Publication: Analysis of the profiles of patients with dual pathology attending addiction centers, mental health centers, and a coordinated service
Authors
Mancheño-Barba, Juan José ; Navas-León, Sergio ; Gutiérrez-Lopez, Maria-Luisa ; Rosa-Cáceres, Ana de la ; Cáceres-Pachón, Pilar
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Publisher
Universidad de Murcia
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DOI
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info:eu-repo/semantics/article
Description
Abstract
La atención médica y psicológica de pacientes con patología
dual es realizada por servicios de salud mental, adicciones, o coordinada.
No obstante, es elección de los pacientes acudir a uno u otro servicio. Este
trabajo tiene como objetivo analizar las semejanzas y diferencias de pacien-
tes con patología dual que acuden a estos centros. El estudio se ha realiza-
do con 170 pacientes diagnosticados de patología dual atendidos en el Ser-
vicio Provincial de Drogodependencias de Huelva (SPDH) y Unidades de
Salud Mental Comunitaria (USMC) de la provincia de Huelva. En el SPDH
la prevalencia de pacientes con dependencia a heroína y cocaína es mayor
(35.9% vs 2% en USMC y 16.4% en coordinado). En las USMC se observa
una mayor prevalencia de pacientes con dependencia a cannabis (41.2% vs
9.4% en el CTA y 16.4% en coordinado). La odds ratio para pacientes con
episodios hipomaníacos fue de 2.879 (p < .05) en el SPDH, y de 0.483 (p <
0.05) para episodios maníacos. Hay una mayor prevalencia de pacientes
con trastornos psicóticos en las USMC en comparación con el SPDH
(66% vs 37.5%). Las diferencias detectadas en los perfiles deben ser consi-
deradas en la planificación asistencial de los centros que atienden a estos
pacientes.
The aim of this study was to analyze and compare the profile of dual patients treated in mental health units or drug user services with pa- tients using both. The sample consisted of 170 patients diagnosed with dual pathology, re- cruited using an accidental sampling technique. Of the sample, 64 were be- ing treated at Addiction Center of Huelva (ADH), 51 at various Commu- nity of Mental Health Units (CMHU) in the province of Huelva and 55 were treated with a coordinated use of both resources. The patients were diagnosed using MINI and PID-5. A higher prevalence of patients with a cocaine and heroin dependence profile was observed in the patients treat- ed in ADH (35.9%, as opposed to 2% in CMHU and 16.4% in the coor- dinated service). For those patients treated in CMHU there was a higher prevalence of profiles related to cannabis dependence (41.2%, as opposed to 9.4% in the ADH and 16.4% in the coordinated service). The odds ra- tio for hypomanic episodes was 2.879 (p < 0.05) for patients in ADH compared with the other two services. The odds ratio observed for manic episodes was 0.483 (p < .05) in ADH patients, whilst for patients in CMHU there was a higher prevalence of comorbid psychotic disorders in comparison with those using ADH services (66% as opposed to 37.5%). The high prevalence of comorbid disorders -along with the differences in profiles identified between services- suggests the need to consider treating these patients using integrated services.
The aim of this study was to analyze and compare the profile of dual patients treated in mental health units or drug user services with pa- tients using both. The sample consisted of 170 patients diagnosed with dual pathology, re- cruited using an accidental sampling technique. Of the sample, 64 were be- ing treated at Addiction Center of Huelva (ADH), 51 at various Commu- nity of Mental Health Units (CMHU) in the province of Huelva and 55 were treated with a coordinated use of both resources. The patients were diagnosed using MINI and PID-5. A higher prevalence of patients with a cocaine and heroin dependence profile was observed in the patients treat- ed in ADH (35.9%, as opposed to 2% in CMHU and 16.4% in the coor- dinated service). For those patients treated in CMHU there was a higher prevalence of profiles related to cannabis dependence (41.2%, as opposed to 9.4% in the ADH and 16.4% in the coordinated service). The odds ra- tio for hypomanic episodes was 2.879 (p < 0.05) for patients in ADH compared with the other two services. The odds ratio observed for manic episodes was 0.483 (p < .05) in ADH patients, whilst for patients in CMHU there was a higher prevalence of comorbid psychotic disorders in comparison with those using ADH services (66% as opposed to 37.5%). The high prevalence of comorbid disorders -along with the differences in profiles identified between services- suggests the need to consider treating these patients using integrated services.
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