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. 2000 Dec;102(6):432-8.
doi: 10.1034/j.1600-0447.2000.102006432.x.

Psychoactive substance use diagnoses among psychiatric in-patients

S S Hansen  1 , P Munk-Jørgensen, B Guldbaek, T Solgård, K S Lauszus, N Albrechtsen, L Borg, A Egander, K Faurholdt, A Gilberg, N P Gosden, J Lorenzen, B Richelsen, K Weischer, A Bertelsen
Affiliations

Psychoactive substance use diagnoses among psychiatric in-patients

S S Hansen et al. Acta Psychiatr Scand. 2000 Dec.

Abstract

Objective: To estimate the prevalence and possible under-diagnosing of substance use disorders and to consider factors that might influence diagnosing of substance use disorders.

Method: Data collected from case records and PSE interviews of psychiatric in-patients from 12 psychiatric departments in Denmark admitted during October 1996 were compared with data from the Danish Psychiatric Register.

Results: A substantially lower prevalence of substance use diagnoses were found in the register (26.1%) than in the research data (50.0%). A high prevalence of co-occurrence between substance use disorders and mental disorders other than substance use disorders was found (37.3%). In the majority of cases knowledge of the substance use disorders was present in the case records, although they had not resulted in a diagnosis.

Conclusion: The under-diagnosis of substance use disorders is due not only to concealed diagnostic signs and symptoms but also to an under-diagnosis by the psychiatrists, in spite of the fact that information on the substance use was accessible.

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