Psychiatric assessment and confirmation of dual disorders in rural substance abusing women

Accurate diagnosis of a comorbid or dual disorder in substance abusing women is critical to treatment and recovery. However, accurate diagnosis of comorbid disorders is difficult. Factors such as instrumentation and timing of diagnostic interview make results highly variable. This article describes difficulties encountered in screening and diagnosing dual disorders in a sample of rural, substance abusing women. The efficacy of screening and diagnostic measures in detecting depression and substance abuse is evaluated, and factors affecting diagnosis are described. The implications of those findings for case finding and management in psychiatric nursing practice are discussed.