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Staff regard towards working with patients who have co-morbid depression and substance misuse disorders
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dc.contributor.author | Nutt, Rachel Anne | |
dc.contributor.author | Gilchrist, Gail | |
dc.contributor.author | Marsa Sambola, Ferran | |
dc.contributor.author | Baldacchino, Alexander Mario | |
dc.date.accessioned | 2016-09-15T10:30:10Z | |
dc.date.available | 2016-09-15T10:30:10Z | |
dc.date.issued | 2017-04 | |
dc.identifier.citation | Nutt , R A , Gilchrist , G , Marsa Sambola , F & Baldacchino , A M 2017 , ' Staff regard towards working with patients who have co-morbid depression and substance misuse disorders ' , Heroin Addiction and Related Clinical Problems , vol. 19 , no. 2 , pp. 5-16 . | en |
dc.identifier.issn | 1592-1638 | |
dc.identifier.other | PURE: 244220962 | |
dc.identifier.other | PURE UUID: 0a82a340-0f84-4a9b-bf67-251bacf008bb | |
dc.identifier.other | ORCID: /0000-0002-5388-7376/work/60196780 | |
dc.identifier.uri | http://hdl.handle.net/10023/9505 | |
dc.description | Funding: European Commission (contract number 2005322) | en |
dc.description.abstract | Background. Patients having co-morbid mental health and substance misuse experience poorer treatment outcomes than those treated for either condition alone. Studies suggest health professionals regard towards these patients is a factor. Aims. To compare regard towards patients with co-morbid depression and substance misuse across different health professions and services, relative to independent conditions (depression, diabetes, alcohol and/or drug misuse). Methods. A cross-sectional comparative exploratory study of regard towards five patient groups conducted on multi-disciplinary staff (general practitioners, psychiatrists, psychologists, nurses and social workers. Total n=113) in three Scottish NHS board regions – NHS Fife, Tayside and Forth Valley. Services from three main treatment entry points were recruited in each region - 10 primary care services (43.5%), 7 mental health (70%) and 4 specialist addiction (100%). Descriptive statistics were calculated for regard towards each patient group. Multifactorial between subjects ANOVA examined influences on Medical Condition Regard Scale (MCRS) scores. Results . Regard towards patients with co-morbid depression and substance misuse was frequently lower than towards patients with independent conditions. Male professionals held lower regard towards these patients than female (p=0.03). Addiction services held the highest regard and general practice lowest (p <0.001). Over-45’s held the lowest regard towards these patients (p=0.02). Health professional’s satisfaction with working with these patients was also low (mean 1.98, sd 1.22) compared to other conditions. Conclusions. Regard towards patients with co-morbid depression and substance misuse is lower than either condition independently, particularly among older, male professionals and those in general practice. | |
dc.language.iso | eng | |
dc.relation.ispartof | Heroin Addiction and Related Clinical Problems | en |
dc.rights | © 2016, Publisher / the Author(s). This work is made available online in accordance with the publisher’s policies. This is the final published version of the work, which was originally published at heroinaddictionrelatedclinicalproblems.org | en |
dc.subject | Substance misuse | en |
dc.subject | Comorbidity | en |
dc.subject | Dual diagnosis | en |
dc.subject | Depression | en |
dc.subject | Mental health | en |
dc.subject | RC0321 Neuroscience. Biological psychiatry. Neuropsychiatry | en |
dc.subject | NDAS | en |
dc.subject | SDG 3 - Good Health and Well-being | en |
dc.subject.lcc | RC0321 | en |
dc.title | Staff regard towards working with patients who have co-morbid depression and substance misuse disorders | en |
dc.type | Journal article | en |
dc.description.version | Publisher PDF | en |
dc.contributor.institution | University of St Andrews. School of Medicine | en |
dc.contributor.institution | University of St Andrews. Centre for Minorities Research (CMR) | en |
dc.description.status | Peer reviewed | en |
dc.identifier.url | http://www.heroinaddictionrelatedclinicalproblems.org/harcp-archives.php?year=2017 | en |
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