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Examining the temporal relationship between methamphetamine use and mental health comorbidity

Examining the temporal relationship between methamphetamine use and mental health comorbidity Purpose – The aim of this paper is to examine the temporal sequencing of methamphetamine use and the onset of mental health problems among a sample of dependent methamphetamine users. Design/methodology/approach – The study used a self‐reported timeline method to examine the sequencing of first use, regular use and problematic use of methamphetamine and mental health issues among 126 users with lifetime dependence. Findings – The majority of the sample (69 per cent) reported previous mental health diagnosis or treatment. Of this sample, 22 per cent reported mental health problems prior to their first use of methamphetamine and 72 per cent reported mental health problems after first use of methamphetamine (with the rest around the same time or unsure). On the timeline, mental health symptoms were first indicated around a year after first regular use of methamphetamine and around the same time as problematic use. Respondents identified a lag time of five years between first problematic use of methamphetamine and seeking treatment for methamphetamine‐related problems, but those that received mental health treatment engaged in methamphetamine treatment earlier. Practical implications – Among this sample, mental health problems coincided with problematic methamphetamine use (rather than any use) suggesting prevention efforts may be better directed at preventing transition to heavy use or use of potent forms or injecting, rather than directed at prevention of uptake. On this basis, stepped care might be appropriate for methamphetamine users. Originality/value – Despite a substantial research literature establishing the link between methamphetamine use and mental health problems, little is known about the order of onset and the implications of this for treatment. This is one of the few studies specifically investigating the temporal sequencing of methamphetamine use, mental health symptoms and treatment seeking among a sample of dependent methamphetamine users. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Advances in Dual Diagnosis Emerald Publishing

Examining the temporal relationship between methamphetamine use and mental health comorbidity

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Publisher
Emerald Publishing
Copyright
Copyright © 2012 Emerald Group Publishing Limited. All rights reserved.
ISSN
1757-0972
DOI
10.1108/17570971211225145
Publisher site
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Abstract

Purpose – The aim of this paper is to examine the temporal sequencing of methamphetamine use and the onset of mental health problems among a sample of dependent methamphetamine users. Design/methodology/approach – The study used a self‐reported timeline method to examine the sequencing of first use, regular use and problematic use of methamphetamine and mental health issues among 126 users with lifetime dependence. Findings – The majority of the sample (69 per cent) reported previous mental health diagnosis or treatment. Of this sample, 22 per cent reported mental health problems prior to their first use of methamphetamine and 72 per cent reported mental health problems after first use of methamphetamine (with the rest around the same time or unsure). On the timeline, mental health symptoms were first indicated around a year after first regular use of methamphetamine and around the same time as problematic use. Respondents identified a lag time of five years between first problematic use of methamphetamine and seeking treatment for methamphetamine‐related problems, but those that received mental health treatment engaged in methamphetamine treatment earlier. Practical implications – Among this sample, mental health problems coincided with problematic methamphetamine use (rather than any use) suggesting prevention efforts may be better directed at preventing transition to heavy use or use of potent forms or injecting, rather than directed at prevention of uptake. On this basis, stepped care might be appropriate for methamphetamine users. Originality/value – Despite a substantial research literature establishing the link between methamphetamine use and mental health problems, little is known about the order of onset and the implications of this for treatment. This is one of the few studies specifically investigating the temporal sequencing of methamphetamine use, mental health symptoms and treatment seeking among a sample of dependent methamphetamine users.

