Avaliação da memória operacional fonológica e impulsividade de usuários de drogas atendidos em um Centro de Atenção Integrada à Saúde Mental

Abstract

Purpose: to evaluate the phonological working memory abilities and check possible influences of impulsivity in patients just included in treatment at the program for Alcohol and Drug users at the Center for Integrated Mental Health Care of Irmandade da Santa Casa de Misericordia de São Paulo (ISCMSP -CAISM-SP, Portuguese initials). Method: 29 patients: 21 males and 8 females, drug users, 37,9 ± 10.5 years old, 10.59 ± 3.53 years of schooling; And 30 volunteers: 19 males and 11 female, 32,4 ± 11,9 years old and 11.07 ± 3.29 years of schooling, without psychiatric history or substance abuse participated freely. The individuals were asked to attend the specific evaluation, aiming to assess: 1) phonological working memory for words and pseudowords, 2) impulsivity in its second order factors (attentional impulsiveness, motor and non-planning). Results: performance in the evaluation of phonological working memory of the individuals of drug users group compared to the control group showed a reduction in both, auditory word and pseudowords span , as well as the total number of correct words and pseudowords recall. In the evaluation of impulsivity, the group of drug users showed higher scores comparing to control individuals in all subtypes of impulsivity, including the total score of impulsivity. There were no correlations between impulsivity scores and word and/ or pseudowords span. Conclusion: this pattern of responses indicates impairment in verbal working memory processing and high level of impulsivity in this population of chronic drug users. The poor performance of chronic drug users on tests of phonological working memory is probably not due to increased impulsivity observed. The present results could helptreatment strategies planning focused on the detected changes.

Levels of impulsivity in individuals with cannabis use disorder

“…24 The results of this study suggest that adults living alone and consuming alcohol jointly with cannabis tend to report higher rates of impulsivity. Data in the literature suggest that use of several psychoactive substances is associated with changes in levels of impulsivity 1,25 and can be related to family conflicts. 26 Therefore, social isolation and feelings of loneliness may be risk factors for development of substance use disorders.…”

Comportamento Impulsivo: Estudo Em Uma População De Universitários

“…O resultado de Guera 20 , também em amostra de estudantes universitários, apresentou elevado índice de impulsividade, sobretudo motora e de planejamento 20 . Da mesma forma, outros estudos com populações diferentes (alcoolistas, dependentes de drogas psicotrópicas, adolescentes), utilizando também a BIS 11, demonstrou na maior parte da amostra altos escores de impulsividade total [21][22][23][24] , o que difere do nosso estudo.…”

Perfil das mulheres usuárias de cocaína e crack atendidas em Centro de Atenção Psicossocial

“…Em quase a totalidade dos prontuários -111 (98,3%) -foi registrado o consumo de outras drogas concomitantemente ao uso de cocaína e crack, com predomínio do tabaco (77%), maconha (63%) e álcool (45,1%). O consumo de múltiplas drogas, em um curto período de tempo, e simultaneamente, tem sido observado no atual padrão compulsivo do uso dessas substâncias, substituindo paulatinamente o uso exclusivo 15 . A nicotina, álcool e maconha são drogas mais associadas à cocaína e ao crack no país 12 .…”