Professionals' perception on the management of patients with dual disorders
Por:
Roncero, C, Szerman, N, Teran, A, Pino, C, Vazquez, JM, Velasco, E, Garcia-Dorado, M, Casas, M
Publicada:
1 ene 2016
Resumen:
Background: There is a need to evaluate the professionals' perception about the consequences of the lack of therapeutic adherence in the evolution of patients with co-occurring disorders.
Methods: An online survey, released on the Socidrogalcohol [Spanish Scientific Society for Research on Alcohol, Alcoholism and other Drug Addic-tions] and Sociedad Espanola de Patologia Dual [the Spanish Society of Dual Pathology] web pages, was answered by 250 professionals who work in different types of Spanish health centers where dual diagnosis patients are assisted.
Results: Most professionals perceived the existence of noncompliance among dual diagnosis patients. Almost all of these professionals (99%) perceived that noncompliance leads to a worsening of the progression of the patient's disorder, in both the exacerbation of mental disorders and the consumption of addictive substances. Most of the professionals (69.2%) considered therapeutic alliance as the main aspect to take into account to improve the prognosis in this population. The primary purpose of treatment must be the improvement of psychotic-phase positive symptoms, followed by the control of behavior disorders, reduction of craving, improvement of social and personal performances, and reduction of psychotic-phase negative symptoms.
Conclusion: Most professionals perceived low adherence among dual diagnosis patients. This lack of adherence is associated with a worsening of their disease evolution, which is reflected in exacerbations of the psychopathology and relapse in substance use. Therefore, we propose to identify strategies to improve adherence.
Filiaciones:
Roncero, C:
Hosp Valle De Hebron, Addict & Dual Diag Unit, CIBERSAM, Barcelona Publ Hlth Agcy ASPB, Paseo Vall dHebron 119-129, Barcelona 08035, Spain
Autonomous Univ Barcelona, Dept Psychiat, Barcelona, Spain
Szerman, N:
Gregorio Maranon Univ Hosp, Outpatient Mental Hlth Clin El Retiro, Madrid, Spain
Teran, A:
Hosp San Juan Dios, Outpatient Drug Clin, Palencia, Spain
Pino, C:
Galician Hlth Serv Xunta Galicia, Pontevedra City Council, Drug Dependence Serv, Pontevedra, Spain
Vazquez, JM:
Barcelona Publ Hlth Agcy ASPB, Outpatient Drug Clin Sants, Barcelona, Spain
Velasco, E:
Janssen Cilag SA, Med Affairs Dept, Madrid, Spain
Garcia-Dorado, M:
Janssen Cilag SA, Med Affairs Dept, Madrid, Spain
Casas, M:
Hosp Valle De Hebron, Addict & Dual Diag Unit, CIBERSAM, Barcelona Publ Hlth Agcy ASPB, Paseo Vall dHebron 119-129, Barcelona 08035, Spain
Autonomous Univ Barcelona, Dept Psychiat, Barcelona, Spain
Green Submitted, Green Published, gold
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