{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T12:54:47Z","timestamp":1790686487355,"version":"4.1.0"},"reference-count":21,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2026,5,10]],"date-time":"2026-05-10T00:00:00Z","timestamp":1778371200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,5,10]],"date-time":"2026-05-10T00:00:00Z","timestamp":1778371200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100000026","name":"National Institute on Drug Abuse","doi-asserted-by":"publisher","award":["P50DA05544072"],"award-info":[{"award-number":["P50DA05544072"]}],"id":[{"id":"10.13039\/100000026","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Substance Use &amp; Addiction Journal"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>This study examined specific mental health diagnoses groupings among patients admitted to specialty addiction treatment in the United States from 2006 to 2022.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Joinpoint regression was used to examine annual data from the publicly available Treatment Episode Data Set \u2013 Admissions. Sample selection criteria included having a primary substance listed and any of the following conditions: (a) anxiety disorders, (b) bipolar disorders, (c) depressive disorders, and (d) schizophrenia and other psychotic disorders.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Prior to sample selection, across the full dataset of 31\u2009152\u2009649, cases with anxiety disorders accounted for 0.1%, bipolar disorders accounted for 0.3%, depressive disorders accounted for 0.4%, and schizophrenia and other psychotic disorders accounted for 0.1%. The total sample size was N\u2009=\u2009224\u2009051 with: (a) 13% for anxiety disorders (n\u2009=\u200929\u2009111), (b) 30.3% for bipolar disorders (n\u2009=\u200967\u2009926), (c) 43.4% for depressive disorders (n\u2009=\u200997\u2009293), and (d) 13.3% for schizophrenia and other psychotic disorders (n\u2009=\u200929\u2009721). Count data identified significant decreases including the following: 12.29% from 2008 to 2022 among the bipolar disorder group, 16.69% from 2019 to 2022 among the depressive disorder group, and 6.96% from 2006 to 2022 among the schizophrenia and other psychotic disorders group.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>This study has important implications for future research and clinical care related to co-occurring mental health and substance use disorders. Its findings demonstrate the need for further studies to examine how addiction treatment facilities are screening for and recording mental health disorder diagnoses. Future research is needed to clarify the prevalence of specific mental health diagnoses in the addiction treatment setting, including diagnoses such as anorexia nervosa and generalized anxiety disorder. This research would help determine specific treatment needs by using epidemiological data to provide a snapshot of the prevalence of these co-occurring conditions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/29767342261445244","type":"journal-article","created":{"date-parts":[[2026,5,10]],"date-time":"2026-05-10T08:10:36Z","timestamp":1778400636000},"page":"1090-1097","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Anxiety, Bipolar, Depressive, and Schizophrenia Diagnoses Among Patients Receiving Addiction Treatment in the United States, 2006-2022: A Descriptive Study"],"prefix":"10.1177","volume":"47","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3269-5324","authenticated-orcid":false,"given":"Orrin D.","family":"Ware","sequence":"first","affiliation":[{"name":"School of Social Work, University of North Carolina at Chapel Hill, NC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David A.","family":"Fiellin","sequence":"additional","affiliation":[{"name":"School of Medicine, Yale Schools of Medicine and Public Health, New Haven, CT, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark P.","family":"McGovern","sequence":"additional","affiliation":[{"name":"Stanford Center for Dissemination &amp; Implementation, Stanford University School of Medicine, Palo Alto, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,5,10]]},"reference":[{"key":"e_1_3_3_2_2","unstructured":"Substance Abuse and Mental Health Services Administration. Key substance use and mental health indicators in the United States: results from the 2023 National Survey on Drug Use and Health (HHS Publication No. PEP24-07-021 NSDUH Series H-59). Center for Behavioral Health Statistics and Quality Substance Abuse and Mental Health Services Administration. Accessed January 10 2026. https:\/\/www.samhsa.gov\/data\/report\/2023-nsduh-annual-national-report"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2020.108244"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2017.02.006"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0275054"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.3390\/app14041630"},{"key":"e_1_3_3_7_2","unstructured":"American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 5th ed. text rev. Accessed January 10 2026. https:\/\/dsm.psychiatryonline.org\/doi\/book\/10.1176\/appi.books.9780890425787"},{"key":"e_1_3_3_8_2","unstructured":"Substance Abuse and Mental Health Services Administration. Data from: treatment episode data set admissions (TEDS-A) concatenated 2006-2022: public use file. 2024."},{"key":"e_1_3_3_9_2","unstructured":"Joinpoint Regression Program Version 4.9.1.0. Statistical Methodology and Applications Branch Surveillance Research Program; 2022."},{"key":"e_1_3_3_10_2","unstructured":"IBM SPSS Statistics: Version 31.0. 2025."},{"key":"e_1_3_3_11_2","unstructured":"R: A Language and Environment for Statistical Computing. R Foundation for Statistical Computing; 2025. 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