Comorbidity of psychiatric and substance abuse disorders
Abstract
Comorbid substance abuse is a common problem in psychiatric patients, and may contribute to treatment refractoriness, noncompliance with treatment, and increased health services utilization and expenditure. Rates of substance abuse are highest in patients with schizophrenia and bipolar disorder. This review discusses recent findings with regard to the epidemiology, neurobiology, treatment, and health services delivery for comorbid psychiatric and substance abuse disorders.
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People with psychotic disorders have high rates of nicotine dependence.
“it is well-known that people with psychotic disorders have high rates of nicotine dependence (George and Krystal, 2000).”
From Predictive coding in neuropsychiatric disorders: a systematic transdiagnostic review. (2025) · cites this paper as George and Krystal, 2000
Cites
Stages and processes of self-change of smoking: Toward an integrative model of change.
Prochaska, J. O., & DiClemente, C. C. (1983) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.51.3.390 · Cited by 9,098 · see citing works
False Suffocation Alarms, Spontaneous Panics, and Related Conditions: An Integrative Hypothesis
Klein, D. F. (1993) · Archives of General Psychiatry · doi:10.1001/archpsyc.1993.01820160076009 · Cited by 1,130 · see citing works
Dual diagnosis of substance abuse in schizophrenia: prevalence and impact on outcomes
DIXON, L. (1999) · Schizophrenia Research · doi:10.1016/s0920-9964(98)00161-3 · Cited by 472 · see citing works
Maternal smoking during pregnancy and psychiatric adjustment in late adolescence
Fergusson, D. M., Woodward, L. J., & Horwood, L. J. (1998) · Archives of General Psychiatry · doi:10.1001/archpsyc.55.8.721 · Cited by 396 · see citing works
Prevalence of mental health and substance use disorders among homeless and low-income housed mothers
Bassuk, E. L., Buckner, J. C., Perloff, J. N., & Bassuk, S. S. (1998) · American Journal of Psychiatry · doi:10.1176/ajp.155.11.1561 · Cited by 332 · see citing works
Remission of Substance Use Disorder Among Psychiatric Inpatients With Mental Illness
Dixon, L., McNary, S., & Lehman, A. F. (1998) · American Journal of Psychiatry · doi:10.1176/ajp.155.2.239 · Cited by 42 · see citing works
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Co‐Morbidity of Smoking in Patients with Psychiatric and Substance Use Disorders
Kalman, D., Morissette, S. B., & George, T. P. (2005) · The American Journal on Addictions · doi:10.1080/10550490590924728 · Cited by 594 · see citing works
Self-citationNicotinic acetylcholine receptors in neurological and psychiatric diseases
Terry, A. V., Jones, K., & Bertrand, D. (2023) · Pharmacological Research · doi:10.1016/j.phrs.2023.106764 · Cited by 90 · see citing works
Prevalence of personality disorder in alcohol and drug services and associated comorbidity
Bowden‐Jones, O., Iqbal, M. Z., Tyrer, P., Seivewright, N., Cooper, S., Judd, A., Weaver, T., & the COSMIC study team (2004) · Addiction · doi:10.1111/j.1360-0443.2004.00813.x · Cited by 89 · see citing works
Predictive coding in neuropsychiatric disorders: a systematic transdiagnostic review.
Qela, B., Damiani, S., De Santis, S., Groppi, F., Pichiecchio, A., Asteggiano, C., Brondino, N., Monteleone, A. M., Grassi, L., Politi, P., et al. (2025) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2025.106020 · Cited by 26 · see citing works
“Finally, it is well-known that people with psychotic disorders have high rates of nicotine dependence (George and Krystal, 2000).”
Efficacy and safety of varenicline for smoking cessation in schizophrenia: a meta-analysis.
Ahmed, S., Virani, S., Kotapati, V. P., Bachu, R., Adnan, M., Khan, A. M., Zubair, A., Begum, G., Kumar, J., Qureshi, M., et al. (2018) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2018.00428 · Cited by 20 · see citing works
Whitton, A. E., Lewandowski, K. E., & Hall, M.-H. (2021) · Brain Sciences · doi:10.3390/brainsci11121581 · Cited by 4 · see citing works
- Authors
- George, T. P., & Krystal, J. H.
- Affiliations
- Yale University (US)
- Corresponding author
- George, Tony P.
- Venue
- Current Opinion in Psychiatry
- Published
- 2000-05
- Volume
- 13
- Issue
- 3
- Pages
- 327-331
- ISSN
- 0951-7367 (ISSN-L)
- OpenAlex
- W2317429493
- Cited by
- 106
- References
- 6
- Citations by year
- 2025: 1 · 2023: 2 · 2022: 2 · 2021: 2 · 2020: 56 · 2019: 1 · 2018: 2 · 2017: 1 · 2016: 3 · 2015: 2 · 2013: 1 · 2012: 4
- FWCI
- 1.91
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Current Opinion in Psychiatry (publishedVersion)
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Health Sciences › Medicine › Psychiatry and Mental health › Bipolar Disorder and Treatment
- Keywords
- psychiatric comorbidity, substance abuse, schizophrenia, bipolar disorder, treatment refractoriness, treatment non-adherence, health care utilization, health care costs, addiction treatment, health care delivery
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