Diagnostic sequence of cocaine use disorder in relation to other mental health conditions among college students |
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| Authors: | Yiyang Liu Jacob D. Ball Amy L. Elliott Michelle Jacobs-Elliott Guy Nicolette |
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| Affiliation: | 1. Department of Epidemiology, University of Florida, Gainesville, Florida, USA;2. yliu26@ufl.edu;4. Office for Diversity and Health Equity, University of Florida, College of Medicine, Gainesville, Florida, USA;5. Department of Psychiatry, University of Florida, Gainesville, Florida, USA;6. Student Health Care Center, University of Florida, Gainesville, Florida, USA;7. Student Health Care Center, University of Florida, Gainesville, Florida, USA;8. Department of Community Health &9. Family Medicine, University of Florida, Gainesville, Florida, USA |
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| Abstract: | AbstractObjective: Cocaine use is increasing. Comorbidities and diagnostic sequencing are needed among college students to inform treatment of cocaine use disorder (CUD). Method: Using electronic medical records from the psychiatric clinic at the student health care center of a large, public university from 2005 to 2015, patients diagnosed with CUD were identified. Their top mental health conditions were identified and assessed to see whether the first diagnosis of these conditions was made (1) before, (2) at the same time as, or (3) after the first diagnosis of CUD. Results: Among the 50 CUD patients, their most common mental health comorbidities were alcohol use disorder, anxiety, depression, and cannabis use disorder. Anxiety and depression were likely to be diagnosed before CUD; alcohol and cannabis use disorders were likely to be diagnosed concurrently with CUD. Conclusion: Diagnostic sequencing can be used to inform screening, workup, and treatment for patients with CUD. |
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| Keywords: | Cocaine use disorder college student diagnostic sequence mental health |
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