Prevalence of Anxiety Disorder  Comorbidities in Female Outpatients with Substance Use Disorder in a Referral Public Psychiatric Hospital in Tehran, Iran

Shiva Soraya; Ruhollah Seddigh; Fatemeh Hadi; Mehri  Mahdavi; Mohammad Faramarzi

doi:10.18502/jimc.v5i1.9573

Shiva Soraya Research Center of Addiction and Risky Behavior, Department of Psychiatry, School of Medicine, Iran University of Medical Sciences, Tehran, Iran
Ruhollah Seddigh Research Center of Addiction and Risky Behavior, Department of Psychiatry, School of Medicine, Iran University of Medical Sciences, Tehran, Iran
Fatemeh Hadi Research Center of Addiction and Risky Behavior, Department of Psychiatry, School of Medicine, Iran University of Medical Sciences, Tehran, Iran
Mehri Mahdavi Research Center of Addiction and Risky Behavior, Department of Psychiatry, School of Medicine, Iran University of Medical Sciences, Tehran, Iran
Mohammad Faramarzi Research Center of Addiction and Risky Behavior, Department of Psychiatry, School of Medicine, Iran University of Medical Sciences, Tehran, Iran

DOI: https://doi.org/10.18502/jimc.v5i1.9573

Keywords: Anxiety disorder, Comorbidity, Substance use

Abstract

Background: Nowadays, the attention to the combination of Substance Use Disorders (SUD) and anxiety disorders in women is increasing; therefore, the aim of this study was to investigate the prevalence of anxiety disorders in women substance users and epidemiological features of this population.

Methods: In a cross-sectional study, 48 female outpatients with SUD referred to the Iran psychiatric hospital substance use clinic with a range of 18 to 65 years, were involved in the study. All participants referred to the substance use clinic of Iran psychiatric center to follow up on the comorbidities and psychiatric disorders, were involved in the study. The Structured Clinical Interview for DSM-5 (SCID) was used to anxiety disorders and SUD diagnoses. The SCID is a semi-structured interview guide for making the major DSM-5 diagnoses. It is administered by a clinician who is familiar with the DSM-5 classification and diagnostic criteria. Finally, gathered data were analyzed by SPSS-22.

Results: Totally, 48 patients enrolled to this study. The mean age of patients was 34.2±9.4. Crystal (60.4%) and alcohol (50%) were the most commonly used substances. Of the 48 substance users, 47.9% had at least one type of anxiety disorders. The most common anxiety disorders in substance users were generalized anxiety disorder (37.5%), social anxiety disorder (18.8%), and agoraphobia and panic disorder (12.5%). A statistically significant correlation was found between agoraphobia and opium (p=0.04), generalized anxiety disorders and benzodiazepines (p=0.02).

Conclusion: In the present study, it was shown that anxiety disorders co-occur with SUD at a high rate. Generalized anxiety disorders and social anxiety disorder were the two most prevalent conditions among substance users. Analysis showed a statistically significant correlation between agoraphobia and opium, general anxiety disorders and benzodiazepines.