Depressive symptoms and factors associated with depression and suicidal behavior in substances user in treatment: Focus on suicidal behavior and psychological problems

Pillon, Sandra Cristina; Vedana, Kelly Graziani Giacchero; Teixeira, Jessica Adrielle; Santos, Leonardo Afonso dos; Souza, Roberto Martins de; Diehl, Alessandra; Rassool, G. Hussein; Miasso, Adriana Inocenti

doi:10.1016/j.apnu.2018.11.005

Cited by 10 publications

(6 citation statements)

References 36 publications

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“…Consistent with previous findings, we did not find any differences between groups in the age of SUD onset between groups (30). The SUD + MDD patients showed higher rates of medical disorder comorbidity (30,37,59) and more suicide attempts (26,28,30,32,37,59,60). In the current research, the SUD + MDD patients reported more personal psychiatric history than the SUD ones (39,61,62), which is in line with a recent study on SUD + MDD patients with lower mental health component compared with the SUD ones (30).…”

Section: Discussionsupporting

confidence: 91%

“…As there is little known about the prevalence of SUD and severe mental illness comorbidity in Iran, future research should consider more precisely the related substances for the SUD + MDD patients. In contrast to Iranian investigations, European ones reported more nicotine, alcohol, cocaine, and cannabis use (26,32,68,69) in dual patients without considering, in several cases, nicotine as a substance of abuse. Contrary to previous studies (30,31), the SUD group reported more poly drug use and number of substance use compared with the SUD + MDD ones.…”

Section: Discussioncontrasting

confidence: 65%

“…Dual disorder patients suffer higher rates of psychiatric hospitalizations (25), suicide attempts (26), more social problems and delinquent behaviors (24,27), worse QOL (28)(29)(30), lower social consultation, and lesser use of social support (31), compared with those without comorbidity. A great body of research has indicated that substance use can exacerbate depression (27,32,33). The presence of an MDD increases the likelihood of developing an SUD and vice versa (34), although familial and genetic factors seem to be two risk factors for comorbidity of SUD and MDD (SUD + MDD) (35).…”

Section: Introductionmentioning

confidence: 99%

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Circadian Functioning and Quality of Life in Substance Use Disorder Patients With and Without Comorbid Major Depressive Disorder

et al. 2021

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Aim: Although a relationship between circadian disruption and development of several psychiatric disorders, such as major depressive disorder (MDD) and substance use disorder (SUD), has been observed, knowledge on this area is scarce yet. Therefore, this study aims to analyze the circadian functioning and quality of life (QOL) in SUD patients with and without comorbid MDD, two highly prevalent clinical entities with difficult therapeutic management.Methods: One hundred sixty-three male patients under treatment, 81 with SUD and 82 with SUD comorbid major depressive disorder (SUD + MDD), were evaluated. For the circadian functioning assessment, we calculated Social Jet Lag (SJL) and used the reduced Morningness–Eveningness Questionnaire (rMEQ) and the Pittsburgh Sleep Quality Index (PSQI). QOL was measured using the shortened version of the World Health Organization's Quality of Life Questionnaire (WHOQOL-BREF). We collected sociodemographic and clinical variables to evaluate their possible influence on the circadian functioning. Intergroup differences among the variables were examined by different analyses of covariance (ANCOVA and MANCOVA). The possible relationships of quantitative clinical variables with rMEQ, PSQI, and WHOQOL-BREF were explored using bivariate correlation analysis.Results: Lower SJL appears in the SUD + MDD group compared with SUD. The intermediate-type was more prevalent in the SUD group, while a higher percentage of morning-type patients was found in the SUD + MDD. Sleep quality (including latency and daytime dysfunction) was worse for SUD + MDD patients than for SUD even after controlling age and age of SUD onset variables. Last, QOL was poorer in patients with SUD + MDD and, for them, psychological health had a negative relationship with SJL and severity of depression.Conclusions: Our data support and extend previous findings indicating that SUD + MDD is associated with worse clinical characteristics, more sleep problems, and poorer QOL than SUD patients. These results underline the importance of a precise assessment of these measurements in future studies conducted in SUD patients with/without MDD comorbidity that could be considered from a therapeutic point of view.

