Diagnostic sequence of cocaine use disorder in relation to other mental health conditions among college students. Issue 6 (17th August 2020)

• Record Type: Journal Article
• Authors: Liu, Yiyang; Ball, Jacob D.; Elliott, Amy L.; Jacobs-Elliott, Michelle; Nicolette, Guy
• Is Part Of: Journal of American college health. Volume 68:Issue 6(2020)
• Page Start: 575
• Page End: 578
• Publication Date: 2020-08-17
• Subjects: Cocaine use disorder -- college student -- diagnostic sequence -- mental health; College students -- Health and hygiene -- United States -- Periodicals; College students -- Health and hygiene -- Periodicals; College students -- Mental health -- Periodicals; Universities and colleges -- Health promotion services -- Periodicals; 362.10883781980973
• DOI: 10.1080/07448481.2019.1583657
• Languages: English
• ISSNs: 0744-8481

Abstract

Abstract: Objective: Cocaine use is increasing. Comorbidities and diagnostic sequencing are needed among college students to inform treatment of cocaine use disorder (CUD). Method: Using electronic medical records from the psychiatric clinic at the student health care center of a large, public university from 2005 to 2015, patients diagnosed with CUD were identified. Their top mental health conditions were identified and assessed to see whether the first diagnosis of these conditions was made (1) before, (2) at the same time as, or (3) after the first diagnosis of CUD. Results: Among the 50 CUD patients, their most common mental health comorbidities were alcohol use disorder, anxiety, depression, and cannabis use disorder. Anxiety and depression were likely to be diagnosed before CUD; alcohol and cannabis use disorders were likely to be diagnosed concurrently with CUD. Conclusion : Diagnostic sequencing can be used to inform screening, workup, and treatment for patients with CUD.