Psychophatological evaluation in Alcohol, Heroin and Cocaine dependents through Brief Symton Inventory
DOI:
https://doi.org/10.20882/adicciones.583Keywords:
psychophatology, alcoholism, heroin dependence and cocaine dependenceAbstract
Objectives: To analyse the presence of psychophatology in users of a mixed Addictive Behaviours Unity (treatment of legal and illegal drugs addiction). To verify in-patients show more psychophatology than one group without problems for use of drugs. Subjects and Method: 216 patients distributed in four groups: three groups composed by patients in treatment (alcohol dependence n=43, heroin dependence n=65, cocaine dependence n=42), plus a control group (n=66) composed by subjects without problems of drugs abuse. The Brief Symptom Inventory (Derogatis, 1975) was administered to all patients in order to evaluate the presence of psychophatology. Analysis of frequencies and measurement central tendency of contrast of differences through analysis of variance and multiple comparisons with Schefeé test has been realized. Results and Discussion: The groups composed by patients show a big variety of psychophatology symptoms. The punctuation’s of control group are significantly more lower than the punctuation’s obtained by the patient groups. From among patient groups, alcohol group shows a bigger number of indicators with statistic significance on comparing with control group. Differences don´t show on comparing the patient groups. Emphasize the sociodemographic characteristics of the group alcohol (greater mean and greater age number of consumption years that the rest of groups of patients), it is possible that this influence the punctuations of psychophatology of this group. The group of cocaine patients is the one which obtains greater punctuations in the global severity index and in the symptoms total. The punctuations in the global indices of psychophatology could indicate a psychological discomfort level that to inder in the maintenance of the abstinence. Finally the implications of these results are discussed and we mark the importance of evaluating the psychophatology in-patients who demand treatment.References
Abbot, P ; Weller, S; Walker,S (1994): "Psychiatric disorders
of opioid addicts entering treatment: preliminary data".
Journal of Addictive Diseasses, Vol 13(3): 1-11.
Asociación Psiquiátrica Americana (1995): "Manual diagnóstico
y estadístico de los trastornos mentales". Ed Masson. Barcelona
Blaszczynski, A; Steel, Z; McConaghy, N: (1997): "Impulsivity
in pathological gambling : the antisocial impulsivity ". Addiction . Vol. 92 (1): 75-87
Calsyn, D; Fleming, CH; Wells, E; Saxon, A. (1996): "Personality
Disorders subtypes among opiate addicts in methadone maintenance". Psychology of addictive behaviors. Vol 10 (1):3-8.
Catton, C. Gralnick, A. Bender, S.(1989): "Young chronic
patients and substance abuse". Hos. Community Psychiatry, 40: 1037-1040.
Cuadrado, P. (1998): "Evolución de la dependencia alcohólica
en tratamiento. Fractores predictivos en un seguimiento de 5 a 7 años". Adicciones, vol 10 nº 4: 335-341.
Darke, S. Wodak, A. Hall, W. Heathern,N. Ward, J. (1992).
Prevalence and predictors of psychopatology among opioid users. British Journal of Addictions.
De Vicente P. Sánchez, N. Ochando, B (1999): "Prevalencia
de trastornos de personalidad en pacientes con dependencia
alcohólica". Trastornos Adictivos, vol 1, nº 3-4. Comunicación presenctada en el VII Congreso Nacional de la Sociedad Española de Toxicomanías.
Derogatis, L. y Cleary, P. (1977): "Confirmation of the dimensional structure of the SCL-90. A study in construct
validation". J. Clin. Psychology 33(4): 981-989.
Derogatis, L. (1975): "Brief Symptom Inventory". Baltimore.
Clinical Psychometric Research.
Derogatis, L.(1983): "SCL-90-R. Administration, scoring and
procedures manual". Clinical Psycometric Research.
Fielman, N; Woolkolf, R, Allen, L.(1995): " Dimensions of
self-concept : a comparison of heroin and cocaine addicts ". American Journal of drug and alcohol abuse. Vol 21 (3): 315-326.
Gawin, F. y Kleber R, H.: "Abstinence symptomatology
and psychiatric diagnosis in cocaine abusers: clinical observations". Arh. Gen. Psychiatry, 43: 107-113.1986
Gold, M.(1993): "Manifestaciones clínicas de la cocaína". En:
Cocaíne. Plenum Press. New York. Ed en Neurociencias.
Gold, M (1989): "The good news about panic, ansiety and
phobias". New York. Villar Books.
Gutierrez, E; Saiz, P; Gonzalez, P; Fernandez, J; Bobes, J:
(1998): "Trastornos de personalidad en adictos a opiáceos
en tratamiento con agonistas vs antagonistas". Adicciones, 10 (2): 121-129.
Havassy, B y Arns, P. (1998).:"Relationship of cocaine and
other substance dependece to well-being of high risk psychiatric patients". Psychiatric Services, vol 49(7): 935-940.
Jellinek, E.M. (1960): "The disease concept of alcoholism".
New Haven CT, College and University Press.
