Study of psychiatric comorbidity in opioid dependent patients registered in jail ooat clinic
Manjit Singh, Mankaranpreet, PD Garg, Neeru Bala
Substance use is a global concern affecting most importantly younger population. Opioids are the most harmful drugs used. According to a UN report, one million heroin addicts are registered in India. This grave problem of opioid dependence is also an issue of concern for confined populations like prisons. Criminal behaviour and drug dependence is strongly correlated and prevalence of limited treatment services in jail has further aggravated this problem. Psychiatric comorbidities also have increased due to stressful and poor living conditions in prisons than general population. Aims: To study sociodemographic profile and prevalence of psychiatric comorbities in opioid dependent patients on OOAT in central Jail. Material and Methods: Hundred patients on OOAT in Jail are studied by applying DAMS proforma for socio demographic profile and MINI scale for assessing psychiatric comorbidity. Results: out of 100 patients taken, 62% belonged to younger population of 21-40 years age group. Mean age of group is 35.37±9.849. Majority of patients were in 31-40 years age group(37%) followed by 25% in age group 21-30 years, 19% in 41-50 years of age group, 12% in more than 50 years age group, 7% in less than 20 years age group. 63% married, 18%never married, 8% divorced, 6% widower and 5% separated due to drug abuse. 36% in 10th and 12th pass group, 30% in middle, 13% literate,10% illiterate, 10% primary and 1% graduate. Majority of patients were self-employed 38%, 24% part time employed, 22% presently unemployed, 11% never employed, 2% student. 28% used polysubstance out of which 15% were using other opioids than heroin, 8% sedatives, 3% tobacco, 1% alcohol and 1% cannabinioids. All the patients were intravenous drug users and sharing of syringe was present in 70% of the sample. Symptoms of STIs were present in 58%. Presence of psychiatric comorbidity was present in 39% of the group and most common was major depressive disorder followed by anti-social personality disorder.