Presence of dual diagnosis between users and non-users of licit and illicit drugs in Brazil

Jornal Brasileiro de Psiquiatria

Mariana Bandeira Formiga¹  Selene Cordeiro Vasconcelos¹  Melyssa Kellyane Cavalcanti Galdino¹  Murilo Duarte Da Costa Lima¹ 

关键词: Substance use disorder;    drug users;    dual diagnosis;    psychiatric comorbidity;    Transtorno por uso de substâncias;    usuários de drogas;    diagnóstico duplo;    comorbidade psiquiátrica;   

DOI  :  10.1590/0047-2085000000091

来源: SciELO

【 摘 要 】

ABSTRACTObjectiveInvestigate the occurrence of dual diagnosis in users of legal and illegal drugs.MethodsIt is an analytical, cross-sectional study with a quantitative approach, non-probabilistic intentional sampling, carried out in two centers for drug addiction treatment, by means of individual interviews. A sociodemographic questionnaire, the Alcohol, Smoking and Substance Involvement Screening Test (ASSIST) and the Mini-International Neuropsychiatric Interview (MINI) were used.ResultsOne hundred and ten volunteers divided into abstinent users (group 1), alcoholics (group 2) and users of alcohol and illicit drugs (group 3). The substances were alcohol, tobacco, crack and marijuana. A higher presence of dual diagnosis in group 3 (71.8%) was observed, which decreased in group 2 (60%) and 37.1% of drug abstinent users had psychiatric disorder. Dual diagnosis was associated with the risk of suicide, suicide attempts and the practice of infractions. The crack consumption was associated with the occurrence of major depressive episode and antisocial personality disorder.ConclusionIt was concluded that the illicit drug users had a higher presence of dual diagnosis showing the severity of this clinical condition. It is considered essential that this clinical reality is included in intervention strategies in order to decrease the negative effects of consumption of these substances and provide better quality of life for these people.

【 授权许可】

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