Childhood trauma, impulsivity, and executive functioning in crack cocaine users

Narvaez, Joana Corrêa de Magalhães; Magalhães, Pedro Vieira da Silva; Trindade, Elise K.; Vieira, Daniel Chaves; Kauer-Sant’Anna, Márcia; Gama, Clarissa Severino; Diemen, Lísia von; Kapczinski, Natalia Soncini; Kapczinski, Flávio

doi:10.1016/j.comppsych.2011.04.058

Cited by 60 publications

(36 citation statements)

References 39 publications

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“…This is a Likert scale that has 5 sub-scales to evaluate: 1) Emotional Abuse; 2) Physical Abuse; 3) Sexual Abuse; 4) Emotional Neglect; 5) Physical Neglect. It has been validated for the Brazilian population, although there is no cutoff for the trauma scores [33]. As we do not have a cutoff score for our population, we chose to analyze data as a continuous variable.…”

Section: Methodsmentioning

confidence: 99%

Childhood Trauma and Resilience: Vulnerabilities to Develop Crack/Cocaine Dependence

Sordi¹,

Hauck²,

Laitano³

et al. 2015

J Alcohol Drug Depend

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Section: Methodsmentioning

confidence: 99%

Childhood Trauma and Resilience: Vulnerabilities to Develop Crack/Cocaine Dependence

Sordi¹,

Hauck²,

Laitano³

et al. 2015

J Alcohol Drug Depend

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“…22 Functional problems in this brain region can result in higher levels of impulsivity, which may in turn reinforce rigid, inflexible, and less adaptive responses to real-life events. 23 This study has some limitations. First, not all Brazilian regions were included in our multicenter design, producing a sample that was not representative of the country as a whole.…”

mentioning

confidence: 99%

Crack-cocaine users have less family cohesion than alcohol users

Marchi

Scherer

Pachado

et al. 2017

Rev. Bras. Psiquiatr.

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Objective: Many studies correlate characteristics of family functioning and the development of drug addiction. This study sought to evaluate and compare the family environment styles of two groups of psychoactive substance users: 1) alcohol-only users and 2) crack-cocaine users. Methods: Three hundred and sixty-four users of alcohol, crack-cocaine, and other drugs, recruited from research centers in four Brazilian capitals participated in this study. Subjects were evaluated through the Family Environment Scale and the Addiction Severity Index, 6th version (ASI-6). ASI-6 t-scores were compared by analysis of variance (ANOVA) and post-hoc tests. A final model was obtained using a logistic regression analysis. All analyses were adjusted for partner, age, and psychiatric t-score. Results: We found a significant difference between groups in the cohesion subscale (p = 0.044). The post-hoc test revealed a difference of 1.06 points (95%CI 0.11-2.01) between groups 1 (6.4560.28) and 2 (5.3860.20). No significant between-group differences were observed in the other subscales. However, categorical analyses of variables regarding family dynamic showed that crack users more often reported that sometimes people in their family hit each other (30.4% vs. 13.2%, p = 0.007) and that people in their family frequently compared each other regarding work and/or school achievement (57.2% vs. 42.6%, p = 0.041). Conclusion: These results suggest that families of crack-cocaine users are less cohesive than families of alcohol users. This type of family environment may affect treatment outcome, and should thus be adequately approached.

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“…Worker's residence allows not only an improvement in the quality of care, due to the formation of links between the various professionals who collectively provide the care and the establishment of relationships with users and the community, as well as the improvement of the professional that remains for a long time in their locus work. [23][24][25] This study and other research showed that the requests for assistance to dependent on psychoactive substances at the Center for Psychosocial Care -in alcohol and drug modeis a reality and even when it is not finding infrastructure and sufficient human resources, for various reasons, which prevents construction of a praxis based on bond. 7,18,20 Mental health is a space for the exercise of completeness; in this context the actual health needs user of psychoactive substances and their families are revealed.…”

Section: -15mentioning

confidence: 99%

“…24,25 One way to overcome the feeling of lack of preparation of workers from both Centers for Psychosocial Care -in alcohol and drug mode -is the implementation of continuing educational activities for the multidisciplinary teams from the perspective of actionreflection-action and considering the collective, experiential knowledge, the cycle of life of workers and their workplace as the locus of formation 23,25 .…”

Section: -15mentioning

confidence: 99%

O cuidado aos dependentes químicos: com a palavra profissionais de saúde de centros de atenção psicossocial em álcool e drogas The care for chemically dependent: with words from health professional of centers of psychosocial on alcohol and drugs

Silveira

Oliveira

Correio

et al. 2016

R. pesq. cuid. fundam. online

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OBJETIVO:conhecer a vivência dos profissionais de saúde frente à assistência aos dependentes de substâncias psicoativas.MÉTODOS: Estudo qualitativo, realizado com 26 profissionais de três Centros de Atenção Psicossocial, na modalidade álcool e drogas, localizados no estado de São Paulo, de agosto de 2012 a fevereiro de 2013. RESULTADOS: A média de idade foi de 33,7 anos, onde 15 eram mulheres e 11 homens. O tempo de trabalho médio na instituição foi de 3,1 anos.Emergiram as categorias: 1. O processo de trabalho e suas repercussões no cuidado aos dependentes de substâncias psicoativas e; 2. Impotência diante do abandono do tratamento. 3. O relacionamento do profissional com os dependentes de substâncias psicoativas e a família. CONCLUSÃO: Os profissionais convivem com a falta de condições de trabalho, mas há a possibilidade da produção de vínculo com os usuários e familiares, como instrumento para atingir a integralidade e a humanização do cuidado.DESCRITORES:Pessoal de Saúde;Serviços Comunitários de Saúde Mental; Saúde Mental.

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Childhood trauma, impulsivity, and executive functioning in crack cocaine users

Cited by 60 publications

References 39 publications

Childhood Trauma and Resilience: Vulnerabilities to Develop Crack/Cocaine Dependence

Childhood Trauma and Resilience: Vulnerabilities to Develop Crack/Cocaine Dependence

Crack-cocaine users have less family cohesion than alcohol users

O cuidado aos dependentes químicos: com a palavra profissionais de saúde de centros de atenção psicossocial em álcool e drogas The care for chemically dependent: with words from health professional of centers of psychosocial on alcohol and drugs

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