Dual Disorders in the Consultation Liaison Addiction Service : Gender Perspective and Quality of Life
Ferrer-Farré, Teresa (Universitat Autònoma de Barcelona. Departament de Psiquiatria i de Medicina Legal)
Dinamarca Cáceres, Fernando (Institut Hospital del Mar d'Investigacions Mèdiques)
Mestre-Pintó, Joan-Ignasi (Institut Hospital del Mar d'Investigacions Mèdiques)
Fonseca, Francina 1972- (Institut Hospital del Mar d'Investigacions Mèdiques)
Torrens, Marta (Universitat Autònoma de Barcelona. Departament de Psiquiatria i de Medicina Legal)

Date:	2021
Abstract:	Dual disorders (DD) and gender differences comprise an area of considerable concern in patients with substance use disorder (SUD). This study aims to describe the presence of DD among patients with SUD admitted to a general hospital and attended by a consultation liaison addiction service (CLAS), in addition to assessing its association with addiction severity and quality of life from a gender perspective, between 1 January and 30 September 2020. The dual diagnosis screening interview (DDSI), the severity of dependence scale (SDS), and the WHO well-being index were used to evaluate the patients. In the overall sample, DD prevalence was 36. 8%, (women: 53. 8% vs. men: 32. 7%, NS). In both genders the most prevalent DD was depression (33. 8%, women: 46. 2% vs. men: 30. 9%, p = 0. 296). Women presented more panic disorders (46. 2% vs. 12. 7%, p = 0. 019) and generalized anxiety (38. 5% vs. 10. 9%, p = 0. 049) than men. When DD was present, women had worse quality of life than men (21. 7 vs. 50 points, p = 0. 02). During lockdown period 77 patients were attended to and 13 had COVID-19 infection, with no differences in relation to sociodemographic and consumption history variables. The study confirms a high prevalence of DD among patients with SUD admitted to a general hospital for any pathology, and its being associated with worse quality of life, particularly in women.
Grants:	Ministerio de Economía y Competitividad RD16/0017/0010 Generalitat de Catalunya 2017SGR-530
Rights:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Language:	Anglès
Document:	Article ; recerca ; Versió publicada
Subject:	Dual diagnosis ; Substance use disorders ; Consultation liaison service ; Quality of life ; Gender
Published in:	Journal of clinical medicine, Vol. 10 (november 2021) , ISSN 2077-0383

DOI: 10.3390/jcm10235572
PMID: 34884274

9 p, 1.1 MB

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