Diana Punko, James Luccarelli, Ashika Bains, Rachel MacLean, John B Taylor, Nicholas Kontos, Felicia A Smith, Scott R Beach
The Diagnosis of Malingering in General Hospitals in the United States: A Retrospective Analysis of the National Inpatient Sample
General hospital psychiatry
cocaine use growing global health problem patients cocaine use disorders cud present several complications including high rates major depression subjects present two types major depressive disorder mdd primary major depressive disorder pmdd cocaineinduced major depressive disorder cimdd improve treatment necessary distinguish types aim study assess differences depressive symptomatology criteria pmdd vs cimdd cud patients secondary data analysis carried crosssectional sample 160 patients presenting cud mdd clinical assessment performed using psychiatric research interview substance mental disorders prism differential diagnosis obtained pmdd cimdd men represented 80 sample mean age 3861 years 645 elementary studies cimdd diagnosis 613 frequent pmdd 387 younger age cud onset cimdd patients addition 794 patients another substance use disorder diagnosis criterion changes weight appetite prevalent 571 pmdd group found differences criterion changes weight appetite research needed field establish differential diagnosis thus provide better treatment cud patients