Citation

Formiga MB, Vasconcelos SC, Galdino MKC, Lima MDC. J. Bras. Psiquiatr. 2015; 64(4): 288-295.

Copyright

(Copyright © 2015, Instituto De Psiquiatria)

DOI

10.1590/0047-2085000000091

PMID

unavailable

Abstract

OBJECTIVE: Investigate the occurrence of dual diagnosis in users of legal and illegal drugs.

METHODS: It is an analytical, cross-sectional study with a quantitative approach, non-probabilistic intentional sampling, carried out in two centers for drug addiction treatment, by means of individual interviews. A sociodemographic questionnaire, the Alcohol, Smoking and Substance Involvement Screening Test (ASSIST) and the Mini-International Neuropsychiatric Interview (MINI) were used.

RESULTS: One hundred and ten volunteers divided into abstinent users (group 1), alcoholics (group 2) and users of alcohol and illicit drugs (group 3). The substances were alcohol, tobacco, crack and marijuana. A higher presence of dual diagnosis in group 3 (71.8%) was observed, which decreased in group 2 (60%) and 37.1% of drug abstinent users had psychiatric disorder. Dual diagnosis was associated with the risk of suicide, suicide attempts and the practice of infractions. The crack consumption was associated with the occurrence of major depressive episode and antisocial personality disorder.

CONCLUSION: It was concluded that the illicit drug users had a higher presence of dual diagnosis showing the severity of this clinical condition. It is considered essential that this clinical reality is included in intervention strategies in order to decrease the negative effects of consumption of these substances and provide better quality of life for these people. © 2015, Editora Cientifica Nacional Ltda. All rights reserved.

Language: en

Keywords

adult; human; female; male; aged; quality of life; substance use; drug use; suicide attempt; Psychiatric comorbidity; Substance use disorder; alcohol consumption; questionnaire; antisocial behavior; smoking; cannabis addiction; drug dependence; information processing; cross-sectional study; Drug users; demography; illicit drug; quantitative analysis; Article; clinical assessment; mini international neuropsychiatric interview; Dual diagnosis