ARTICLE OF PSYCHIATRIC HEALTH

Created by:

1. Chika Miranti ( 2016720063 )

2. Habibah Nuriyah ( 2016720077 )
3. Indah Lestari ( 2016720079 )
4. Resty Ramadhiansari Putri ( 2016720094 )

Class: 4B

FACULTY OF NURSING

MUHAMMADIYAH UNIVERSITY OF JAKARTA

2017 / 2018
 Depressive Symptoms and Associated Clinical Characteristics in Outpatients Seeking
Community-Based Treatment for Alcohol and Drug Problems.

Authors:
Sanchez, Katherine1
Walker, Robrina2
Campbell, Aimee N. C.3,4
Greer, Tracy L.2
Hu, Mei-Chen5
Grannemann, Bruce D.2
Nunes, Edward V.3
Trivedi, Madhukar H.2

Source: Substance Abuse. Jul-Sep2015, Vol. 36 Issue 3, p297-303. 7p. 2 Charts.

Document Type: Article

Subject Terms:
*Adjustment (Psychology)
*Mental depression
*Research
*Data analysis
Chi-squared test
Dual diagnosis
Patients
Questionnaires
Financing of research
Sampling (Statistics)
Statistical hypothesis testing
Statistics
Substance abuse treatment
Visual analog scale
Data analysis software
Descriptive statistics
Coping Strategies Questionnaire

Author-Supplied Keywords:
addiction outcomes
coping strategies
Depression
substance use

Abstract:
Background:Comorbid psychiatric and substance use disorders are common and
associated with poorer treatment engagement, retention, and outcomes. This study
examines the presence of depressive symptoms and the demographic and clinical
correlates in a diverse sample of substance abuse treatment seekers to better
characterize patients with co-occurring depressive symptoms and substance use
disorders and understand potential treatment needs.Methods:Baseline data from a
randomized clinical effectiveness trial of a computer-assisted, Web-delivered
 psychosocial intervention were analyzed. Participants (N= 507) were recruited from
10 geographically diverse outpatient drug treatment programs. Assessments included
the self-report Patient Health Questionnaire, and measures of coping strategies, social
functioning, physical health status, and substance use.Results:One fifth (21%;n= 106)
of the sample screened positive for depression; those screening positive for depression
were significantly more likely to screen positive for anxiety (66.9%) and
posttraumatic stress disorder (PTSD; 42.9%). After controlling for anxiety and PTSD
symptoms, presence of depressive symptoms remained significantly associated with
fewer coping strategies (P= .001), greater impairment in social adjustment (P< .001),
and poorer health status (P< .001), but not to days of drug use in the last 90 days (P=
.14).Conclusions:Depression is a clinically significant problem among substance
abusers, and, in this study, patients who screened positive for depression were more
likely to have co-occurring symptoms of anxiety and PTSD. Additionally, the
presence of depressive symptoms was associated with fewer coping strategies and
poorer social adjustment. Coping skills are a significant predictor of addiction
outcomes, and it may be especially important to screen for and enhance coping among
depressed patients. Evidence-based interventions that target coping skills and global
functioning among substance abusers with depressive symptoms may be important
adjuncts to usual treatment. [ABSTRACT FROM AUTHOR]

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Author Affiliations:
1
School of Social Work, The University of Texas at Arlington, Arlington, Texas, USA
2
Department of Psychiatry, University of Texas Southwestern Medical Center, Dallas,
Texas, USA
3
New York State Psychiatric Institute, Department of Psychiatry, Columbia
University College of Physicians and Surgeons, New York, New York, USA
4
Department of Psychiatry and Behavioral Health, St. Luke's Roosevelt Hospital
Center, Mount Sinai Health System, New York, New York, USA
5
Mailman School of Public Health, Columbia University, New York, New York, USA

ISSN: 0889-7077

DOI: 10.1080/08897077.2014.937845

Accession Number: 108932016

Sanchez, K., Walker, R., Campbell, A. N. C., Greer, T. L., Hu, M., Grannemann B. D., Nunes,
E. V., & Trivedi, M. H. 2015. “Depressive Symptoms and Associated Clinical
Characteristics in Outpatients Seeking Community-Based Treatment for Alcohol and
Drug Problems.” Substance Abuse, vol. 36, p. 297-303.

Latar Belakang: Kelainan psikiatris dan gangguan penggunaan zat sering terjadi dan terkait
dengan keterlibatan perlakuan yang lebih buruk, retensi, dan hasil. Studi ini meneliti adanya
gejala depresi, demografis dan hubungan klinis dalam beragam sampel pencari pengobatan
penyalahgunaan zat untuk lebih mengkarakterisasi pasien dengan gejala depresi dan
gangguan penggunaan obat, serta memahami kebutuhan pengobatan potensial. Metode:
Data dasar dari kelompok acak percobaan keefektifan klinis yang dibantu oleh komputer
dan analisis dari intervensi psikososial yang dikirim melalui web. Peserta (N = 507) direkrut
dari 10 program perawatan pengobatan rawat jalan yang beragam secara geografis.
Penilaian termasuk laporan Kuesioner Kesehatan Pasien, dan penilaian strategi
penanggulangan, fungsi sosial, status kesehatan fisik, dan penggunaan zat. Hasil: Seperlima
(21%; n = 106) sampel disaring positif terhadap depresi; skrining yang positif terhadap
depresi secara signifikan lebih cenderung positif terhadap kecemasan (66,9%) dan
posttraumatic stress disorder (PTSD; 42,9%). Setelah mengendalikan gejala kecemasan dan
PTSD, adanya gejala depresi tetap berhubungan secara signifikan dengan strategi
penanganan yang lebih sedikit (P = .001), penurunan yang lebih besar pada penyesuaian
sosial (P <.001), dan status kesehatan yang lebih buruk (P <.001), namun tidak sampai
berhari-hari penggunaan narkoba dalam 90 hari terakhir (P = .14). Kesimpulan: Depresi
adalah masalah klinis yang signifikan di kalangan pelaku narkoba, dan dalam penelitian ini,
pasien yang diskrining positif terhadap depresi lebih cenderung terjadi gejala kecemasan
dan PTSD. Selain itu, adanya gejala depresi dikaitkan dengan strategi penanggulangan yang
lebih sedikit dan penyesuaian sosial yang lebih buruk. Keterampilan mengatasinya
merupakan prediktor signifikan dari hasil kecanduan, dan mungkin sangat penting untuk
menyaring dan meningkatkan penanganan di antara pasien depresi. Intervensi berbasis
fakta yang menargetkan keterampilan untuk mengatasinya dan fungsi global di antara
pelaku narkoba dengan gejala depresi mungkin menjadi tambahan penting untuk
pengobatan biasa.