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1

Töpker, Michael. "Dual Source, Dual Energy, Dual Diagnosis." Wiener klinisches Magazin 13, no. 5 (October 2010): 36–40. http://dx.doi.org/10.1007/s00740-010-0297-0.

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2

Jamieson, Michael C. "Dual Diagnosis." Journal of Psychosocial Nursing and Mental Health Services 25, no. 5 (May 1987): 7. http://dx.doi.org/10.3928/0279-3695-19870501-04.

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3

Riley, Joy A. "DUAL DIAGNOSIS." Nursing Clinics of North America 29, no. 1 (March 1994): 29–34. http://dx.doi.org/10.1016/s0029-6465(22)02706-2.

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4

Turnbull, James M., and Douglas K. Roszell. "DUAL DIAGNOSIS." Primary Care: Clinics in Office Practice 20, no. 1 (March 1993): 181–90. http://dx.doi.org/10.1016/s0095-4543(21)00374-2.

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5

Torrens, Marta, Diana Martínez-Sanvisens, Roser Martínez-Riera, Antonio Bulbena, Néstor Szerman, and Pedro Ruiz. "Dual Diagnosis." Addictive Disorders & Their Treatment 10, no. 2 (June 2011): 50–59. http://dx.doi.org/10.1097/adt.0b013e318215f322.

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6

Carpio, Ruth. "Dual Diagnosis." ASHA Leader 17, no. 4 (April 2012): 2. http://dx.doi.org/10.1044/leader.in1.17042012.2.

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7

Gold, Mark S. "Dual Diagnosis." Journal of Dual Diagnosis 1, no. 1 (January 17, 2005): 5–13. http://dx.doi.org/10.1300/j374v01n01_02.

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8

Drake, Robert E. "Dual diagnosis." Psychiatry 3, no. 10 (October 2004): 60–63. http://dx.doi.org/10.1383/psyt.3.10.60.52409.

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9

Mueser, Kim T., Robert E. Drake, and Michael A. Wallach. "Dual diagnosis." Addictive Behaviors 23, no. 6 (November 1998): 717–34. http://dx.doi.org/10.1016/s0306-4603(98)00073-2.

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10

VARNER, LISA M. "Dual Diagnosis." Journal of the American Dietetic Association 95, no. 2 (February 1995): 224–25. http://dx.doi.org/10.1016/s0002-8223(95)00052-6.

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11

Kushner, David S., and Gemayaret Alvarez. "Dual Diagnosis." Physical Medicine and Rehabilitation Clinics of North America 25, no. 3 (August 2014): 681–96. http://dx.doi.org/10.1016/j.pmr.2014.04.005.

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12

Drake, Robert E. "Dual diagnosis." Psychiatry 6, no. 9 (September 2007): 381–84. http://dx.doi.org/10.1016/j.mppsy.2007.07.001.

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13

Attia, Patricia Rose. "Dual Diagnosis." Alcoholism Treatment Quarterly 5, no. 3-4 (February 6, 1989): 53–63. http://dx.doi.org/10.1300/j020v05n03_05.

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14

Antai-Otong, Deborah, Kristine Theis, and Dee Dee Patrick. "Dual Diagnosis." Nursing Clinics of North America 51, no. 2 (June 2016): 237–47. http://dx.doi.org/10.1016/j.cnur.2016.01.007.

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15

Sheehan, Michael Finbar. "Dual diagnosis." Psychiatric Quarterly 64, no. 2 (1993): 107–34. http://dx.doi.org/10.1007/bf01065865.

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16

Brems, Christiane, Mark E. Johnson, Randall Burns, and Nicholas Kletti. "Dual Diagnosis: Variations Across Differing Comorbid Diagnoses." Journal of Dual Diagnosis 2, no. 3 (July 24, 2006): 109–29. http://dx.doi.org/10.1300/j374v02n03_10.

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17

Stowell, R. Jeremy A. "Dual Diagnosis Issues." Psychiatric Annals 21, no. 2 (February 1, 1991): 98–99. http://dx.doi.org/10.3928/0048-5713-19910201-09.

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18

Walsh, Yvonne, and Alan Frankland. "Dual Diagnosis 2005." Mental Health Review Journal 10, no. 2 (June 2005): 7–14. http://dx.doi.org/10.1108/13619322200500013.