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Section: Discussionsupporting

confidence: 91%

Section: Discussioncontrasting

confidence: 65%

Section: Introductionmentioning

confidence: 99%

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Circadian Functioning and Quality of Life in Substance Use Disorder Patients With and Without Comorbid Major Depressive Disorder

et al. 2021

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“…É importante identificar potenciais fatores de risco para o suicídio, como a depressão e a ansiedade para se implementar o gerenciamento dos casos. Estudo realizado em um Estado do Sul do Brasil com dependentes de drogas mostrou que a ideação suicida estava presente em pessoas que tinham ansiedade, eram nervosas, tinham sintomas depressivos ou estavam sob influência de drogas ou em abstinência das mesmas (Pillon et al, 2019).…”

Section: Resultsunclassified

Enfermagem: a ciência da vida

2021

Enfermagem: A Ciência Da Vida

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Nessa perspectiva, para a base de dados em Português, foram aplicados os descritores em ciências da saúde (DECS) e, para o idioma Inglês, realizou-se a busca no Medical Subject Headings (MeSH). Da mesma forma, foram utilizados os operadores booleanos AND e "" para a associação dos descritores, da seguinte forma: "terapia pela arte" OR "Arteterapia" AND "Oncologia" AND "família" -em Português; "art therapy" AND "oncology" AND "family" -em Inglês; "terapia con arte" OR "Arteterapia" AND "oncología" AND "familia" -em Espanhol. Para a seleção dos artigos, empregaram-se as recomendações dos Principais Itens para RelatarRevisões Sistemáticas e Meta-Análises -PRISMA (SHAMSEER et al., 2015). Foram adaptados, para esta revisão integrativa, os seguintes critérios de inclusão: publicações em periódicos indexados nas bases selecionadas, em idioma Português, Espanhol ou Inglês e sem recorte temporal. As buscas não tiveram recorte temporal, a fim de garantir uma abrangência maior de trabalhos. Definiram-se os seguintes critérios de exclusão: referências que não responderam à pergunta norteadora, artigos de revisão, livros, capítulo de livros, artigos empíricos e textos cujas referências não estavam completas e disponíveis gratuitamente. Artigos repetidos em mais de uma base indexadora foram computados uma única vez. A busca foi realizada no período de set.-nov. de 2020, por meio do cruzamento dos descritores anteriormente citados. RESULTADOS E DISCUSSÃOO levantamento possibilitou o acesso a 1.008 referências, das quais 732 vieram do Google Acadêmico, 234 da PubMed, 42 da BVS e nenhuma da SciELO. Destes, foram incluídos 927 e excluídos 530 artigos.Após a leitura na íntegra, a seleção final foi composta por 16 publicações, que se mostraram pertinentes aos objetivos propostos, sendo nove disponíveis no Google Acadêmico, quatro na PubMed, três na base BVS e nenhuma na SciELO. Assim sendo, a seleção final das referências incluídas na amostra foi demonstrada na Figura 1.(A1) Brando MCMMS. Um novo amanhecer através da Arteterapia... Resgatando relacionamentos, após a mastectomia.

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“…The use of alcohol and other drugs is related to a set of consequences affecting one's health [1,2]. A study review has demonstrated an association between the use of psychoactive substances (PASs) and mental health problems [3]; in recent decades, the literature has been shown an increased risk of suicide among individuals who consume alcoholic beverages [4] and/or use other drugs [5,6].…”

Section: Introductionmentioning

confidence: 99%

Psychoactive substances use before suicide: detailed analysis of all cases that occurred in the Brazilian Federal District in a 10-years period

et al. 2022

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Background Psychoactive substances (PASs) are an important risk factor for suicide. This study investigated the sociodemographic characteristics, data related to the suicidal behavior, the methods employed, the circumstances of the events, and the use of PASs before dying in all suicides that occurred between 2005–2014 in the Brazilian Federal District, comparing cases with positive and negative detection for PASs in the post-mortem analysis to identify groups at greatest risk. Methods A population-based, observational, cross-sectional study with an analytical aspect was conducted with suicides cases collected from local police, which toxicological examination was performed (headspace gas chromatographic-mass spectrometry-HS-GC/MS) for detection of ethanol and methanol in blood samples; immunoassay for other substances (cocaine, marijuana, benzodiazepine). Results The results showed that the increase in the suicide rate was 10 × greater than the population growth, and 44% of the individuals used PASs before suicide. Individuals are more likely to die by suicide at home, be male, have tried before, and change their behavior days before death; they choose to hang as the method and are influenced by alcohol. Conclusion Identifying what sociodemographic characteristics are associated with a fatal suicide attempt among individuals who use PASs and those who do not use and those who have/do not have mental disorders and what methods are employed could be employed as a path to better interventions. Thus, prevention actions could be planned and directed to individuals with greater risk.

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Depressive symptoms and factors associated with depression and suicidal behavior in substances user in treatment: Focus on suicidal behavior and psychological problems

Cited by 10 publications

References 36 publications

Circadian Functioning and Quality of Life in Substance Use Disorder Patients With and Without Comorbid Major Depressive Disorder

Circadian Functioning and Quality of Life in Substance Use Disorder Patients With and Without Comorbid Major Depressive Disorder

Enfermagem: a ciência da vida

Psychoactive substances use before suicide: detailed analysis of all cases that occurred in the Brazilian Federal District in a 10-years period

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