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Biomedical subjects

J Westermeyer

Publications and source records attributed to J Westermeyer.

170 records · Page 10Linked to original sources
PubMedDate not supplied

Substance use and other psychiatric disorders among 100 American Indian patients.

One hundred American Indian patients with a Psychoactive Substance Use Disorder (PSUD) were studied with special reference to associated psychiatric disorders. This clinical sample was divided into three groups: PSUD only, PSUD plus an Organic Mental Disorder (OMD), and PSUD plus any other psychiatric disorder. OMD diagnoses included primarily Delirium Tremens and Alcoholic Hallucinosis; cases of Alcohol Amnestic Disorder, Alcohol Dementia, and trauma-induced OMD were also encountered. Other psychiatric disorders included primarily Major Depression and Anxiety Disorder, with smaller numbers of Schizophrenia, Conduct, Sexual, and other Disorders. Demographic and clinical characteristics were compared among these three groups. Those with PSUD+OMD tended to be older, male, and have more DSM-III Axis 3 disorders (American Psychiatric Association 1980) as compared to other patients; those with PSUD+other diagnoses tended to be single and younger. Education and occupational status were not related to the three diagnostic groups. The data were also subjected to MANOVA analysis. Even when corrected for sex, types of substance being abused, Axis 3 health status, and other factors, the three diagnostic groups still bore a significant relationship to age. Those with PSUD+Other psychiatric diagnoses besides OMD tended to be youngest. Those with PSUD-only were intermediate by age, while those with PSUD+OMD tended to be the oldest.

Adolescent↗
PubMedDate not supplied

Predicting treatment outcome after ten years among American Indian alcoholics.

Forty-five American Indian alcoholics were intensively studied in 1970-1971. In addition to the usual demographic characteristics, research scales included Alcoholism History Scale, Alcohol Withdrawal Scale, Indian Culture Affiliation Scale, Social Competence Scale, Legal Problems Scale, Psychiatric Problems Scale, Liver Dysfunction Scale, Malnutrition Scale, and Abnormal Laboratory Screening Scale. These findings in 1970-1971 were then correlated with a four-item outcome rating obtained in 1980-1981. Better outcome was associated with less parental loss, ever having been married, compliance with treatment recommendations, and having predominantly Indian rather than non-Indian friends. Women alcoholics were unlikely to deteriorate and still survive, although this was the most frequent pattern among the men. Higher Indian Culture Affiliation and more severe Liver Dysfunction in 1970-1971 were correlated with better outcome in 1980-1981. Possible explanations for these findings are considered.

Adult↗
PubMedDate not supplied

Alcoholism indicators: nonreliability of events partially related to alcohol abuse.

Certain events partially associated with alcohol abuse (e.g., all hepatic cirrhosis) as well as those wholly associated with alcohol abuse (e.g., alcoholic cirrhosis) have been used to assess changes in alcoholism rates over time. In this paper, events partially associated with alcohol abuse are compared with events wholly correlated with alcohol abuse. Location and time of the study was the state of Minnesota from 1965 to 1977. Taken as a whole, the partially related events fail to show an increase in alcoholism while the wholly related events point to an increase. The literature on these alcohol-related events is reviewed, and theories for the discrepancies between partially and wholly related events are offered.

Accidents↗