Comorbilidad entre distrés psicológico y abuso de drogas en pacientes de centros de tratamiento: implicaciones en políticas y programas, Managua - Nicaragua

Abstract

RESUMEN:El objetivo de este estudio fue determinar la prevalencia de la comorbilidad entre el distress psicológico y el abuso/ dependencia de drogas en los pacientes de los centros de tratamiento de Nicaragua. Se aplicaron cuestionarios EULAC-CICAD en forma de entrevista para describir el perfil del paciente y Kessler 10 para estimar niveles del distress a 130 usuarios de tres Centros de las Organizaciones no Gubernamentales de Managua, Nicaragua. Nivel encontrado de distress psicológico (severo y muy severo), fue de un 35%. También se encontró que un número importante de los pacientes que están siendo tratados actualmente por problemas de salud mental, persisten en experimentar síntomas del distress psicológico. Se concluyó que los hallazgos de este estudio sugieren una revisión sistemática de las políticas y estrategias de intervención y el fortalecimiento de ambos sistemas involucrados, Sistema de Salud y de Drogodependencia. DESCRIPTORES:Comorbilidad. Distrés psicológico. Trastornos relacionados con sustancias. Atención en salud mental. COMORBIDITY BETWEEN PSYCHOLOGICAL DISTRESS AND DRUG ABUSE TREATMENT CENTER PATIENTS: IMPLICATIONS FOR POLICIES AND PROGRAMS, MANAGUA -NICARAGUA ABSTRACT:There is in patients with mental disorders a high frequency of psychopathology, by drug abuse. The simultaneous presence of both is Comorbidity and affects the quality of life of patients. The aim of this study was to determine the prevalence of comorbidity between psychological distress and abuse/dependence of drugs among patients in treatment centers in Nicaragua. The EULAC-CICAD and Kessler-10 was used for data collection in 130 patients over 18 years, in treatment by abuse/dependence on drugs in three Centers of Non-Governmental Organizations in Managua, Nicaragua. 35% presented psychological distress. A significant number of patients currently being treated for mental health problems persist in experiencing symptoms of psychological distress. It was concluded that the findings of this study suggest a systematic review of policies and intervention strategies and the strengthening of both Systems of Health and Drug Dependency. DESCRIPTORS:Comorbidity. Psychological distress. Substance use-related disorders. Mental health assistance. COMORBIDADE ENTRE SOFRIMENTO PSÍQUICO E ABUSO DE DROGAS EM PACIENTES DE CENTROS DE TRATAMENTO: IMPLICAÇÕES PARA AS POLÍTICAS E PROGRAMAS

Motivations and repercussions regarding crack consumption: the collective discourse of users of a Psychosocial Care Center

“…Research conducted in Nicaragua also adds risk of anxiety, bipolar disorder and schizophrenia. 21 The reduction in financial condition was also identified in a study 18 conducted with drug users treated at a rehabilitation clinic for drug addicts in the state of Paraná, Brazil. The results showed that 77% of respondents reported having lost their jobs because of crack use, revealing the financial imbalance as one of the consequences of such conduct.…”