REDD-PAC Cohort Description: Researching Dual Diagnosis – Prognosis and Characteristics

IF 1.5 4区医学 Q3 PSYCHIATRY

Journal of Dual Diagnosis Pub Date : 2022-04-01 DOI:10.1080/15504263.2022.2055250

Solvej Mårtensson, K. Johansen, J. Krarup, Signe W During

{"title":"REDD-PAC Cohort Description: Researching Dual Diagnosis – Prognosis and Characteristics","authors":"Solvej Mårtensson, K. Johansen, J. Krarup, Signe W During","doi":"10.1080/15504263.2022.2055250","DOIUrl":null,"url":null,"abstract":"Abstract Objective Evidence from real-world integrated dual diagnosis treatment programs is limited. In 2017 we decided to establish the REDD-PAC cohort with the aim to provide more in-depth information regarding the effect of integrated treatment. Methods The REDD-PAC cohort includes more than 2,500 patients with dual diagnosis that have been treated at an in-patient department specializing in the integrated treatment of both psychiatric illness and substance use disorder in Denmark in the period from 2002 to 2017. The collected data included information on diagnosis as well as patient-completed questionnaires regarding anxiety, depression, self-worth, and use of substances. Data regarding medications prescribed and administered, weight, height, and blood pressure were also included. Results The primary diagnosis was psychosis spectrum disorder (37.0%), followed by affective disorders (18.8%). More than two-thirds of the patients were male, and most patients had a weak connection to the labor market and basic schooling. Patients were generally very motivated for treatment. Conclusions Further linking the data to Danish national register data makes it possible to follow individual trajectories pre- and post-admission as well as to access complete follow-up data regarding long-term outcomes, e.g., use of health services, mortality, morbidity, crime, and social circumstances. This article describes both the overarching aims of the REDD-PAC cohort and the basic diagnostic and sociodemographic characteristics of the cohort.","PeriodicalId":46571,"journal":{"name":"Journal of Dual Diagnosis","volume":"30 1","pages":"111 - 122"},"PeriodicalIF":1.5000,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"1","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Dual Diagnosis","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/15504263.2022.2055250","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"PSYCHIATRY","Score":null,"Total":0}

引用次数: 1

Abstract

Abstract Objective Evidence from real-world integrated dual diagnosis treatment programs is limited. In 2017 we decided to establish the REDD-PAC cohort with the aim to provide more in-depth information regarding the effect of integrated treatment. Methods The REDD-PAC cohort includes more than 2,500 patients with dual diagnosis that have been treated at an in-patient department specializing in the integrated treatment of both psychiatric illness and substance use disorder in Denmark in the period from 2002 to 2017. The collected data included information on diagnosis as well as patient-completed questionnaires regarding anxiety, depression, self-worth, and use of substances. Data regarding medications prescribed and administered, weight, height, and blood pressure were also included. Results The primary diagnosis was psychosis spectrum disorder (37.0%), followed by affective disorders (18.8%). More than two-thirds of the patients were male, and most patients had a weak connection to the labor market and basic schooling. Patients were generally very motivated for treatment. Conclusions Further linking the data to Danish national register data makes it possible to follow individual trajectories pre- and post-admission as well as to access complete follow-up data regarding long-term outcomes, e.g., use of health services, mortality, morbidity, crime, and social circumstances. This article describes both the overarching aims of the REDD-PAC cohort and the basic diagnostic and sociodemographic characteristics of the cohort.

查看原文本刊更多论文

REDD-PAC队列描述:研究双重诊断-预后和特征

摘要目的来自现实世界的综合双重诊断治疗方案的证据是有限的。2017年，我们决定建立REDD-PAC队列，旨在提供有关综合治疗效果的更深入信息。方法REDD-PAC队列纳入了2002年至2017年期间在丹麦一家专门从事精神疾病和物质使用障碍综合治疗的住院部门接受治疗的2500多名双重诊断患者。收集的数据包括诊断信息以及患者填写的关于焦虑、抑郁、自我价值和药物使用的问卷。有关药物处方和用药、体重、身高和血压的数据也包括在内。结果以精神谱系障碍为主(37.0%)，其次为情感性障碍(18.8%)。超过三分之二的患者是男性，大多数患者与劳动力市场和基础教育的联系很弱。病人通常都很愿意接受治疗。将数据与丹麦国家登记数据进一步联系起来，可以跟踪入院前后的个人轨迹，并获得关于长期结果的完整后续数据，例如卫生服务的使用、死亡率、发病率、犯罪和社会环境。本文描述了REDD-PAC队列的总体目标以及该队列的基本诊断和社会人口学特征。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Journal of Dual Diagnosis Multiple-

CiteScore

4.90

自引率

13.60%

发文量

期刊介绍： Journal of Dual Diagnosis is a quarterly, international publication that focuses on the full spectrum of complexities regarding dual diagnosis. The co-occurrence of mental health and substance use disorders, or “dual diagnosis,” is one of the quintessential issues in behavioral health. Why do such high rates of co-occurrence exist? What does it tell us about risk profiles? How do these linked disorders affect people, their families, and the communities in which they live? What are the natural paths to recovery? What specific treatments are most helpful and how can new ones be developed? How can we enhance the implementation of evidence-based practices at clinical, administrative, and policy levels? How can we help clients to learn active recovery skills and adopt needed supports, clinicians to master new interventions, programs to implement effective services, and communities to foster healthy adjustment? The Journal addresses each of these perplexing challenges.