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Table 3 Prevalence of DSM-IV diagnoses and comorbidity and treatment engagement

From: Characteristics and behavioral health needs of patients with patterns of high hospital use: implications for primary care providers

Diagnoses (N = 195)

N (%)

 Any mental health diagnosis

162 (83)

  Mood disorders

   Any mood disorder

144 (74)

    Major depressive disorder

87 (45)

    Bipolar I and II disorders

30 (15)

    Dysthymic disorder

1 (< 1)

    Depressive disorder not otherwise specified

26 (13)

 Anxiety disorders

  Any anxiety disorder

67 (34)

   Posttraumatic stress disorder (PTSD)

29 (15)

   Generalized anxiety disorder

27 (14)

   Panic disorder

5 (3)

   Anxiety disorder not otherwise specified

7 (4)

 Psychotic disorders

  Any psychotic disorder

13 (7)

   Schizoaffective disorder

5 (3)

   Schizophrenia

3 (< 2)

   Delusional disorder

1 (< 1)

   Psychotic disorder not otherwise specified

4 (2)

 Adjustment disorder

1 (< 1)

 Suicidal ideation

23 (12)

 Personality disorder (any)

14 (7)

Substance use disorders (N = 195)

Currently meet criteria

Ever met criteria

 

N (%)

N (%)

 Any substance use disorder

98 (50)

122 (63)

  Alcohol

53 (27)

79 (41)

  Amphetamine

1 (< 1)

1 (< 1)

  Cannabis

39 (20)

48 (25)

  Cocaine

46 (24)

62 (32)

  Hallucinogen

1 (< 1)

3 (< 2)

  Opioid

40 (21)

49 (25)

  Sedative, Hypnotic, or Anxiolytic

7 (4)

7 (4)

 Nicotine dependence

75 (38)

90 (46)

Mental Health/Substance use comorbidity (N = 195)

N (%)

  Mental Health only

78 (40)

  Active Substance Use Disorder only

14 (7)

  Mental Health and Active Substance Use Disorder

84 (43)

  No Mental Health or Active Substance Use Disorder

19 (10)

 Top 3 Mental Health comorbidities

  Major depressive disorder and generalized anxiety

  Major depressive disorder and PTSD

  Bipolar disorder and PTSD

19 (10)

12 (6)

11 (6)

Engaged in treatment at time of assessment

No. (%)

 Mental health diagnosis (N = 162) and engaged in treatment

27 (17)

 Substance use diagnosis (N = 98) and engaged in treatment

10 (10)

  1. Note: Substance use disorders include both abuse and dependence. Current criteria includes only participants meeting criteria for abuse or dependence at time of assessment. Ever met criteria includes cases in remission. Percentages for Mental Health and Substance Use diagnoses do not add to 100 due to comorbidity