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19

Hogan, Patricia E. "Dual diagnosis quandries." British Journal of Psychiatry 194, no. 5 (May 2009): 469. http://dx.doi.org/10.1192/bjp.194.5.469.

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20

Dymond, Jan. "Dual Diagnosis Conference." Probation Journal 46, no. 4 (December 1999): 267–69. http://dx.doi.org/10.1177/026455059904600414.

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21

Hubbard, John R. "Dual Diagnosis and Treatment." Journal of Clinical Psychiatry 59, no. 11 (November 15, 1998): 625. http://dx.doi.org/10.4088/jcp.v59n1110a.

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22

Lopes, J., and R. Freitas. "Dual Diagnosis, Double Trouble." European Psychiatry 65, S1 (June 2022): S471. http://dx.doi.org/10.1192/j.eurpsy.2022.1197.

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Introduction Many individuals with severe mental illness (SMI) have substance use disorder comorbidity. Dual diagnosis makes the approach and management of these patients even more challenging since the lack of improvement in either pathologies can lead to a deterioration of both. Objectives To illustrate, through the presentation of two cases, the clinical challenges in managing a patient with dual diagnosis Methods Clinical case presentation through retrospective review of clinical notes and non-systematic literature review on this topic Results We present the clinical cases of two women diagnosed with Bipolar Disorder and (poly)Substance Use Disorder since adolescence, who have a history of multiple hospitalizations due to mostly maniform symptoms. The complexity of case management is evident, both at the pharmacological level and in psychosocial intervention. This is aggravated by the difficulty in maintaining adherence to the therapeutic project and frequent relapses. Conclusions Current evidence points to the beneficial effect of a combined pharmacological and psychosocial approach, which must be comprehensive, individualized and require differentiation at various levels that are difficult to achieve and make the treatment of these situations an even greater challenge. Using illustrative examples, this review draws attention to the practical difficulties in managing situations where substance use is associated with SMI. Disclosure No significant relationships.
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23

Anonymous. "Treating a Dual Diagnosis." Journal of Psychosocial Nursing and Mental Health Services 27, no. 7 (July 1989): 5. http://dx.doi.org/10.3928/0279-3695-19890701-06.

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24

Kipping, Cheryl. "Dual diagnosis: meeting clients’needs." Mental Health Practice 3, no. 3 (November 1, 1999): 10–15. http://dx.doi.org/10.7748/mhp.3.3.10.s13.

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25

Sturmey, P., W. R. Lindsay, and R. Didden. "Special Issue: Dual Diagnosis." Journal of Applied Research in Intellectual Disabilities 20, no. 5 (September 2007): 379–83. http://dx.doi.org/10.1111/j.1468-3148.2007.00379.x.

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26

Drake, Robert E., Fred C. Osher, and Michael A. Wallach. "Homelessness and dual diagnosis." American Psychologist 46, no. 11 (November 1991): 1149–58. http://dx.doi.org/10.1037/0003-066x.46.11.1149.

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27

FLYNN, WILLIAM R. "Dual Diagnosis • Psychosocial Treatments." American Journal of Psychiatry 162, no. 5 (May 2005): 1040. http://dx.doi.org/10.1176/appi.ajp.162.5.1040.

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28

GUAL, ANTONI. "Dual diagnosis in Spain." Drug and Alcohol Review 26, no. 1 (January 2007): 65–71. http://dx.doi.org/10.1080/09595230601037000.

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29

Minkoff, Kenneth. "Dual Diagnosis Enhanced Programs." Journal of Dual Diagnosis 4, no. 3 (July 22, 2008): 320–25. http://dx.doi.org/10.1080/15504260802076314.

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30

Fricks, Larry. "Recovery from Dual Diagnosis." Journal of Dual Diagnosis 1, no. 1 (January 17, 2005): 115–19. http://dx.doi.org/10.1300/j374v01n01_11.

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31

Schmetzer, Alan D. "Deinstitutionalization and Dual Diagnosis." Journal of Dual Diagnosis 3, no. 2 (March 22, 2007): 95–101. http://dx.doi.org/10.1300/j374v03n02_11.

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32

Adesso, Vincent J. "Dual Diagnosis—Multiple Obstacles." Contemporary Psychology: A Journal of Reviews 40, no. 7 (July 1995): 657–58. http://dx.doi.org/10.1037/003798.

