Comorbilidad psiquiátrica en una muestra de pacientes con dependencia de cocaína atendidos ambulatoriamente en la red drogas de la Comunidad de Madrid

  1. Isabel Martínez-Gras
  2. Francisco Ferre Navarrete
  3. Jesús Pascual Arriazu
  4. José Peñas Pascual
  5. Mariano de Iceta Ruiz de Gauna
  6. David Fraguas Herráez
  7. Gabriel Rubio Valladolid
  8. C del Álamo 1
  9. P. Alcaraz 2
  10. C. Aranda Martínez
  11. J. Artolazábal
  12. J. Correas 3
  13. R. Llavero 4
  14. José Manuel Montes Rodríguez
  15. J. Morante del Peral
  16. A. Palomares Martín
  1. 1 Hospital Universitario Infanta Cristina (Parla)
  2. 2 Centro de Atención Integral a Drogodependientes (Parla)
  3. 3 Hospital Universitario del Henares
    info

    Hospital Universitario del Henares

    Coslada, España

  4. 4 Centro de Atención Integral a Drogodependientes (Coslada)
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Revista:
Adicciones: Revista de socidrogalcohol

ISSN: 0214-4840

Año de publicación: 2016

Volumen: 28

Número: 1

Páginas: 6-18

Tipo: Artículo

DOI: 10.20882/ADICCIONES.785 DIALNET GOOGLE SCHOLAR lock_openAcceso abierto editor

Otras publicaciones en: Adicciones: Revista de socidrogalcohol

Objetivos de desarrollo sostenible

Resumen

El objetivo de este estudio fue estimar la prevalencia actual de trastornos psiquiátricos en pacientes dependientes de cocaína atendidos en los diferentes centros de tratamiento en la Comunidad de Madrid. Se trata de un estudio multicéntrico prospectivo realizado con una muestra de 197 sujetos con dependencia de cocaína. El instrumento de evaluación utilizado fue la Psychiatric Research Interview for Substance and Mental Disorders (PRISM-IV) (Entrevista de Investigación Psiquiátrica para Trastornos Mentales y Sustancias). La prevalencia actual de comorbilidad psiquiátrica encontrada fue del 64.0%. Los trastornos psiquiátricos más frecuentes no relacionados con el consumo fueron el trastorno por déficit de atención e hiperactividad (34,5%) y los trastornos depresivos (13,7%). El trastorno por uso de sustancias más frecuente fue la dependencia del alcohol (28.4%). Los pacientes dependientes de cocaína que presentaron un trastorno depresivo y los que presentaron dependencia del alcohol mostraron un perfil clínico de mayor gravedad y un mayor grado de psicopatología medido a través de diferentes instrumentos de evaluación en relación con los pacientes que sólo presentaban dependencia de la cocaína. Estos datos sugieren que la presencia de comorbilidad psiquiátrica podría constituir un factor de riesgo asociado a la gravedad de la dependencia de la cocaína. La heterogeneidad clínica encontrada recomienda la búsqueda de tratamientos individualizados que se ajusten de manera mas especifica a las necesidades de esta población.

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