Journal

Advances in Dual Diagnosis – Emerald Publishing

Published: Feb 17, 2012

Keywords: Mental health services; Methamphetamine; Comorbidity; Stepped care; Medical treatment

References

  • Diagnostic and Statistical Manual of Mental Disorders
    American Psychiatric Association
  • Alcohol and Other Drug Treatment Services in Australia 2007‐08: Report on the National Minimum Data Set
    Australian Institute of Health and Welfare
  • 2010 National Drug Strategy Household Survey Report
    Australian Institute of Health and Welfare
  • Patterns of psychological distress related to regular methamphetamine and opioid use
    Darke, S.; Torok, M.; McKetin, R.; Kaye, S.; Ross, J.
  • The psychiatric comorbidity of psychostimulant use
    Dawe, S.; McKetin, R.
  • Structured Clinical Interview for DSM‐IV‐TR Axis I Disorders, Research Version
    First, M.B.; Spitzer, R.L.; Gibbon, M.; Williams, J.B.W.
  • Depression among methamphetamine users: association with outcomes from the methamphetamine treatment project at 3‐year follow‐up
    Glasner‐Edwards, S.; Marinelli‐Casey, P.; Hillhouse, M.; Ang, A.; Mooney, L.J.; Rawson, R.
  • Clinical course and outcomes of methamphetamine‐dependent adults with psychosis
    Glasner‐Edwards, S.; Mooney, L.J.; Marinelli‐Casey, P.; Hillhouse, M.; Ang, A.; Rawson, R.
  • Psychopathology in methamphetamine‐dependent adults 3 years after treatment
    Glasner‐Edwards, S.; Mooney, L.J.; Marinelli‐Casey, P.; Hillhouse, M.; Ang, A.; Rawson, R.
  • The Severity of Dependence Scale (SDS): psychometric properties of the SDS in English and Australian samples of heroin, cocaine and amphetamine users
    Gossop, M.; Darke, S.; Griffiths, P.; Hando, J.; Powis, B.; Hall, W.; Strang, J.
  • Psychological morbidity and route of administration among amphetamine users in Sydney, Australia
    Hall, W.; Hando, J.; Darke, S.; Ross, J.
  • Dual diagnosis subtypes in urban substance abuse and mental health clinics
    Hein, D.; Zimberg, S.; Weisman, S.; First, M.B.; Ackerman, S.
  • Stepping through treatment: reflections on an adaptive treatment strategy among methamphetamine users with depression
    Kay‐Lambkin, F.; Baker, A.; McKetin, R.; Lee, N.
  • The self‐medication hypothesis of substance use disorders: a reconsideration and recent applications
    Khantzian, E.J.
  • The prevalence of psychotic symptoms among methamphetamine users
    McKetin, R.; Mclaren, J.; Lubman, D.; Hides, L.
  • Characteristics and harms associated with injecting versus smoking methamphetamine among methamphetamine treatment entrants
    McKetin, R.; Ross, J.; Kelly, E.; Baker, A.; Lee, N.; Lubman, D.I.; Mattick, R.
  • Development in psychiatric illness in drug abusers
    Mclellan, A.T.; Woody, G.W.; O'BRIEN, C.P.
  • Guidelines on the Management of Co‐occurring Alcohol and Other Drug and Mental Health Conditions in Alcohol and Other Drug Treatment Settings
    Mills, K.; Deady, M.; Proudfoot, H.; Sannibale, C.; Teesson, M.; Mattick, R.; Burns, L.
  • Treatment of methamphetamine use disorders: an update
    Rawson, R.A.; Gonzales, R.; Brethen, P.
  • The prevalence of psychiatric disorders in patients with alcohol and other drug problems
    Ross, H.E.; Glaser, F.B.; Germanson, T.
  • Psychiatric and substance dependence comorbidities, sexually transmitted diseases, and risk behaviors among methamphetamine‐dependent gay and bisexual men seeking outpatient drug abuse treatment
    Shoptaw, S.; Peck, J.; Reback, C.J.; Rotheram‐Fuller, E.
  • Depression in the community: an investigation into age of onset
    Sorenson, S.B.; Rutter, C.M.; Aneshensel, C.S.
  • Choosing a cut‐off on the Severity of Dependence Scale (SDS) for amphetamine users
    Topp, L.; Mattick, R.
  • World Drug Report 2009
    United Nations Office on Drugs and Crime
  • A dual diagnosis typology to improve diagnosis and treatment of dual disorder patients
    Zimberg, S.