The DOI matches its Crossref record; 51 of the 51 references it cites were found in a registry or an index.
Inpatients in substance use treatment with co-occurring psychiatric disorders: a prospective cohort study of characteristics and relapse predictors
Open accessAbstract
BACKGROUND: The characteristics of substance use disorder (SUD) inpatients with co-occurring psychiatric disorders (COD) have been scantly described in the extant literature. This study investigated psychological, demographic and substance use characteristics in these patients, along with predictors of relapse 3 months post-treatment. METHODS: Prospective data from a cohort of 611 inpatients were analyzed for demographics, motivation, mental distress, SUD diagnosis, psychiatric diagnoses (ICD-10) and relapse rate at 3 months post-treatment (retention rate = 70%). RESULTS: Compared to patients without COD (n = 322), those with COD (n = 289) were younger, had higher mental distress, lower education and higher likelihood of no permanent residence. The relapse rate was also higher in patients with COD (39.8%) relative to patients without COD (26.4%) (OR = 1.85, 95% CI: 1.23-2.78). The relapse rate was particularly high for patients with COD who were diagnosed with cannabis use disorder (53.3%). Multivariate analysis revealed that among patients with COD, relapse was more likely for individuals with a cannabis use disorder (OR = 2.31, 95% CI: 1.34-4.00), and less likely for older ages (OR = 0.97, 95% CI: 0.94-1.00), females (OR = 0.56, 95% CI: 0.33-0.98) and for those with higher intrinsic motivation (OR = 0.58, 95% CI: 0.42-0.81). CONCLUSION: This study showed that among SUD inpatients, those with COD had relatively persistent high levels of mental distress and an increased risk of relapse. Enhanced measures aimed at COD patients' mental health problems during the inpatient stay, along with close and personalized follow-up after discharge from residential SUD treatment may reduce the probability of relapse in this group.
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“Co‐occurrence is consistently associated with greater symptom severity, higher relapse rates, poorer treatment adherence and increased mortality compared to either condition alone [5].”
From Treatment Experiences of Individuals With Co-Occurring Mental Health and Substance Use Disorders and Perspectives of Mental Health Workers in Ashanti Region, Ghana (2026) · cites this paper as [5]
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The Hopkins Symptom Checklist (HSCL): A self-report symptom inventory
Derogatis, L. R., Lipman, R. S., Rickels, K., Uhlenhuth, E. H., & Covi, L. (1974) · Behavioral Science · doi:10.1002/bs.3830190102 · Cited by 4,604
Haslwanter, T. (2016) · Statisctics and computing/Statistics and computing · doi:10.1007/978-3-319-28316-6_12 · Cited by 3,094
Strand, B. H., Dalgard, O. S., Tambs, K., & Rognerud, M. (2003) · Nordic Journal of Psychiatry · doi:10.1080/08039480310000932 · Cited by 1,304
Sex and gender differences in substance use disorders
McHugh, R. K., Votaw, V. R., Sugarman, D. E., & Greenfield, S. F. (2018) · Clinical Psychology Review · doi:10.1016/j.cpr.2017.10.012 · Cited by 1,076
Relapse Prevention for Alcohol and Drug Problems: That Was Zen, This Is Tao
Witkiewitz, K., & Marlatt, G. A. (2004) · American Psychologist · doi:10.1037/0003-066x.59.4.224 · Cited by 880
Drop-out from addiction treatment: A systematic review of risk factors
Brorson, H. H., Ajo Arnevik, E., Rand-Hendriksen, K., & Duckert, F. (2013) · Clinical Psychology Review · doi:10.1016/j.cpr.2013.07.007 · Cited by 654
Cognitive Behavioral Therapy for Substance Use Disorders
McHugh, R. K., Hearon, B. A., & Otto, M. W. (2010) · Psychiatric Clinics of North America · doi:10.1016/j.psc.2010.04.012 · Cited by 626
Patient predictors of alcohol treatment outcome: A systematic review
Adamson, S. J., Sellman, J. D., & Frampton, C. M. A. (2009) · Journal of Substance Abuse Treatment · doi:10.1016/j.jsat.2008.05.007 · Cited by 370
Gender differences in alcohol and substance use relapse
Walitzer, K. S., & Dearing, R. L. (2006) · Clinical Psychology Review · doi:10.1016/j.cpr.2005.11.003 · Cited by 310
Cannabis and educational achievement
Fergusson, D. M., Horwood, L. J., & Beautrais, A. L. (2003) · Addiction · doi:10.1111/j.1360-0443.2003.00573.x · Cited by 302
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Research works printed but not linked: 2
- Mueser KT, Drake RE, Turner W, McGovern MP. Comorbid substance use disordes and psychiatric disorders. In: Miller WR, Carroll KM, editors. Rethinking substance abuse. New York: Guilford Press; 2006. pp. 115–33.
- Andersson HW, Lilleeng SE, Ruud T, Ose SO. Substance use among patients in specialized mental health services in Norway: prevalence and patient characteristics based on a national census. Nord J Psychiatry. 2020;75(3):160–9. https://doi.org/10.1080/08039488.2020.1817553. · DOI
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Guerrin, C. G. J., Tesselaar, D. R. M., Booij, J., Schellekens, A., & Homberg, J. R. (2025) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2025.106311 · Cited by 15
Concurrent Disorders and Treatment Outcomes: A Meta-Analysis
Scott, K. D., & Gorey, K. M. (2025) · Journal of Dual Diagnosis · doi:10.1080/15504263.2025.2515015 · Cited by 14
Chavez, C. L. J., Peltier, M. R., & McKee, S. A. (2025) · Biology of Sex Differences · doi:10.1186/s13293-025-00734-3 · Cited by 12
Does substance use disorder treatment completion reduce the risk of treatment readmission in Chile?
Maturana, J. A. R.-T., Cruz, A. G., Rocha‐Jiménez, T., & Castillo‐Carniglia, Á. (2023) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2023.109907 · Cited by 10
Hetland, J., Lundervold, A. J., & Erga, A. H. (2024) · BMC Psychiatry · doi:10.1186/s12888-024-05600-x · Cited by 10
Metadata
- Authors
- Andersson, H. W., Mosti, M. P., & Nordfjaern, T.
- Affiliations
- St Olav's University Hospital (NO)
- Corresponding author
- Andersson, Helle Wessel
- Venue
- BMC Psychiatry
- Published
- 2023-03-09
- Volume
- 23
- Issue
- 1
- Pages
- 152-152
- ISSN
- 1471-244X (ISSN-L)
- PMC
- PMC9999667
- OpenAlex
- W4323655160
- Cited by
- 35
- References
- 51
- Citations by year
- 2026: 7 · 2025: 18 · 2024: 7 · 2023: 3
- FWCI
- 6.96
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- BMC Psychiatry (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- NORA - Norwegian Open Research Archives (submittedVersion, cc-by)
- Funders
- NTNU Norwegian University of Science and Technology
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Opioid Use Disorder Treatment
- Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
- Keywords
- substance use disorders, co-occurring psychiatric disorders, relapse, inpatient care, cannabis use disorder, intrinsic motivation, psychological distress, treatment retention, residential addiction treatment, post-discharge follow-up
- MeSH terms
- Mental Disorders, Marijuana Abuse, Chronic Disease, Female, Humans, Inpatients, Prospective Studies, Recurrence, Comorbidity, Substance-Related Disorders
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