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33

Martino, Steve, Kathleen Carroll, Demetrios Kostas, Jennifer Perkins, and Bruce Rounsaville. "Dual Diagnosis Motivational Interviewing." Journal of Substance Abuse Treatment 23, no. 4 (December 2002): 297–308. http://dx.doi.org/10.1016/s0740-5472(02)00295-7.

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34

Withers, NW, and KA Hirsch. "Dual diagnosis and suicide." Journal of Psychosomatic Research 55, no. 2 (August 2003): 159. http://dx.doi.org/10.1016/s0022-3999(03)00209-5.

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35

BRYANT, KENDALL J., BRUCE ROUNSAVILLE, ROBERT L. SPITZER, and JANET B. W. WILLIAMS. "Reliability of Dual Diagnosis." Journal of Nervous and Mental Disease 180, no. 4 (April 1992): 251–57. http://dx.doi.org/10.1097/00005053-199204000-00007.

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36

Baldacchino, A. "Policy and dual diagnosis." European Psychiatry 22 (March 2007): S37—S38. http://dx.doi.org/10.1016/j.eurpsy.2007.01.149.

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37

Crome, Ilana B., and Tracey Myton. "Pharmacotherapy in dual diagnosis." Advances in Psychiatric Treatment 10, no. 6 (November 2004): 413–24. http://dx.doi.org/10.1192/apt.10.6.413.

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The prevalence of coexisting substance misuse and psychiatric disorder (dual diagnosis, comorbidity) has increased over the past decade, and the indications are that it will continue to rise. There have simultaneously been unprecedented developments in the pharmacological treatment of alcohol, opiate and nicotine misuse. Here we evaluate the evidence on the use of some of these treatments in dual diagnosis (with psychotic, mood and anxiety disorders). The evidence base is limited by the exclusion of mental illness when pharmacological agents for substance misuse are evaluated and vice versa. We set the available information within the context of the psychosocial management of comorbid substance misuse and mental illness, and the framework for service delivery recommended by UK national policy.
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38

Roth, Jeffrey D. "Dueling with Dual Diagnosis." Journal of Groups in Addiction & Recovery 3, no. 3-4 (November 3, 2008): 131–35. http://dx.doi.org/10.1080/15560350802424811.

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39

Rozensky, Ronald H., Barbara Neirick, Gary M. Slotnick, and Debra Morse. "Discriminating between Substance Abusers with Single and Dual Diagnoses Using MMPI Profiles and the MAC Andrews Alcoholism Scale: Axis I and Axis II Subtypes." Psychological Reports 63, no. 3 (December 1988): 985–86. http://dx.doi.org/10.2466/pr0.1988.63.3.985.

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The MacAndrews Scale of the MMPI differentiated 21 dual-diagnosis substance abusers with a DSM-III—R, Axis I diagnosis from a group of 21 single-diagnosis substance abusers and 18 dual-diagnosis substance abusers with an Axis II diagnosis. Subjects were 50 substance-abuse only and 39 dual-diagnosis, hospitalized men. Research must take into account the heterogeneous nature of psychiatric diagnoses within the substance-abusing population.
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40

Bowman, Brock, and Stephen Macciocchi. "Dual Diagnosis: Diagnosis, Management, and Future Trends." Topics in Spinal Cord Injury Rehabilitation 10, no. 2 (October 2004): 58–68. http://dx.doi.org/10.1310/vfhg-f2hu-pykx-t85h.

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41

Esteve, Arturo, Antonio Jovani, Ana Benito, Abel Baquero, Gonzalo Haro, and Francesc Rodríguez-Ruiz. "Dual Diagnosis in Adolescents with Problematic Use of Video Games: Beyond Substances." Brain Sciences 12, no. 8 (August 21, 2022): 1110. http://dx.doi.org/10.3390/brainsci12081110.

