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J Korean Acad Psychiatr Ment Health Nurs > Volume 7(1); 1998 > Article
Journal of Korean Academy of psychiatric and Mental Health Nursing 1998;7(1):95-103.
DOI: https://doi.org/10.12934/jkpmhn.1998.7.1.95    Published online June 30, 1998.
Dual Diagnosis
Myung Sun Hyun
College of Nursing, Ajou University
중복장애
현명선
아주대학교 의대 간호학부 시간강사
Abstract
In recent years patients with dual diagnosis have increased m America. 'Dual diagnosis* or dual disorder are terms that have been used to indicate the coexistence of a mental heak:h disorder and substance use disorder. Patients with mental disorder are vulnerable to risk for substance use disorders, patients with substance use disorders are also vulnerable to risk for mental disorders. Even though there have been few people treated for dual diag nosis in Korea, there is need for concern about this diagnosis because a dual diagnosis makes the indi vidual more incapicitated. In Korea, several research papers have identified that personality disorders or depression coexisting with alcoholism. There are several possible relationships between substance abuse and psychiatric disorders. Substance abuse may induce, worsen, or diminish psy chiatric symptoms, complicating the diagnostic pro cess. Sometimes, the symptoms of coexisting psychiatric disorder may be misinterpreted as poor or incomplete recovery from drug addiction. In ad dition, psychiatric disorders may interfere with the patients’ ability and motivatior. to participate iri ad diction treatment. This article provided an overview of chai act. eristics and assessment based on a biopsychosocial model. Indeed, the treatments tor dual diagnosis are very complex and difficult and he prognosis for this disorder is very poor. In this article, pharmacologic and psychosocial treatment aie over viewed and a treatment model also is provided. Finally, it is suggested that nurses who mt t patients with mental disorceis or substance use disorders can have an importint role in detecting or preventing the occurrence of dual diagnosis.
Key Words: Dual diagnosis; Comorbid substance use disorder; Comorbid psychiatric dis order
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