Titre : | Significance of comorbidity for the long-term course of opiate dependence |
Titre traduit : | (L'importance de la comorbidité sur le parcours à long terme de la dépendance aux opiacés) |
Auteurs : | U. VERTHEIN ; P. DEGKWITZ ; C. HAASEN ; M. KRAUSZ |
Type de document : | Périodique |
Année de publication : | 2005 |
Format : | 15-21 / tabl. |
Note générale : |
European Addiction Research, 2005, 11, (1), 15-21 |
Langues: | Anglais |
Discipline : | TRA (Traitement et prise en charge / Treatment and care) |
Mots-clés : |
Thésaurus mots-clés DEPENDANCE ; OPIACES ; COMORBIDITE ; PSYCHIATRIE ; DEVENIRThésaurus géographique ALLEMAGNE |
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) |
Note de contenu : | tabl. |
Domaine : | Drogues illicites / Illicit drugs |
Refs biblio. : | 22 |
Affiliation : |
Ctr Interdisciplinary Addiction Res. Hamburg Univ., Martinistrasse 52, 20246 Hamburg ; verthein@sozialwiss.uni-hamburg.de Allemagne. Germany. |
Numéro Toxibase : | 506145 |
Centre Emetteur : | 05 Marmottan |
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