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      Management of comorbid bipolar disorder and substance use disorders

      1 , 2
      The American Journal of Drug and Alcohol Abuse
      Informa UK Limited

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          Abstract

          The comorbidity of substance use disorders (SUDs) in bipolar disorder is among the highest in psychiatric disorders. Evidence-based controlled psychosocial or pharmacological interventions trials, which may guide treatment decisions, have not been systematically reviewed.

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          Most cited references71

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          Diagnostic and Statistical Manual of Mental Disorders

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            The Mini International Neuropsychiatric Interview (MINI). A short diagnostic structured interview: reliability and validity according to the CIDI

            The Mini International Neuropsychiatric Interview (MINI) is a short diagnostic structured interview (DSI) developed in France and the United States to explore 17 disorders according to Diagnostic and Statistical Manual (DSM)-III-R diagnostic criteria. It is fully structured to allow administration by non-specialized interviewers. In order to keep it short it focuses on the existence of current disorders. For each disorder, one or two screening questions rule out the diagnosis when answered negatively. Probes for severity, disability or medically explained symptoms are not explored symptom-by-symptom. Two joint papers present the inter-rater and test-retest reliability of the MINI the validity versus the Composite International Diagnostic Interview (CIDI) (this paper) and the Structured Clinical Interview for DSM-III-R patients (SCID) (joint paper). Three-hundred and forty-six patients (296 psychiatric and 50 non-psychiatric) were administered the MINI and the CIDI ‘gold standard’. Forty two were interviewed by two investigators and 42 interviewed subsequently within two days. Interviewers were trained to use both instruments. The mean duration of the interview was 21 min with the MINI and 92 for corresponding sections of the CIDI. Kappa coefficient, sensitivity and specificity were good or very good for all diagnoses with the exception of generalized anxiety disorder (GAD) (kappa = 0.36), agoraphobia (sensitivity = 0.59) and bulimia (kappa = 0.53). Interrater and test-retest reliability were good. The main reasons for discrepancies were identified. The MINI provided reliable DSM-III-R diagnoses within a short time frame, The study permitted improvements in the formulations for GAD and agoraphobia in the current DSM-IV version of the MINI.
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              Assessment of Alcohol Withdrawal: the revised clinical institute withdrawal assessment for alcohol scale (CIWA-Ar)

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                Author and article information

                Contributors
                (View ORCID Profile)
                Journal
                The American Journal of Drug and Alcohol Abuse
                The American Journal of Drug and Alcohol Abuse
                Informa UK Limited
                0095-2990
                1097-9891
                June 07 2017
                July 04 2017
                March 16 2017
                July 04 2017
                : 43
                : 4
                : 366-376
                Affiliations
                [1 ] Division of Alcohol and Substance Abuse, Department of Psychiatry and Behavioral Sciences, University of Miami Miller School of Medicine, Miami, FL, USA
                [2 ] Department of Psychiatry, The University of Texas Southwestern Medical Center, Dallas, TX, USA
                Article
                10.1080/00952990.2017.1292279
                28301219
                1415aab7-d34c-4354-a200-ebf009cf113f
                © 2017
                History

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