Historique
Périodique
Psychiatric severity and mortality in substance abusers. A 15 year follow-up of drug users
(Gravité des troubles psychiatriques et mortalité chez des usagers de substances psychoactives. Une étude de suivi de 15 ans sur le devenir des usagers de drogues)
Auteur(s) :
FRIDELL, M. ;
HESSE, M.
Année
2006
Page(s) :
559-565
Langue(s) :
Anglais
Refs biblio. :
27
Domaine :
Plusieurs produits / Several products
Discipline :
PSY (Psychopathologie / Psychopathology)
Thésaurus mots-clés
FACTEUR PREDICTIF
;
PSYCHIATRIE
;
MORTALITE
;
PSYCHOPATHOLOGIE
;
DEVENIR
;
ETUDE LONGITUDINALE
;
SUIVI DU PATIENT
;
ABSTINENCE
;
TROUBLES DE LA PERSONNALITE
;
PSYCHOTHERAPIE
;
EFFICACITE
Thésaurus géographique
ETATS-UNIS
Note générale :
Addictive Behaviors, 2006, 31, (4), 559-565, graph.
Résumé :
Previous research has shown that most transitions into abstinence happens in the stages of the drug career quickly after the first treatment episode. Mortality is somewhat reduced for patients who become abstinent, but remains high for patients who remain addicted. However, even among substance abusers who become abstinent, mortality is often higher than in the general population. A consecutive sample of drug users admitted for detoxification was followed for 15 years. Face-to-face interviews were conducted at 5-year follow-up. At 15-year follow-up, 24% were dead. Cox proportional hazard regression was conducted to predict mortality for continuous variables, and Gehan's Wilcoxon test was used to predict mortality for dichotomous variables. Psychiatric status at 5-year follow-up was predictive of 15-year mortality, whereas abstinence was not. Subjects who later died had higher scores on the Symptom Checklist 90 [SCL-90] Global Severity Index, lower meaningfulness on the Sense of Coherence scale, and lower Global Assessment of Functioning [GAF] scores at 5-year follow-up. By contrast, there were no associations between baseline drug use and antisocial personality disorder diagnoses and mortality. Psychiatric treatment, including psychotherapy, may be more life-saving for substance abusers than drug-abuse services. (Editor's abstract.)
Affiliation :
University of Aarhus, Centre for Alcohol and Drug Research, Kobmagergade 26E, 1150 Copenhagen C.
Etats-Unis. United States.
Etats-Unis. United States.