Skip to content

Research at St Andrews

Staff regard towards working with patients who have co-morbid depression and substance misuse disorders

Research output: Contribution to journalArticle


Rachel Anne Nutt, Gail Gilchrist, Ferran Marsa Sambola, Alexander Mario Baldacchino

School/Research organisations


Background. Patients having co-morbid mental health and substance misuse experience poorer treatment outcomes than those treated for either condition alone. Studies suggest health professionals regard towards these patients is a factor. Aims. To compare regard towards patients with co-morbid depression and substance misuse across different health professions and services, relative to independent conditions (depression, diabetes, alcohol and/or drug misuse). Methods. A cross-sectional comparative exploratory study of regard towards five patient groups conducted on multi-disciplinary staff (general practitioners, psychiatrists, psychologists, nurses and social workers. Total n=113) in three Scottish NHS board regions – NHS Fife, Tayside and Forth Valley. Services from three main treatment entry points were recruited in each region - 10 primary care services (43.5%), 7 mental health (70%) and 4 specialist addiction (100%). Descriptive statistics were calculated for regard towards each patient group. Multifactorial between subjects ANOVA examined influences on Medical Condition Regard Scale (MCRS) scores. Results. Regard towards patients with co-morbid depression and substance misuse was frequently lower than towards patients with independent conditions. Male professionals held lower regard towards these patients than female (p=0.03). Addiction services held the highest regard and general practice lowest (p <0.001). Over-45’s held the lowest regard towards these patients (p=0.02). Health professional’s satisfaction with working with these patients was also low (mean 1.98, sd 1.22) compared to other conditions. Conclusions. Regard towards patients with co-morbid depression and substance misuse is lower than either condition independently, particularly among older, male professionals and those in general practice.


Original languageEnglish
Pages (from-to)5-16
JournalHeroin Addiction and Related Clinical Problems
Issue number2
Early online date26 Jul 2016
StatePublished - Apr 2017

    Research areas

  • Substance misuse, Comorbidity, Dual diagnosis, Depression, Mental health

Discover related content
Find related publications, people, projects and more using interactive charts.

View graph of relations

Related by author

  1. Alcohol use disorders in people with intellectual disability

    Williams, F., Kouimtsidis, C. & Baldacchino, A. M. Jul 2018 In : BJPsych Advances. 24, 4, p. 264-272

    Research output: Contribution to journalReview article

  2. Association of opioid prescribing practices with chronic pain and benzodiazepine co-prescription: a primary care data linkage study

    Torrance, N., Mansoor, R., Wang, H., Gilbert, S., MacFarlane, C. J., Serpell, M., Baldacchino, A. M., Hales, T., Donnan, P., Wyper, G., Smith, B. & Colvin, L. Jun 2018 In : British Journal of Anaesthesia. 120, 6, p. 1345-1355 11 p.

    Research output: Contribution to journalArticle

  3. Compulsivity in opioid dependence

    Tolomeo, S., Matthews, K., Steele, D. & Baldacchino, A. 2 Feb 2018 In : Progress in Neuro-Psychopharmacology & Biological Psychiatry. 81, p. 333-339 7 p.

    Research output: Contribution to journalArticle

  4. Engagement in the Overdose RIsk InfOrmatioN (ORION) e-Health tool for opioid overdose prevention and self-efficacy: a preliminary study

    Carrà, G., Crocamo, C., Humphris, G. M., Tabacchi, T., Francesco, B., Neufeind, J., Scherbaum, N. & Baldacchino, A. M. 1 Dec 2017 In : Cyberpsychology, Behavior, and Social Networking. 20, 12, p. 762-768

    Research output: Contribution to journalArticle

Related by journal

  1. Engagement in an e-Health Tool (ORION) predicts opioid-dependent patient likelihood of behavioural change

    Humphris, G. M., Carra, G., Frisher, M., Neufeind, J., Cecil, J. E., Scherbaum, N., Crome, I. & Baldacchino, A. M. Oct 2017 In : Heroin Addiction and Related Clinical Problems. 19, 5, p. 35-44 10 p.

    Research output: Contribution to journalArticle

ID: 244220962