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A 10-year follow-up study on the health status of heroin addicts based on official registers / X. SANCHEZ-CARBONELL
Titre : A 10-year follow-up study on the health status of heroin addicts based on official registers Titre traduit : (Une étude de suivi sur 10 ans de l'état de santé des héroïnomanes à partir des registres officiels) Type de document : Périodique Auteurs : X. SANCHEZ-CARBONELL ; VILAREGUT A. Année de publication : 2001 Importance : 1777-1786 Note générale : Addiction, 2001, 96, (12), 1777-1786 Langues : Anglais (eng) Mots-clés : Thésaurus TOXIBASE
HEROINE ; SUIVI DU PATIENT ; ETUDE RETROSPECTIVE ; PATHOLOGIE ORGANIQUE ; MORTALITE ; EPIDEMIOLOGIE DESCRIPTIVE
CATALOGNE ; ESPAGNE
Résumé : FRANÇAIS :
Cent trente cinq héroïnomanes qui avaient débuté un traitement en Catalogne en 1985 ont été suivis rétrospectivement jusqu'en 1995. Sur cette période, 25% ont eu un diagnostic de sida, et le taux de mortalité a été de 2,7%. 76 ont été ré-admis en traitement, soit 124 épisodes de traitement dont 30 de maintenance méthadone. Cette méthode de suivi rétrospectif à partir des registres officiels est peu coûteuse, efficace et fiable et elle offre des possibilités de comparaison de la distribution des maladies infectieuses chez les usagers de drogues.
Aims. To determine the health status of a cohort of heroin addicts. Design. Longitudinal follow-up study of a cohort for 10.5 years (March/July 1985-December 1995) based on official registers. Setting. Catalonia, Spain. Participants. One hundred and thirty-five heroin addicts who started treatment in four specialized drug addiction services in Catalonia in 1985. Measurements. (a) Total and annual numbers of AIDS and tuberculosis diagnoses and admissions to drug treatment; (b) annual morbidity rate; (c) average annual morbidity rate; and (d) standardized morbidity ratio. Kaplan-Meier (log rank test was used to assess predictive factors. Findings. During the follow-up period, 34 heroin addicts were diagnosed with AIDS (25%), the average annual morbidity rate was 2.7% and the standardized morbidity ratio was 82. The most frequent diseases indicative of AIDS were Pneumocystis carinii pneumonia (11 cases) and tuberculosis (seven cases of disseminated or extrapulmonary tuberculosis and two cases of pulmonary tuberculosis). Twenty addicts were diagnosed with tuberculosis and 15 were co-infected with AIDS and tuberculosis. Seventy-six addicts were readmitted to treatment and generated 124 drug treatment episodes, 94 of whom were drug-free and 30 on methadone maintenance. Conclusions. Follow-up through registers is a novel, low-cost technique that may provide important and comparable information on the long-term evolution of drug addicts in different European regions. The measures of disease frequency and association obtained allow us to describe and compare the distribution of patterns of infectious complications (AIDS and tuberculosis) and relapses in such a pervasive disorder as heroin addiction. Other advantages of follow-up based on official registers are efficiency, reliability, sensibility and comparability. (Author' s abstract)
Domaine : Drogues illicites / Illicit drugs Affiliation : Fac. Psicol. i Ciencies Educ. Blanquerna, Barcelona, Spain Numéro Toxibase : 205861 Cote : Abonnement Permalink : 12-month follow-up of an exploratory 'brief intervention' for high-frequency cannabis users among Canadian university students / B. FISCHER ; W. JONES ; P. A. SHUPER ; J. REHM in Substance Abuse Treatment, Prevention, and Policy, Vol.7, n°15 (2012)
Titre : 12-month follow-up of an exploratory 'brief intervention' for high-frequency cannabis users among Canadian university students Type de document : Périodique Auteurs : B. FISCHER ; W. JONES ; P. A. SHUPER ; J. REHM Année de publication : 2012 Article en page(s) : 5 p. Langues : Anglais (eng) Mots-clés : Thésaurus Géographique
INTERVENTION BREVE ; CANNABIS ; USAGE PROBLEMATIQUE ; ADULTE JEUNE ; PREVENTION ; SUIVI DU PATIENT ; EVALUATION ; MILIEU ETUDIANT ; REDUCTION DES RISQUES
Discipline : PRE Prévention / Prevention Résumé : Background: One in three young people use cannabis in Canada. Cannabis use can be associated with a variety of health problems which occur primarily among intensive/frequent users. Availability and effectiveness of conventional treatment for cannabis use is limited. While Brief Interventions (BIs) have been shown to result in short-term reductions of cannabis use risks or problems, few studies have assessed their longer-term effects. The present study examined 12-month follow-up outcomes for BIs in a cohort of young Canadian high-frequency cannabis users where select short-term effects (3 months) had previously been assessed and demonstrated.
