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Significance of comorbidity for the long-term course of opiate dependence
(L'importance de la comorbidité sur le parcours à long terme de la dépendance aux opiacés)
Auteur(s) :
U. VERTHEIN ;
P. DEGKWITZ ;
C. HAASEN ;
M. KRAUSZ
Article en page(s) :
15-21
Refs biblio. :
22
Domaine :
Drogues illicites / Illicit drugs
Langue(s) :
Anglais
Thésaurus mots-clés
DEPENDANCE
;
OPIACES
;
COMORBIDITE
;
PSYCHIATRIE
;
DEVENIR
Thésaurus géographique
ALLEMAGNE
Note générale :
European Addiction Research, 2005, 11, (1), 15-21
Note de contenu :
tabl.
Résumé :
ENGLISH :
Objective : Studies on drug dependence show a high prevalence of comorbidity with additional mental disorders. Comorbidity patients also show more poly-substance use and other psychosocial problems. This study analyzed the importance of comorbidity for the long-term course of opiate dependence. Method : 350 opiate-dependent patients were examined at yearly follow-ups over 4 years using the EuropASI for the assessment of drug-related problems and the CIDI for diagnostic of psychiatric disorders. 196 patients were reached at final follow up (56%). Results : Of the patients reached at final follow-up, 30% had severe, 29% mild and 41% no clinically relevant disorders at baseline. However, the linear relationship at baseline - the more severe the disorder, the greater the impairment through drug-related problems - was not present at final follow-up. The results show that lifetime diagnosis of mental disorder had no prognostic relevance for the long-term course of drug dependency. Conclusion : The assumption that opiate users with an additional mental disorder are more vulnerable in their course of addiction could not be confirmed. (Review' s abstract)
ENGLISH :
Objective : Studies on drug dependence show a high prevalence of comorbidity with additional mental disorders. Comorbidity patients also show more poly-substance use and other psychosocial problems. This study analyzed the importance of comorbidity for the long-term course of opiate dependence. Method : 350 opiate-dependent patients were examined at yearly follow-ups over 4 years using the EuropASI for the assessment of drug-related problems and the CIDI for diagnostic of psychiatric disorders. 196 patients were reached at final follow up (56%). Results : Of the patients reached at final follow-up, 30% had severe, 29% mild and 41% no clinically relevant disorders at baseline. However, the linear relationship at baseline - the more severe the disorder, the greater the impairment through drug-related problems - was not present at final follow-up. The results show that lifetime diagnosis of mental disorder had no prognostic relevance for the long-term course of drug dependency. Conclusion : The assumption that opiate users with an additional mental disorder are more vulnerable in their course of addiction could not be confirmed. (Review' s abstract)
Affiliation :
Ctr Interdisciplinary Addiction Res. Hamburg Univ., Martinistrasse 52, 20246 Hamburg ; verthein@sozialwiss.uni-hamburg.de
Allemagne. Germany.
Allemagne. Germany.
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