Background: Several evidences from epidemiologic and treatment studies indicate that anxiety disorders,
depression, and substance use disorders commonly co-occur, and the interaction is multifaceted and variable.
Epidemiological studies and investigations within clinical substance abuse populations have found an association
between anxiety disorders, depression, and substance use disorders.
Results: The mean age was 28.1 ± 6.5 years. The majority belonged to the moderate socioeconomic status (52%).
Substance use disorder (SUD) patients expressed higher levels of anxiety and depression in comparison to the control
group. Most of the study group (97%) expressed different levels of anxiety. Eighty percent of them expressed high and
moderate anxiety levels, and 20% of caregivers were having mild anxiety levels. Ninety-three percent of the substance users
expressed different levels of depression, either mild 12%, moderate 9%, or severe 72%. The Drug Use Disorder Identification
Test scores were positively correlated with anxiety (r = 0.256 and p = 0.010) and depression (r = 0.330 and p = 0.001).
Moreover, it was found that anxiety and depression are positively correlated with each other’s (r = 0.630 and p = 0.001).
Conclusion: Substance use disorders are associated with high levels of anxiety and depression. More specifically, it
is associated with severe depression and anxiety. There is an obvious association between the presence of anxiety
and depression on the one hand and the severity of drug-related problems on the other hand. Depression and
anxiety are commonly present together in patients with SUDs.

Abstract
Background: Several evidences from epidemiologic and treatment studies indicate that anxiety disorders,
depression, and substance use disorders commonly co-occur, and the interaction is multifaceted and variable.
Epidemiological studies and investigations within clinical substance abuse populations have found an association
between anxiety disorders, depression, and substance use disorders.
Results: The mean age was 28.1 ± 6.5 years. The majority belonged to the moderate socioeconomic status (52%).
Substance use disorder (SUD) patients expressed higher levels of anxiety and depression in comparison to the control
group. Most of the study group (97%) expressed different levels of anxiety. Eighty percent of them expressed high and
moderate anxiety levels, and 20% of caregivers were having mild anxiety levels. Ninety-three percent of the substance users
expressed different levels of depression, either mild 12%, moderate 9%, or severe 72%. The Drug Use Disorder Identification
Test scores were positively correlated with anxiety (r = 0.256 and p = 0.010) and depression (r = 0.330 and p = 0.001).
Moreover, it was found that anxiety and depression are positively correlated with each other’s (r = 0.630 and p = 0.001).
Conclusion: Substance use disorders are associated with high levels of anxiety and depression. More specifically, it
is associated with severe depression and anxiety. There is an obvious association between the presence of anxiety
and depression on the one hand and the severity of drug-related problems on the other hand. Depression and
anxiety are commonly present together in patients with SUDs.
 

Abstract
Psycho-educational program which enhanced health behaviors, increased coping skills, give information about what
substance abuse is, and its complications on drug addict patients physical and mental health. Aim of the study:
Evaluate the effect of psycho-educational program on depression among drug addict patients. Design: Quasi-
Experimental pretest posttest controlled design was used. Subjects and method: The studied sample consisted of
100 drug addict patients, 50 were study group & 50 were control group. Tools: Personal data, pattern of drug
addiction questionnaire, and Beck Depression Inventory (BDI). Results: pre psycho-educational program, the
majority of drug addict patients had severe levels of depression while, post program, the drug addict patients (study
group) had less levels of depression than control group who didn't received psycho-educational program.
Conclusion: Psycho-educational program had positive effects on levels of depression among study group than
control group. Recommendations: Psycho-educational program should be part of the treatment strategies among
drug addict patients and their families

Background: Ostomy nurses should be able to provide nursing care not only on physiological problems but also other problems related to the ostomy. Aim of the study: To evaluate the effect of nursing instructions on self-care for colostomy patients. Hypothesis: The application of nursing instructions will have a positive effect on self- care for colostomy patients. Research design: Quasi‑experimental study design (pre–post test) was used. Subjects: Thirty adult patients from both sex with abdominal operations treated by colostomy .Setting: The study was carried out at General Surgery Departments of Assuit University Hospital. Tools: (I) Pre-post colostomy knowledge questionnaire ,Tool (II): Pre-post observation checklist for colostomy self-care practices and Tool (III): The Ostomy Self‐Care Index (OSCI). Result: A highly significant statistically difference was found regarding total knowledge, practice and (OSCI) scores of the studied sample pre and post(Immediate and one month) implementation of colostomy nursing instructions (p=.001**). Conclusion: It was concluded that implementation of colostomy nursing instructions had statistically significant positive effect on patient's knowledge and self-care practices. Recommendation: The patients should be included in program provided by ostomy care team for improving self care, prevention and treatment of physical and psychological complications.