Findings: N = 134 frequent cannabis users were recruited from among university students in Toronto, randomized to either an oral or a written cannabis BI, or corresponding health controls, and assessed in-person at baseline, 3-months, and 12-months. N = 72 (54 %) of the original sample were retained for follow-up analyses at 12-months where reductions in 'deep inhalation/breathholding' (Q = 13.1; p Conclusions: The results confirm findings from select other studies indicating the potential for longer-term and sustained risk reduction effects of BIs for cannabis use. While further research is needed on the long-term effects of BIs, these may be a valuable - and efficient - intervention tool in a public health approach to high-risk cannabis use.
Domaine : Drogues illicites / Illicit drugs Refs biblio. : 25 Affiliation : Centre for Applied Research in Mental Health and Addictions, Faculty of Health Sciences, Simon Fraser University, Vancouver, BC, Canada Lien : https://doi.org/10.1186/1747-597X-7-15 Permalink :
in Substance Abuse Treatment, Prevention, and Policy > Vol.7, n°15 (2012) . - 5 p.[article]A 25-year follow-up of patients admitted to methadone treatment for the first time: Mortality and gender differences / L. JIMENEZ-TREVINO ; P. A. SAIZ ; M. P. GARCIA-PORTILLA ; E. M. DIAZ-MESA ; F. SANCHEZ-LASHERAS ; P. BURON ; M. J. CASARES ; P. MARINA ; E. GUTIERREZ ; J. BOBES in Addictive Behaviors, Vol.36, n°12 (December 2011)
Titre : A 25-year follow-up of patients admitted to methadone treatment for the first time: Mortality and gender differences Type de document : Périodique Auteurs : L. JIMENEZ-TREVINO ; P. A. SAIZ ; M. P. GARCIA-PORTILLA ; E. M. DIAZ-MESA ; F. SANCHEZ-LASHERAS ; P. BURON ; M. J. CASARES ; P. MARINA ; E. GUTIERREZ ; J. BOBES Année de publication : 2011 Article en page(s) : 1184-1190 Langues : Anglais (eng) Mots-clés : Thésaurus Géographique
METHADONE ; TRAITEMENT DE MAINTENANCE ; SUIVI DU PATIENT ; ETUDE PROSPECTIVE ; MORTALITE ; HEROINE ; DIFFERENCE DE GENRE ; RETENTION
Discipline : TRA Traitement et prise en charge / Treatment and care Résumé : Introduction: We conducted a follow-up study to evaluate the outcome of a heroin-dependent population 25 years after their first enrollment in methadone maintenance treatment (MMT). We assessed mortality in the sample plus actual drug use, treatment, and medical factors associated with drug dependence, focusing on possible gender differences.
Methods: Prospective follow-up study of 214 heroin-dependent patients consecutively admitted for MMT between 1980 and 1984 in the Asturias Public Health Service. The standardized mortality ratio (SMR) and 95% confidence interval (CI) were calculated. An ad-hoc protocol on drug misuse and treatment, drug-related morbidity and Clinical Global Impression (CGI) scores were assessed in the survivors' sample.
Results: Information was received on 159 subjects, 106 of whom were deceased. Men accounted for 76.2% of the study cohort. Over the 25-year follow-up period, the SMR was 22.51 (95% CI = 22.37-22.64). In the survivors sample, 39.6% were still enrolled in MMT; human immunodeficiency virus (HIV) was diagnosed in 47.2% and hepatitis B/C in 81.1%; current heroin use was reported by 22.6%. There were no gender differences in mortality or HIV and hepatitis B/C status. None of the female survivors were using heroin at the 25-year follow-up compared with 31.1% of males.
Conclusions: This study confirms the high mortality of heroin addicts even after enrollment in MMT. Severity of the addiction in terms of mortality was similar in both genders. Women who survived the 25-year follow-up were more likely to have stopped using heroin than men.
