title: Comorbidities and race/ethnicity among adults with stimulant use disorders in residential treatment.
abstract: Comorbid physical and mental health problems are associated with poorer substance abuse treatment outcomes; however, little is known about these conditions among stimulant abusers at treatment entry. This study compared racial and ethnic groups on baseline measures of drug use patterns, comorbid physical and mental health disorders, quality of life, and daily functioning among cocaine and stimulant abusing/dependent patients. Baseline data from a multi-site randomized clinical trial of vigorous exercise as a treatment strategy for a diverse population of stimulant abusers (N=290) were analyzed. Significant differences between groups were found on drug use characteristics, stimulant use disorders, and comorbid mental and physical health conditions. Findings highlight the importance of integrating health and mental health services into substance abuse treatment and could help identify potential areas for intervention to improve treatment outcomes for racial and ethnic minority groups.
authors.affiliation: a The University of Texas at Arlington , Arlington , Texas.
authors.forename: Katherine
authors.initials: K
authors.lastname: Sanchez
authors.forename: Karen G
authors.initials: KG
authors.lastname: Chartier
authors.forename: Tracy L
authors.initials: TL
authors.lastname: Greer
authors.forename: Robrina
authors.initials: R
authors.lastname: Walker
authors.forename: Thomas
authors.initials: T
authors.lastname: Carmody
authors.forename: Chad D
authors.initials: CD
authors.lastname: Rethorst
authors.forename: Kolette M
authors.initials: KM
authors.lastname: Ring
authors.forename: Adriane M
authors.initials: AM
authors.lastname: Dela Cruz
authors.forename: Madhukar H
authors.initials: MH
authors.lastname: Trivedi
mesh_terms: D000328:Adult; D019970:Cocaine-Related Disorders / Q000208:ethnology / Q000628:therapy*; D015897:Comorbidity; D018864:Cultural Diversity; D005006:Ethnicity / Q000706:statistics & numerical data*; D005081:Exercise Therapy / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009293:Opioid-Related Disorders / Q000208:ethnology / Q000628:therapy*; D012114:Residential Treatment / Q000379:methods*; D020377:Self Efficacy; D016896:Treatment Outcome; D014481:United States; D055815:Young Adult
keywords: comorbidities; integration of physical and mental health; racial and ethnic minorities; stimulant abuse/dependence