TY - JOUR
PY - 2017//
TI - Psychopathological profile and prevalence of dual pathology on patients with alcoholic dependence undergoing outpatient treatment
JO - Actas espanolas de psiquiatria
A1 - García-Carretero, Miguel A.
A1 - Novalbos-Ruiz, José P.
A1 - Robles-Martínez, María
A1 - Jordán-Quintero, María A.
A1 - O'Ferrall-González, Cristina
SP - 1
EP - 11
VL - 45
IS - 1
N2 - AIMS: Assess the prevalence of dual pathology in patients with alcohol dependence and describe the psychopathological profile of mental disorders, impulsiveness, ADHD presence and craving.
METHOD: It is a cross-sectional study about dual pathology, carried out on 102 patients undergoing outpatient treatment. The presence of dual pathology is established by means of the MINI-5 interview and the MCMI-III test; DSM-IV being used as the alcohol abuse criteria. Impulsiveness, ADHD presence, craving and quality of life were measured through SIS, ASRSv1, MACS and SF-36.
RESULTS: The prevalence of dual pathology ranges from 45.1% to 80.4% according to MCMI-III and MINI-5, respectively. The most frequent pathologies are current major depressive episodes, followed by current generalized anxiety disorders, suicide risk and current dysthymia disorders; 73.2% of dual patients present a moderate and intense global score according to MACS, 56.1% got a meaningful score in impulsiveness according to SIS and 41.5% has highly consistent symptoms with ADHD. As regards quality of life, 53.7% of the sample had bad mental health. In the case of dual patients consuming other substances, 30% had a history of bipolar disorders and 10% had a high suicide risk.
CONCLUSIONS: The prevalence of psychiatric comorbidity in patients with alcohol dependence undergoing outpatient treatment varies depending on the detection method, MINI being the one identifying a greater number of cases. More than half of dual patients present impulsive behavior, a bad mental health state and high craving levels. Special attention should be paid to dual patients consuming other substances.
Language: en
LA - en SN - 1139-9287 UR - http://dx.doi.org/ ID - ref1 ER -