  suicide  attempts,  than  patients  with  either  disorder  alone  (Fig.  19-2).7,8  Research  on  the  dually  diagnosed  population  is  still  in  its  early  stages,  and  significant  gaps  still  remain.9  Research  on  the  comorbidity  between  dual  diagnosis  and  medical  illness  is  even  less  frequently  studied.  Nevertheless,  when  approaching  a  depressed  patient  with  comorbid  SUD,  clinicians  need  to  be  aware  of  the  specific  issues  unique  to  this  population.  
SN  - 
PB  - McGraw-Hill Education
CY  - New York, NY
Y2  - 2024/04/19
UR  - neurology.mhmedical.com/content.aspx?aid=1138126729
ER  -