Domaine : Drogues illicites / Illicit drugs Affiliation : Department of Psychiatry, University of Oviedo, c/Julian Claveria 6, 33006 Oviedo, Spain Permalink :
in Addictive Behaviors > Vol.36, n°12 (December 2011) . - 1184-1190[article]Abstinence reinforcement maintenance contingency and one-year follow-up / K. L. PRESTON
Titre : Abstinence reinforcement maintenance contingency and one-year follow-up Titre traduit : (Suivi à un an de patients en traitement de maintenance ayant bénéficié d'un renforcement de l'abstinence sous forme de gains, lors de la phase d'induction de la méthadone) Type de document : Périodique Auteurs : K. L. PRESTON ; A. UMBRICHT ; D. H. EPSTEIN Année de publication : 2002 Importance : 125-137 Présentation : graph. ; tabl. Note générale : Drug and Alcohol Dependence, 2002, 67, (2), 125-137 Langues : Anglais (eng) Mots-clés : Thésaurus TOXIBASE
METHADONE ; TRAITEMENT DE MAINTENANCE ; ABSTINENCE ; SUIVI DU PATIENT ; EFFICACITE
Discipline : TRA Traitement et prise en charge / Treatment and care Résumé :
Background: Relapse to drug use is often seen when contingencies designed to reduce drug use are discontinued. This paper reports on a stepdown maintenance contingency and 1-year follow-up in 110 patients who were maintained on methadone (50 or 70 mg/day) and who had completed a contingency management trial targeted to decreasing their opiate use. In the prior study (induction phase, 8 weeks) participants received vouchers for each opiate-negative urine screen or noncontingently. Methods: In this study (maintenance phase, 12 weeks), participants were rerandomized to receive vouchers and take-home methadone doses contingent on providing opiate-negative urine specimens (N=55) or noncontingently (N=55). Since participants had been rerandomized from induction-phase contingencies, most study data were analyzed as if from a 2 x 2 (induction x maintenance) design. Follow-up interviews were conducted at 3, 6, and 12 months after study participation. Results: Patients who received the maintenance contingency following an 8-week induction contingency had better outcomes than those who received noncontingent incentives in either the maintenance or induction phases of the trial. Good outcome at follow-up was predicted by enrollment in methadone maintenance after the study. Significantly more participants in the maintenance contingency group transferred directly to another methadone program. Conclusion: These findings support the therapeutic value of extending the duration of contingency management and long-term methadone maintenance. (Review's abstract.)
Note de contenu : graph. ; tabl. Domaine : Drogues illicites / Illicit drugs Refs biblio. : 45 Affiliation : NIDA, 5500 Nathan Shock Drive, Baltimore, MD 21224
Etats-Unis. United States.
Numéro Toxibase : 804114 Centre Emetteur : 08 CAS Strasbourg Permalink : Acute phase and five-year follow-up study of fluoxetine in adolescents with major depresssion and a comorbid substance use disorder: a review / J. R. CORNELIUS
Titre : Acute phase and five-year follow-up study of fluoxetine in adolescents with major depresssion and a comorbid substance use disorder: a review Titre traduit : (Usage de fluoxétine en phase de crise et étude de suivi sur 5 ans chez des adolescents souffrant d'une grave dépression et d'une comorbidité de troubles liés à l'usage de substances psychoactives : une revue) Type de document : Périodique Auteurs : J. R. CORNELIUS ; D. B. CLARK ; O. G. BUKSTEIN ; B. BIRMAHER ; SALLOUM I. M. ; S. A. BROWN Année de publication : 2005 Importance : 1824-1833 Note générale : Addictive Behaviors, 2005, 30, (9), 1824-1833 Langues : Anglais (eng) Mots-clés : Thésaurus TOXIBASE
COMORBIDITE ; DEPRESSION ; ADOLESCENT ; ANTIDEPRESSEURS ; SUIVI DU PATIENT ; ETUDE LONGITUDINALE
Discipline : TRA Traitement et prise en charge / Treatment and care Résumé :
This paper reviews the results of an acute phase trial and a five-year follow-up study fluoxetine in adolescent with major depression and a substance use disorder (SUD). This study included a 12-week open label acute phase study of 13 comorbid adolescents. followed by comprehensive assessments conducted 1, 3, and 5 years after entry into an acute phase fluoxetine trial. The results of the acute phase study and of the 1, 3, and 5-year follow-up assessments have already been published in four papers. The current paper was designed to cover the results of the study across the entire 5-year time spectrum of the study, and to summarize the clinical results across that entire time period. The data from this pilot study suggest that the long-term (5-year) clinical course for the Alcohol Dependence, Cannabis Dependence, and academic functioning of comorbid adolescents following acute phase treatment with SSRIs is generally good. However, the long-term clinical course for the Major Depression of that comorbid adolescent population is surprisingly poor. (Editor's abstract.)
Domaine : Plusieurs produits / Several products Refs biblio. : 29 Affiliation : Department of Psychiatry, Western Psychiatric Institute and Clinic, University of Pittsburgh School of Medicine, 3811 O'Hara Street, PAARC Suite, Pittsburgh, PA 15213. E-mail : jcornelpitt.edu
Etats-Unis. United States.
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