Psychiatric and substance-use comorbidities associated with lifetime crack cocaine use in young adults in the general population

Narvaez, Joana Corrêa de Magalhães; Jansen, Karen; Pinheiro, Ricardo Tavares; Kapczinski, Flávio; Silva, Ricardo A.; Pechansky, Flávio; Magalhães, Pedro Vieira da Silva

doi:10.1016/j.comppsych.2014.04.021

Cited by 92 publications

(85 citation statements)

References 56 publications

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“…Also, crack cocaine users reported to have higher scores of those types of trauma, as well as lower scores of factors 1 and 2 of the Resilience Scale when compared to controls. This finding among crack cocaine users could be explained by the impairment on executive functions among individuals with substance abuse disorder [41][42][43]. Cunha et al have demonstrated that crack cocaine users have an important deficit in decision making and that these cognitive changes may be associated with a social misfit [44].…”

Section: Discussionmentioning

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: Discussionmentioning

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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“…Tais resultados encontram consonância com outras investigações que identificaram associações entre crack e cocaína, e sintomas psiquiátricos 28,29 , como Narvaez et al 30 , que viram associação entre uso de drogas e sintomas depressivos. Kessler et al 31 também encontraram uma variação entre 27,4% e 53,4% de sintomas psiquiátricos ao avaliar os pacientes antes de iniciar o tratamento para dependência das mesmas substâncias.…”

Section: Discussionunclassified

Sintomas psiquiátricos e características sociodemográficas associados à tentativa de suicídio de usuários de cocaína e crack em tratamento

Silva

Ávila

Yates

et al. 2017

J. bras. psiquiatr.

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RESUMOObjetivo: O objetivo do estudo foi analisar as características sintomatológicas e sociodemográficas associadas ao histórico de tentativa de suicídio (TS) de usuários de cocaína e crack internados para tratamento. Métodos: Trata-se de um estudo transversal envolvendo 160 participantes que responderam a uma entrevista clínica semiestruturada e ao instrumento Adult Self-Report (ASR). O modelo de Regressão Logística foi utilizado para testar os sintomas psicológicos associados à TS dessa amostra. Resultados: As diferenças entre o grupo com TS e sem TS foram significativas (p < 0,001), e, do total da amostra, 30,6% (n = 49; p = 0,428) possuíam histórico de TS e 30,5% (n = 20) relataram ideação suicida no atual tratamento. A etnia, os sintomas de depressão e os problemas de pensamento estiveram associados à TS, enquanto comportamentos intrusivos, de quebra de regras e problemas internalizantes serviram de proteção à TS. Conclusões: Os achados reforçam a necessidade da avaliação psiquiátrica dos estados emocionais, de comorbidades e do risco de suicídio no ingresso e durante o tratamento para dependência química. ABSTRACTObjective: The objective of this study was to analyze the symptoms and sociodemographic characteristics associated with the history of attempted suicide (TS) of cocaine and crack users hospitalized for treatment. Methods: This is a cross-sectional study involving 160 participants who completed a semi-structured clinical interview and the Adult Self-Report (ASR) instrument. The Logistic Regression model was used to test the psychological symptoms associated with TS of this sample. Results: The differences between the TS and non-TS groups were significant (p < 0.001). Of the total sample, 30.6% (n = 49; p = 0.428) had a history of TS and 30.5% (N = 20) reported suicidal ideation in the current treatment. Ethnicity, symptoms of depression and problems of thinking were associated with TS, whereas intrusive, rule-breaking and internalizing problems served as protection for TS. Conclusions: The findings reinforce the need for psychiatric evaluation of emotional states, comorbidities and risk of suicide at admission and during treatment for chemical dependence.

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“…Younger crack users, usually have high prevalence of comorbidities, such as depression, generalized anxiety, and antisocial personality disorder. These disorders can both be facilitators of the experimental use of the drug, as well as of its continued and eventually dependent use 19 . Among the events and motivations associated with crack use, we can highlight social vulnerability, influence of friendship networks, curiosity, seek for pleasure and previous/concomitant use of other illicit drugs and alcohol 20 .…”

Section: Crack Cocaine Usersmentioning

confidence: 99%

Semelhanças e contrastes nos padrões de uso de crack em Santa Catarina, Brasil: capital vs Meio Oeste

Zeferino

Fermo

Fialho

et al. 2017

Ciênc. saúde coletiva

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Psychiatric and substance-use comorbidities associated with lifetime crack cocaine use in young adults in the general population

Cited by 92 publications

References 56 publications

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

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

Sintomas psiquiátricos e características sociodemográficas associados à tentativa de suicídio de usuários de cocaína e crack em tratamento

Semelhanças e contrastes nos padrões de uso de crack em Santa Catarina, Brasil: capital vs Meio Oeste

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