Depression, anxiety, hopelessness and quality of life in users of cocaine/crack in outpatient treatment

Abstract

Objective: To identify symptoms of anxiety, depression, and feelings of hopelessness in patients in outpatient treatment for substance dependency and to test for correlations with various aspects of their quality of life. Methods: A cross-sectional study of a sample of 25 men in recuperation from substance dependency, selected by convenience. We assessed symptoms of depression (Beck Depression Inventory-II), anxiety (Beck Anxiety Inventory), hopelessness (Beck Hopelessness Scale), and quality of life (World Health Organization Quality of Life instrument-Abbreviated version [WHOQOL-Bref]), and also analyzed sociodemographic profile, substance abuse, and family history. Categorical variables were expressed as frequencies and percentages and quantitative variables as means and standard deviations or as medians and interquartile ranges. We also analyzed Spearman correlations to a 5% significance level. Results:The study revealed prevalence rates of 32% for depression, 24% for anxiety, and 12% for hopelessness, at a moderate/severe level. Correlations between Beck scales and WHOQOL-Bref were significant; but impacts differed in the four areas evaluated. Conclusions: Overall, we observe global negative impacts on subjects' lives, affecting their psychiatric symptoms and quality of life and their relationships and occupational factors to a similar degree. The results show that the lower the scores on these scales, the better the quality of life in some areas, indicating that there is a negative correlation between psychiatric symptoms and quality of life. Keywords: Depression, anxiety, quality of life, cocaine, crack. ResumoObjetivo: Identificar sintomas de ansiedade, depressão e sentimentos de desesperança em pacientes dependentes químicos em tratamento ambulatorial e verificar a existência de correlações com os diferentes âmbitos da qualidade de vida. Métodos: Estudo transversal com 25 homens em recuperação para dependência química, selecionados por conveniência. Foram avaliados sintomas de depressão (Inventário de Depressão de Beck-II), ansiedade (Inventário de Ansiedade de Beck) desesperança (Escala de Desesperança de Beck) e qualidade de vida (World Health Organization Quality of Life instrument--Abbreviated version [WHOQOL-Bref]), bem como perfil sociodemográfico, uso de substâncias e histórico familiar. Variáveis categóricas foram apresentadas como frequências e percentuais, e variáveis quantitativas, como médias e desvios-padrão ou medianas e intervalos interquartis. Foram utilizadas também correlações de Spearman com nível de significância de 5%. Resultados: O estudo revelou prevalência de 32% para depressão, 24% para ansiedade e 12% para desesperança, em ní-veis moderado/grave. As correlações entre os inventários Beck e o WHOQOL-Bref foram significantes; entretanto, os impactos diferiram nos quatro domínios avaliados. Conclusões: De modo geral, observaram-se prejuízos globais na vida dos sujeitos, tanto frente a sintomas psiquiátricos e qualidade de vida quanto sobre relacionamentos e questões ocupaci...

Personality traits in substance use disorders and obesity when compared to healthy controls

“…Our findings that individuals with SUD, but not obese individuals, show higher NEM scores compared to HC are in line with previous work showing that alcohol and drug users experience higher negative emotionality, including anxiety, depression and aggression [5,6,13,58–61]. In this study, the associations between NEM and drug use were present in individuals without psychiatric disorders other than SUDs.…”

Health anxiety during the early phases of COVID‐19 pandemic in Turkey and its relationship with postpandemic attitudes, hopelessness, and psychological resilience

“…Despite the lack of research demonstrating the direct effect of hopelessness on health anxiety, research in physical and psychiatric diseases suggested that general anxiety levels and hopelessness were closely related. [41][42][43] It was reported that the individuals experiencing hopelessness frequently overestimated risks and underestimated benefits of potential life-saving treatments, 44 and thus, this study predicts that this aspect might have an impact on health anxiety during pandemics.…”

Terapia Comunitária como cuidado complementar a usuários de drogas e suas contribuições sobre a ansiedade e a depressão

“…The sociodemographic characteristics, psychoactive drug use and treatment found in this research were similar to other national and international studies. [26][27][28][29][30] Regarding depression, this research highlighted users with moderate and severe types. These findings were also verified in national studies conducted in Rio Grande do Sul, 4,31 in Paraná, 25 in 26 and in the interior of São Paulo, 28 as well as in international studies, both conducted in Australia.…”