title: Profiles Associated Respectively with Substance Dependence Only, Mental Disorders Only and Co-occurring Disorders.
abstract: This study sought to identify profiles associated with substance dependence only, mental disorders only and co-occurring disorder respectively, using a broad range of socio-demographic, socio-economic, health beliefs, clinical and health services utilization variables concurrently. Based on a broad analytic framework, 423 participants diagnosed with substance dependence only, mental disorders only or co-occurring disorders within a 12-months period were studied. The study used comparison analysis, and a multinomial logistic regression model. Participants with dependence only and mental disorders only were in contrast in terms of gender, age, marital status, self-perception of physical health, perception of the physical conditions of their neighbourhood, impulsiveness, psychological distress and visit with a family physician in previous 12-months, while those with co-occurring disorders were in an intermediary position between the other two groups. Public authorities should especially promote strategies that could increase the capacity of family physicians to take care of individuals with substance dependence only.
authors.affiliation: Department of Psychiatry, McGill University, 6875 LaSalle Blvd., Montreal, QC, H4H 1R3, Canada, flemar@douglas.mcgill.ca.
authors.forename: Marie-Josée
authors.initials: MJ
authors.lastname: Fleury
authors.forename: Guy
authors.initials: G
authors.lastname: Grenier
authors.forename: Jean-Marie
authors.initials: JM
authors.lastname: Bamvita
authors.forename: Jean
authors.initials: J
authors.lastname: Caron
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D001294:Attitude to Health; D005260:Female; D006306:Health Surveys; D006801:Humans; D007175:Impulsive Behavior; D008297:Male; D017533:Marital Status; D001523:Mental Disorders / Q000150:complications* / Q000523:psychology*; D008875:Middle Aged; D010342:Patient Acceptance of Health Care; D011788:Quality of Life / Q000523:psychology; D012111:Residence Characteristics; D012737:Sex Factors; D013315:Stress, Psychological / Q000150:complications / Q000523:psychology; D019966:Substance-Related Disorders / Q000150:complications* / Q000523:psychology*; D055815:Young Adult