EUROPASI comparisons of cocaine and heroin addicts
DOI:
https://doi.org/10.20882/adicciones.385Keywords:
EuropASI, cocaine addicts, heroin addicts, psychosocial profileAbstract
The objective of this study is to analyse the differences between heroin addicts and cocaine addicts in the areas measured by the EuropASI. It is also aimed to draw up a user profile for each of the groups, with the psychosocial characteristics of these patients. The sample was made up of 373 patients, taken at random from those requesting treatment for addiction to cocaine or heroin during 2003 at the Proyecto Hombre centres in Spain. The results show that, in general, the heroin programme users present greater severity in their consumption pattern and have more associated problems than the cocaine programme users. This tendency is reflected in practically all the areas measured by the EuropASI: state of health, education and employment, legal situation and social/ family relationships. Psychiatric state is the only area in which there are no differences between the two groups. The results are discussed and their clinical implications analysed.References
Aharonovich, E., Nguyen, H. T. y Nunes, E. V. (2001). Anger and depressive states among treatment-seeking drug abusers: Testing the psychopharmacological specificity hypothesis. American Journal on Addictions, 10(4), 327-334.
Ballard, C. A. (2003). Counseling outcome research: The use of the Addiction Severity Index in a homeless population. Univ Microfilms International.
Bobes, J., González, M. P., Sáiz, P. A. y Bousoño, M. (1996). Índice europeo de severidad de la adicción: EuropASI. Versión española. Actas de la IV Reunión Interregional de Psiquiatría, 1996, 201-218.
Brown, T. G., Seraganian, P. y Shields, N. (1999). Subjective
appraisal of problem severity and the ASI: secondary data or second opinion? Addiction Severity Index. Journal of Psychoactive Drugs, 31(4), 445-449.
Butler, S. F., Budman, S. H., Goldman, R. J., Newman, F. L., Beckley, K. E., Trottier, D. y Cacciola, J. S. (2001). Initial validation of a computer-administered Addiction Severity Index: the ASI-MV. Psychology of addictive behaviors: journal of the Society of Psychologists in Addictive Behaviors, 15(1), 4-12.
Chermack, S. T., Roll, J., Reilly, M., Davis, L., Kilaru, U. y
Grabowski, J. (2000). Comparison of patient selfreports and urinalysis results obtained under naturalistic methadone treatment conditions. Drug and Alcohol Dependence, 59(1), 43-49.
Claus, R. E., Kindleberger, L. R. y Dugan, M. C. (2002).
Predictors of attrition in a longitudinal study of substance abusers. Journal of Psychoactive Drugs, 34(1), 69-74.
Craig, R. J., & Olson, R. E. (1990). MCMI comparisons of cocaine abusers and heroin addicts. Journal of Clinical Psychology, 46(2), 230-237.
Fieldman, N. P., Woolfolk, R. L. y Allen, L. A. (1995). Dimensions of self-concept: A comparison of heroin and cocaine addicts. American Journal of Drug & Alcohol Abuse, 21(3), 315-326.
French, M. T., Salome, H. J., Sindelar, J. L. y McLellan, A. T. (2002). Benefit-cost analysis of addiction treatment: methodological guidelines and empirical application using the DATCAP and ASI. Health Services Research, 37(2), 433-455.
Gimeno, C., Esteban, J., Pellin, M. C., Climent, J. M., Camacho, I., Gimeno, M. J., Llinares, R., Furio, J. L., Mora, E., Tores, D., Martin, T. y De La Hoya, P. S. (2002). Mejoria de la gravedad de la adiccion en los tratamientos con metadona. Adicciones, 14(2), 151-160.
Hanlon, T. E., O’Grady, K. E. y Bateman, R. W. (2000). Using
the Addiction Severity Index to predict treatment outcome among substance abusing parolees. Journal of Offender Rehabilitation, 31(3), 67-79.
Hubbard, R. L., Flynn, P. M., Craddock, S. G. y Fletcher, B. W. (2001). Relapse after drug abuse treatment. En F. M. Tims y C. G. Leukefeld (Eds.), Relapse and recovery in addictions. (pp. 109-121): Yale University Press.
Johnson, J. L., Wiechelt, S. A., Ahmed, A. U. y Schwartz, R.P. (2003). Outcomes for Substance User Treatment in Women: Results from the Baltimore Drug and Alcohol Treatment Outcomes Study. Substance Use & Misuse, 38(11), 1807-1829.
Kokkevi, A. y Hartgers, C. (1995). European adaptation of a
multidimensional assessment instrument for drug and alcohol dependence. European Addiction Research, 1, 208-210.
Leonhard, C., Mulvey, K., Gastfriend, D. R. y Shwartz, M. (2000). The Addiction Severity Index: a field study of internal consistency and validity. Journal of Substance Abuse Treatment, 18(2), 129-135.
McCaul, M. E., Svikis, D. S. y Moore, R. D. (2001). Predictors
of outpatient treatment retention: patient versus substance use characteristics. Drug and Alcohol Dependence, 62(1), 9-17.
McLellan, A. T., Luborsky, L., Woody, G. E. y O’Brien, C. P.(1980). An improved diagnostic evaluation instrument for substance abuse patients. The Addiction Severity Index. The Journal of Nervous and Mental Disease, 168(1), 26-33.
Rosen, C. S., Ouimette, P. C., Sheikh, J. I., Gregg, J. A. y Moos, R. H. (2002). Physical and sexual abuse history and addiction treatment outcomes. Journal of Studies on Alcohol, 63(6), 683-687.
Scheurich, A., Muller, M. J., Wetzel, H., Anghelescu, I., Klawe,
C., Ruppe, A., Lorch, B., Himmerich, H., Heidenreich, M., Schmid, G., Hautzinger, M. y Szegedi, A. (2000). Reliability and validity of the German version of the European Addiction Severity Index (EuropASI). Journal of Studies on Alcohol, 61(6), 916-919.
Serrat More, D. (2003). Problemas medico-legales del consumo de drogas. Adicciones, 15(1), 77-89.
Shorin, E. A. (1999). Drug choice, affect., Univ Microfilms
International.
Siegal, H. A., Falck, R. S., Wang, J. y Carlson, R. G. (2002).
Predictors of drug abuse treatment entry among crackcocaine
smokers. Drug and Alcohol Dependence, 68(2), 159-166.
Sindelar, J. L., Jofre-Bonet, M., French, M. T. y McLellan,
A. T. (2004). Cost-effectiveness analysis of addiction treatment: paradoxes of multiple outcomes. Drug and Alcohol Dependence, 73(1), 41-50.
