{"id":33565,"date":"2013-09-11T14:53:01","date_gmt":"2013-09-11T14:53:01","guid":{"rendered":"http:\/\/www.mixedracestudies.org\/wordpress\/?p=33565"},"modified":"2016-05-31T23:40:44","modified_gmt":"2016-05-31T23:40:44","slug":"comorbid-substance-use-disorders-with-other-axis-i-and-ii-mental-disorders-among-treatment-seeking-asian-americans-native-hawaiianspacific-islanders-and-mixed-race-people","status":"publish","type":"post","link":"https:\/\/mixedracestudies.org\/wp\/?p=33565","title":{"rendered":"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"},"content":{"rendered":"

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<\/a><\/em><\/strong><\/p>\n

Journal of Psychiatric Research<\/a>
\nAvailable online 2013-09-09
\nDOI: 10.1016\/j.jpsychires.2013.08.022<\/a><\/p>\n

Li-Tzy Wu, ScD, RN, MA<\/a><\/strong>, Professor of Psychiatry and Behavioral Sciences
\nDepartment of Psychiatry and Behavioral Sciences, School of Medicine
\nDuke University Medical Center, Durham, North Carolina<\/em><\/p>\n

Dan G. Blazer, MD, PhD<\/a><\/strong>, Professor of Psychiatry and Behavioral Sciences; Professor of Community and Family Medicine
\nDepartment of Psychiatry and Behavioral Sciences, School of Medicine
\nDuke University Medical Center, Durham, North Carolina<\/em><\/p>\n

Kenneth R. Gersing, MD<\/a><\/strong>, Clinical Associate
\nDepartment of Psychiatry and Behavioral Sciences, School of Medicine
\nDuke University Medical Center, Durham, North Carolina<\/em><\/p>\n

Bruce Burchett, PhD<\/a><\/strong>, Assistant Professor in Psychiatry and Behavioral Sciences
\nDepartment of Psychiatry and Behavioral Sciences, School of Medicine
\nDuke University Medical Center, Durham, North Carolina<\/em><\/p>\n

Marvin S. Swartz, MD<\/a><\/strong>, Professor in Psychiatry and Behavioral Sciences
\nDepartment of Psychiatry and Behavioral Sciences, School of Medicine
\nDuke University Medical Center, Durham, North Carolina<\/em><\/p>\n

Paolo Mannelli, MD<\/a><\/strong>, Associate Professor of Psychiatry and Behavioral Sciences
\nDepartment of Psychiatry and Behavioral Sciences, School of Medicine
\nDuke University Medical Center, Durham, North Carolina<\/em><\/p>\n

Little is known about behavioral healthcare needs of Asian Americans (AAs), Native Hawaiians\/Pacific Islanders (NHs\/PIs), and mixed-race people (MRs)\u2014the fastest growing segments of the U.S. population.<\/strong> We examined substance use disorder<\/a> (SUD) prevalences and comorbidities<\/a> among AAs, NHs\/PIs, and MRs (N<\/em>=4572) in a behavioral health electronic health record database. DSM-IV diagnoses<\/a> among patients aged 1\u201390 years who accessed behavioral healthcare from 11 sites were systematically captured: SUD, anxiety<\/a>, mood<\/a>, personality<\/a>, adjustment<\/a>, childhood-onset<\/a>, cognitive\/dementia<\/a>, dissociative<\/a>, eating<\/a>, factitious<\/a>, impulse-control<\/a>, psychotic<\/a>\/schizophrenic<\/a>, sleep<\/a>, and somatoform<\/a> diagnoses. Of all patients, 15.0% had a SUD. Mood (60%), anxiety (31.2%), adjustment (30.9%), and disruptive (attention deficit-hyperactivity<\/a>, conduct<\/a>, oppositional defiant<\/a>, disruptive behavior<\/a> 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<\/a> diagnosis was the primary SUD affecting adolescents aged 12\u201317. MRs aged 35\u201349 years had the highest prevalence of cocaine<\/a> 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 \u22652 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.<\/p>\n

Read or purchase the article here<\/a>.<\/p>\n","protected":false},"excerpt":{"rendered":"

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 Journal of Psychiatric Research Available online 2013-09-09 DOI: 10.1016\/j.jpsychires.2013.08.022 Li-Tzy Wu, ScD, RN, MA, Professor of Psychiatry and Behavioral Sciences Department of Psychiatry and Behavioral Sciences, School of Medicine Duke University Medical Center, […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[12,2039,8,20],"tags":[15697,15703,15700,15695,15704,15701,15696,15694,15698,15702,15699],"class_list":["post-33565","post","type-post","status-publish","format-standard","hentry","category-articles","category-health-medicine","category-media-archive","category-usa","tag-bruce-burchett","tag-bruce-myatt-burchett","tag-dan-blazer","tag-dan-g-blazer","tag-journal-of-psychiatric-research","tag-kenneth-gersing","tag-kenneth-r-gersing","tag-li-tzy-wu","tag-marvin-s-swartz","tag-marvin-swartz","tag-paolo-mannelli"],"_links":{"self":[{"href":"https:\/\/mixedracestudies.org\/wp\/index.php?rest_route=\/wp\/v2\/posts\/33565","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/mixedracestudies.org\/wp\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/mixedracestudies.org\/wp\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/mixedracestudies.org\/wp\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/mixedracestudies.org\/wp\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=33565"}],"version-history":[{"count":1,"href":"https:\/\/mixedracestudies.org\/wp\/index.php?rest_route=\/wp\/v2\/posts\/33565\/revisions"}],"predecessor-version":[{"id":47222,"href":"https:\/\/mixedracestudies.org\/wp\/index.php?rest_route=\/wp\/v2\/posts\/33565\/revisions\/47222"}],"wp:attachment":[{"href":"https:\/\/mixedracestudies.org\/wp\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=33565"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/mixedracestudies.org\/wp\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=33565"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/mixedracestudies.org\/wp\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=33565"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}