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

Abstract

Objective Investigate the occurrence of dual diagnosis in users of legal and illegal drugs. Methods It 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. Results One 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. Conclusion It 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.

Night beds in psychosocial attention care centers for alcohol and drugs: analysis and characterization

“…There is a proven correlation between the groups of AOD abuse/ dependence and of mental disorders and, therefore, users require a widen attention for these symptoms during their bed stay. Double diagnoses appear in 50.8% to 71% of users being treated in mental health services, with a higher frequency of depressive disorders (14)(15)(16)(17) .…”

“…A recent research has shown that people with alcohol problems have a 36.6% chance of developing a mental disorder and 53.1% chance of presenting problems with other substances (17) . Another follow-up performed in an Australian treatment service for AOD use has showed that social disadvantage is directly related to the problematic use of alcohol, concluding that the attention for vulnerable populations has higher chances of success when developed in community services (18) , as the CAPS ad, for example.…”

Depressive symptoms and drug use among nursing staff professionals

“…These results were also reported in studies of population base. 1,2,21 In this direction, other researches showed social and cultural characteristics related to the act of drinking and manhood -such, for exemple, one's higher tolerance, social and family acceptance in male individuals, end up reinforcing even more the alcohol consumption among men. 22,23 Binge alcohol use was observed, predominantly, among men, in study with 876 participants of the metropolitan region of São Paulo.…”

“…25 In Brazil, the prevalence of dependence reaches 1% of the population, and men make three times more use than women. 21 Studies on marijuana use among health professionals are still scarce. A survey conducted in Brazil with 266 undergraduate nursing students showed that 8.6% of students reported using marijuana in the last year.…”

Relación Entre Síntomas Psiquiátricos Y La Severidad Del Uso De Drogas en Estudiantes Universitarios De La Ciudad De Montería

“…Cuando el uso de sustancias genera problemas de salud mental se conocen como trastornos relacionados con sustancias y aparecen frecuentemente en un mismo individuo con otros síntomas psiquiátricos o con comorbilidad psiquiátrica, hecho también conocido como patología dual (Marín-Navarrete & Szerman, 2015;Torrens, 2008) que tiene un substrato neurobiológico (Rojas & Castaño, 2017) y se presenta con mayor severidad en los consumidores de drogas ilícitas (Bandeira, Cordeiro, Cavalcanti, & Duarte, 2015).…”