Khantzian, E. J; Treece, C. J. (1985): "DSM-III psychiatric
diagnosis of narcotic addicts: Recent findings". Archives of General Psychiatry. Vol 142: 1067- 1071.
McLlellan, A. Luborsky L, Woody, O´Brien, C. Druley, J (1983). Predicting response to alcohol and drug abuse treatment: role of psychiatric severity. Arch. Gen Psychiatry, 40: 620-25.
Miller, N (1996): " Issues in the diagnosis and treatment of
comorbid addictive and other psychiatric disorders". Addiction psychiatry : Current diagnosis and treatment. New York .
Miller, N. (1995): "Addiction psychiatry: current diagnosis and
treatment". Willy-Liss . New York .
Modell, J.G. Mountz, J.M. Beresdoft, T. (1990): "Basal ganglia/limbic striatal and thalamocortical involvement in craving and loss control in alcoholism". J. Neuropsychiatry
Cli. Neurosciencie 2: 123-144.
Neff, J. A. (1993): "Life stressors, drinking patterns, and
depressie symptomatology: ethniticy and stress-buffer effects of alcohol". Addictive Behavior, vol 18: 373-387.
Nunes, E. Quikin, F. Rosecan, J.(1986): "Psychiatric diagnosis
in cocaine abuse: evidence for biological heterogeneity". Pressented at the British Association for Psychopharmacology, Cambridge, England, July 14.
O´Brien, C. Woody, G. McLlelan, A.(1984) Psychiatric disorders
in opioid dependent patients. J Clinic Psychiatry, 45: 9-13.
O'Connor LE, Berry JW, Morrison A, Brown S. (1995): The
drug of choice phenomenon psychological differences among drug users who preferred different drugs. Int J Addict Apr;30(5): 541-55.
Ochando, B. De Vicente, P. Valderrama, J. (1999): "Estudio de
la adhesión a tratamiento de pacientes con síndrome de dependencia alcohólica". Trastornos Adictivos, vol 1, nº 3-4. Comunicación presentada en el VII Congreso Nacional de la Sociedad Española de Toxicomanías.
Post, R. Weiss, S. Port, A.(1992): "Sensitization and kindling
effects of chronic cocaine administration". En Lakowsky, Galloway y Ehite (ed): Cocaine: pharmacology, physyology and clinical strategies. Boca Raton FL, CRC Press.
Reiger, D. Farmer, M Rae D. Locke, B. (1990). Comorbidity
of mental disorders with alcohol and other drug abuse: Results from the Epidemiologic Catchment Area. J. A. Medical Association, 264: 2511-2518.
Richman, S. A; Tichman, M; Fine, E. W. (1980): "Psychosocial
differences between male and female alcoholics". En: Glanter M, ed. Currents in alcoholism. New York.
Rousanville,B. J ; Tierney, T. ; Crits-Christoph., K; (1982):
"Predictors of treatment outcome in opiate addicts: Evidence for the multidimentsionality of addicts problems". Comprehensive Psychiatry. Vol.23: 462-478.
Rubio, G. Lopez, M. (1999): "Validación del cuestionario sobre los componentes obsesivo- compulsivo de bebida en alcohólicos españoles". Adicciones, vol 11, nº 1: 7-15.
Saiz, F. Ruiz, I. Salvador, L (1998). Estudio de detección de
problemas psiquiátricos en una muestra de pacientes dependientes de opiáceos en tratamiento. Rev. Esp. Drogodependencias, 23(2): 161-168.
San Narciso, G; Carreño, J; Pérez, S; Alvarez, C; Gonzqlez, M; Bobes, J: (1998): "Evolución de los trastornos de personalidad evaluados mediante el IPD en una muestra de pacientes heroinómanos en tratamiento con naltrexona". Adicciones, 10 (1): 7-21
Sánchez-Hervás, E. Tomás, V. Climent, A (1999): Trastornos
de personalidad en adictos a opiáceos. Adicciones 1999, 11(3):221-227
Sayette, M. (1993): The effect of alcohol on emotional response
to a social stressor. J Studies on Alcohol, vol 53 (6): 345-352
Schukit, M. (1985): "The clinical implications of primary diagnostic goups among alcoholism". Arch. Gen Psychiatry,
: 1043-1049.
Siegel, R (1982).: "Cocaine smoking". J Psychoactive Drugs
:271-359.
Sorel, E.(1990): "Cocaína, depresión y familia". Psicopatología,
vol 10, nº4: 192-194.
Van Hasselt, V. B. (1993): "Social skills and depression in
adolescent substance abusers". Addictive Behavior, vol 18: 9-18.
Wojnar, M; Wasilwski, D ; Matsumoto, H ; Cedro, A. (1997):
"Differences in the source of alcohol withdrawal in women and men: a Polis sample". Alcoholism: Clinical and Experimental Research. Vol 21 (8): 1354-1355.
Yates, W; Fulton, A; Gabel, J (1995): "Factores de riesgo de
la personalidad del consumo de cocaína". Rev. Esp. Toxicomanías, nº3: 3-5.


