Quality of life in a community sample of young cocaine and/or heroin users: the role of mental disorders
Por:
Chahua, M, Sanchez-Niubo, A, Torrens, M, Sordo, L, Bravo, MJ, Brugal, MT, Domingo-Salvany, A
Publicada:
1 sep 2015
Resumen:
Purpose Drug addiction and psychiatric disorders are frequently concomitant; however, few studies have investigated the impact of psychiatric disorders other than substance use disorder (SUD) on health-related quality of life (HRQoL) in drug users not in treatment. We studied the association of psychiatric disorders other than SUD with HRQoL in a street-recruited sample of cocaine and/or heroin users.
Methods It is a cross-sectional study involving 287 young users of cocaine and/ or heroin in Barcelona, Spain. HRQoL was assessed with the Nottingham health profile (NHP). Patterns of drug use and mental disorders were assessed using the Spanish version of the psychiatric research interview for substance and mental disorders IV, and degree of dependence through the severity of dependence scale (SDS). The association of mental disorders with HRQoL was assessed through a Tobit regression analysis.
Results The overall NHP score was 23.9 (SD = 20.5, range 0-91.7). Sixty-one percent of the sample had two or more SUDs; 22 % had at least one non-SUD Axis I disorder (anxiety, mood, psychotic, or eating disorder); and 27.2 % had a borderline personality disorder (BPD) and/or antisocial personality disorder. Variables negatively associated with the global NHP score were psychosis [transformed beta coefficient: 15.23; 95 % confidence interval [CI] 4.48-25.97], BPD (9.55; 95 % CI 2.95-16.15), severity of dependence (8.12; 95 % CI 3.37-12.87), having two or more SUDs (for two or three SUDs: 6.83; 95 % CI 2.08-11.59) (>3 SUDs: 7.70; 95 % CI 1.72-13.68) and the intravenous use of some substance (10.20; 95 % CI 6.00-14.40).
Conclusion HRQoL among street-recruited illegal substance users was impaired, particularly among those with psychiatric comorbidity, psychosis, and BPD being especially relevant.
Filiaciones:
Chahua, M:
Inst Salud Carlos III, Escuela Nacl Sanidad, Madrid, Spain
Sanchez-Niubo, A:
IMIM, Hosp del Mar, Drug Abuse Epidemiol Res Grp, Barcelona 08002, Spain
Torrens, M:
IMIM, Hosp del Mar, Addict Res Grp, Barcelona 08002, Spain
Univ Autonoma Barcelona, Dept Psychiat, Catalonia, Spain
Sordo, L:
Inst Salud Carlos III, Ctr Nacl Epidemiol, Madrid, Spain
Univ Complutense Madrid, Fac Med, Dept Med Prevent & Salud Publ, Madrid, Spain
CIBER Epidemiol & Salud Publ CIBERESP, Madrid, Spain
Bravo, MJ:
Inst Salud Carlos III, Ctr Nacl Epidemiol, Madrid, Spain
CIBER Epidemiol & Salud Publ CIBERESP, Madrid, Spain
Brugal, MT:
Agencia Salut Publ Barcelona, Barcelona, Spain
Inst Invest Biomed IIB St Pau, Barcelona, Spain
Domingo-Salvany, A:
IMIM, Hosp del Mar, Drug Abuse Epidemiol Res Grp, Barcelona 08002, Spain
Green Accepted
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