{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T20:32:36Z","timestamp":1786739556599,"version":"build-2736575974"},"reference-count":12,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"5","license":[{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Dual disorders, involving co-occurring mental health and substance use conditions, present diagnostic challenges due to overlapping symptoms.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim:<\/jats:title>\n                    <jats:p>To assess the diagnostic agreement of mental health professionals in evaluating dual diagnosis cases.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This Cross-sectional study surveyed 73 mental health professionals using two clinical vignettes that depicted common dual disorder scenarios: psychotic symptoms co-occurring with cannabis use and depressive symptoms co-occurring with alcohol use. Participants chose a diagnosis, rated confidence (1\u201310), and identified influencing factors, along with alternative differentials.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>For the first case vignette, majority (60.2%) favored schizophrenia with cannabis use over cannabis-induced psychosis, while small number endorsed other psychotic disorders. In the second case vignette, most (89.0%) clinicians preferred major depressive disorder with harmful alcohol use, rather than alcohol-induced mood disorder. Overall confidence agreement was high (average measure ICC = 0.986) despite differences in diagnosis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Although clinicians diagnostic reasoning varied but confidence ratings demonstrated excellent inter \u2013 rater agreement (Average ICC = 0.986).<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/indianjpsychiatry_765_25","type":"journal-article","created":{"date-parts":[[2026,5,19]],"date-time":"2026-05-19T15:00:39Z","timestamp":1779202839000},"page":"456-459","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["How clinicians think about dual disorders: Insights from a case vignette survey"],"prefix":"10.4103","volume":"68","author":[{"given":"Ravneet","family":"Singh","sequence":"first","affiliation":[{"name":"National Drug Dependence Treatment Centre, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Siddharth","family":"Sarkar","sequence":"additional","affiliation":[{"name":"National Drug Dependence Treatment Centre, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ojasvi","family":"Meena","sequence":"additional","affiliation":[{"name":"National Drug Dependence Treatment Centre, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yatan Pal Singh","family":"Balhara","sequence":"additional","affiliation":[{"name":"National Drug Dependence Treatment Centre, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,5,19]]},"reference":[{"key":"R1-20260520","first-page":"131","article-title":"Management of 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