دورية أكاديمية

Coexistence between personality disorders and substance use disorder. Madrid study about prevalence of dual pathology.

التفاصيل البيبلوغرافية
العنوان: Coexistence between personality disorders and substance use disorder. Madrid study about prevalence of dual pathology.
المؤلفون: González E; Servicio de Psiquiatría. Hospital 12 de Octubre, Madrid, España., Arias F; Servicio de Psiquiatría. Hospital 12 de Octubre, Madrid, España., Szerman N; Servicio de Psiquiatría. Hospital Gregorio Marañón, Madrid, España., Vega P; Instituto de Adicciones, Madrid, España., Mesias B; Instituto de Adicciones, Madrid, España., Basurte I; Servicio de Psiquiatría. Hospital Gregorio Marañón, Madrid, España.
المصدر: Actas espanolas de psiquiatria [Actas Esp Psiquiatr] 2019 Nov; Vol. 47 (6), pp. 218-28. Date of Electronic Publication: 2019 Nov 01.
نوع المنشور: Journal Article; Multicenter Study
اللغة: English
بيانات الدورية: Publisher: Fundación Juan José López-Ibor Country of Publication: Spain NLM ID: 100886502 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1578-2735 (Electronic) Linking ISSN: 11399287 NLM ISO Abbreviation: Actas Esp Psiquiatr Subsets: MEDLINE
أسماء مطبوعة: Publication: 2020- : Zaragoza, Spain : Fundación Juan José López-Ibor
Original Publication: Madrid : Editorial Garsi, c1999-
مواضيع طبية MeSH: Personality Disorders/*epidemiology , Substance-Related Disorders/*epidemiology, Adult ; Alcoholism/diagnosis ; Alcoholism/epidemiology ; Antisocial Personality Disorder/diagnosis ; Antisocial Personality Disorder/epidemiology ; Cocaine-Related Disorders/diagnosis ; Cocaine-Related Disorders/epidemiology ; Cross-Sectional Studies ; Depression/diagnosis ; Depression/epidemiology ; Diagnosis, Dual (Psychiatry) ; Female ; Histrionic Personality Disorder/diagnosis ; Histrionic Personality Disorder/epidemiology ; Humans ; Male ; Marijuana Abuse/diagnosis ; Marijuana Abuse/epidemiology ; Obsessive-Compulsive Disorder/diagnosis ; Obsessive-Compulsive Disorder/epidemiology ; Opioid-Related Disorders/diagnosis ; Opioid-Related Disorders/epidemiology ; Paranoid Personality Disorder/diagnosis ; Paranoid Personality Disorder/epidemiology ; Personality Disorders/diagnosis ; Prevalence ; Spain/epidemiology ; Substance Abuse Treatment Centers/statistics & numerical data ; Substance-Related Disorders/diagnosis
مستخلص: Introduction: Personality disorders (PD) and substance use disorders (SUD) have a high prevalence and an important health and socioeconomic impact so, it is interesting to study the relationship between them. The objectives of the study are: to compare the prevalence of SUD between patients with and without diagnosis of PD, to analyze if any PD is related to the SUD, and if a specific PD is associated with a specific SUD.
Material and Methods: Cross-sectional study in 837 patients from centers of attention to drug addiction and mental health in Madrid, Spain. The Mini International Neuropsychiatric Interview (MINI) and the Personality Diagnostic Questionnaire-4+ (PDQ4+) are used to detect mental disorder and PD, respectively.
Results: SUD is significantly higher in antisocial PD (p<0.01); sedative (p<0.01) and alcohol (p<0.05) use disorder in borderline PD; cocaine (p<0.05) and alcohol (p<0.01) use disorder in paranoid PD; and alcohol use disorder in histrionic PD (p<0.01). The SUD for cocaine is lower in obsessive- compulsive PD (p<0.05) and depressive PD (p<0.01). There is a positive correlation between the number of PD of a subject and the number of SUD that it presents. The risk of an alcohol [OR of 1,08 CI (1,01-1,16)] or sedatives [OR of 1,08 CI (1,001-1,17)] use disorders increases if an individual presents more than one type of PD.
Conclusions: There is not differences of SUD prevalence between PD and not PD groups. We found an association between SUD and PD of cluster B (antisocial, borderline and histrionic) and also with paranoid PD. The SUD are more common among man with the exception of sedatives.
تواريخ الأحداث: Date Created: 20191224 Date Completed: 20200511 Latest Revision: 20200511
رمز التحديث: 20240829
PMID: 31869422
قاعدة البيانات: MEDLINE