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The technological revolution has led to the birth of new diagnoses, such as gaming disorder. When any addiction, including this one, is associated with other mental disorders, it is considered a dual diagnosis. The objectives of this current work were to estimate the prevalence of dual diagnoses in the adolescent general population while also considering the problematic use of video games and substance addiction and assessing its psychosocial risk factors. Thus, we carried out a cross-sectional study with a sample of 397 adolescents; 16.4% presented problematic videogame use and 3% presented a dual diagnosis. Male gender increased the probability of both a dual diagnosis (OR [95% CI] = 7.119 [1.132, 44.785]; p = 0.036) and problematic video game use (OR [95% CI] = 9.85 [4.08, 23.77]; p < 0.001). Regarding personality, low conscientiousness, openness, and agreeableness scores were predictors of a dual diagnosis and problematic videogame use, while emotional stability predicted a dual diagnosis (OR [95% CI] = 1.116 [1.030, 1.209]; p = 0.008). Regarding family dynamics, low affection and communication increased both the probability of a dual diagnosis (OR [95% CI] = 0.927 [0.891, 0.965]; p < 0.001) and problematic video game use (OR [95% CI] = 0.968 [0.945, 0.992]; p = 0.009). Regarding academic performance, bad school grades increased the probability of a dual diagnosis. In summary, male gender, certain personality traits, poor communication, and poor affective family dynamics should be interpreted as red flags that indicate an increased risk of a dual diagnosis in adolescents, which could require early intervention through specific detection programs.
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42

Zimberg, Sheldon. "A Dual Diagnosis Typology to Improve Diagnosis and Treatment of Dual Disorder Patients." Journal of Psychoactive Drugs 31, no. 1 (January 1999): 47–51. http://dx.doi.org/10.1080/02791072.1999.10471725.

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43

Gorry, Ann, and Tom Dodd. "Dual Diagnosis National Programme update." Advances in Dual Diagnosis 2, no. 4 (February 23, 2010): 36. http://dx.doi.org/10.5042/add.2010.0104.

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44

McKeown, Mick, Mark Stowell-Smith, Jon Derricott, and Dave Mercer. "Dual Diagnosis as Social Control." Addiction Research 6, no. 1 (January 1998): 63–70. http://dx.doi.org/10.3109/16066359809008844.

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45

Larner, Andrew J. "Dual pathology or unifying diagnosis?" Journal of the Royal College of Physicians of Edinburgh 49, no. 2 (2019): 145–46. http://dx.doi.org/10.4997/jrcpe.2019.215.

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46

Brady, Kathleen T., and John M. Roberts. "The Pharmacotherapy of Dual Diagnosis." Psychiatric Annals 25, no. 6 (June 1, 1995): 344–52. http://dx.doi.org/10.3928/0048-5713-19950601-06.

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47

Benaiges, Irina, Gemma Prat, and Ana Adan. "Neuropsychological Aspects of Dual Diagnosis." Current Drug Abuse Reviewse 3, no. 3 (September 1, 2010): 175–88. http://dx.doi.org/10.2174/1874473711003030175.

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48

Torrens-Melich, Marta, Teresa Orengo, Fernando Rodríguez de Fonseca, Isabel Almodóvar, Abel Baquero, and Ana Benito. "Gender Perspective in Dual Diagnosis." Brain Sciences 11, no. 8 (August 21, 2021): 1101. http://dx.doi.org/10.3390/brainsci11081101.

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Little data are available for women diagnosed with a dual diagnosis. However, dual diagnosis in women presents increased stigma, social penalties, and barriers to access to treatment than it does for men. Indeed, it increases the probability of suffering physical or sexual abuse, violent victimization, gender-based violence, unemployment, social exclusion, social-role problems, and physical and psychiatric comorbidities. Thus, a transversal sex and gender-based perspective is required to adequately study and treat dual diagnosis. For this, sex and gender factors should be included in every scientific analysis; professionals should review their own prejudices and stereotypes and train themselves specifically from a gender perspective; administrations should design and provide specific treatment resources for women; and we could all contribute to a structural social transformation that goes beyond gender mandates and norms and reduces the risk of abuse and violence inflicted on women.
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49

Smith, Jeanette, Sheila Frazer, Harm Boer, and Martin Donovan. "Dual Diagnosis in the U.K." Psychiatric Services 45, no. 3 (March 1994): 280–81. http://dx.doi.org/10.1176/ps.45.3.280.

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50

Robertson, Evelyn C. "The Challenge of Dual Diagnosis." Journal of Health Care for the Poor and Underserved 3, no. 1 (1992): 198–207. http://dx.doi.org/10.1353/hpu.2010.0504.

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