Lifetime dual disorder screening and treatment retention: a pilot cohort study
The coexistence of a substance use disorder and another mental disorder in the same individual has been called dual disorder or dual diagnosis. This study aimed to examine the prevalence of lifetime dual disorder in individuals with alcohol or cocaine use disorder and their retention in treatment. W...
| Autores: | , , , , , , , , , , , , , , , |
|---|---|
| Tipo de recurso: | artículo |
| Estado: | Versión publicada |
| Fecha de publicación: | 2022 |
| País: | España |
| Institución: | Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya) |
| Repositorio: | Recercat. Dipósit de la Recerca de Catalunya |
| OAI Identifier: | oai:recercat.cat:10230/54880 |
| Acceso en línea: | http://hdl.handle.net/10230/54880 http://dx.doi.org/10.3390/jcm11133760 |
| Access Level: | acceso abierto |
| Palabra clave: | Alcohol use disorder Cocaine use disorder Dual disorder Mental disorders Screening Substance-related disorders Treatment retention |
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Lifetime dual disorder screening and treatment retention: a pilot cohort studyPuértolas Gracia, BeatrizBarbaglia, María Gabriela, 1979-Gotsens Miquel, Mercè, 1983-Parés-Badell, Oleguer, 1987-Brugal i Puig, M. TeresaTorrens, MartaTreviño, LaraRodríguez-Díaz, ConcepciónVázquez-Vázquez, José MaríaPascual, AliciaCoromina-Gimferrer, MarcelaJiménez-Dueñas, MíriamOliva, IsraelGonzález, ErickMestre, NicanorBartroli Checa, MontserratAlcohol use disorderCocaine use disorderDual disorderMental disordersScreeningSubstance-related disordersTreatment retentionThe coexistence of a substance use disorder and another mental disorder in the same individual has been called dual disorder or dual diagnosis. This study aimed to examine the prevalence of lifetime dual disorder in individuals with alcohol or cocaine use disorder and their retention in treatment. We conducted a pilot cohort study of individuals (n = 1356) with alcohol or cocaine use disorder admitted to treatment in the public outpatient services of Barcelona (Spain) from January 2015 to August 2017 (followed-up until February 2018). Descriptive statistics, Kaplan-Meier survival curves and a multivariable Cox regression model were estimated. The lifetime prevalence of screening positive for dual disorder was 74%. At 1 year of follow-up, >75% of the cohort remained in treatment. On multivariable analysis, the factors associated with treatment dropout were a positive screening for lifetime dual disorder (HR = 1.26; 95% CI = 1.00-1.60), alcohol use (HR = 1.35; 95% CI = 1.04-1.77), polysubstance use (alcohol or cocaine and cannabis use) (HR = 1.60; 95% CI = 1.03-2.49) and living alone (HR = 1.34; 95% CI = 1.04-1.72). Lifetime dual disorder is a prevalent issue among individuals with alcohol or cocaine use disorders and could influence their dropout from treatment in public outpatient drug dependence care centres, along with alcohol use, polysubstance use and social conditions, such as living alone. We need a large-scale study with prolonged follow-up to confirm these preliminary results.MDPI202220222022info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttp://hdl.handle.net/10230/54880http://dx.doi.org/10.3390/jcm11133760reponame:Recercat. Dipósit de la Recerca de Catalunyainstname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)InglésCopyright © 2022 by Puértolas-Gracia B, Barbaglia MG, Gotsens M, Parés-Badell O, Brugal MT, Torrens M, et al. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).http://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:recercat.cat:10230/548802026-05-29T05:05:01Z |
| dc.title.none.fl_str_mv |
Lifetime dual disorder screening and treatment retention: a pilot cohort study |
| title |
Lifetime dual disorder screening and treatment retention: a pilot cohort study |
| spellingShingle |
Lifetime dual disorder screening and treatment retention: a pilot cohort study Puértolas Gracia, Beatriz Alcohol use disorder Cocaine use disorder Dual disorder Mental disorders Screening Substance-related disorders Treatment retention |
| title_short |
Lifetime dual disorder screening and treatment retention: a pilot cohort study |
| title_full |
Lifetime dual disorder screening and treatment retention: a pilot cohort study |
| title_fullStr |
Lifetime dual disorder screening and treatment retention: a pilot cohort study |
| title_full_unstemmed |
Lifetime dual disorder screening and treatment retention: a pilot cohort study |
| title_sort |
Lifetime dual disorder screening and treatment retention: a pilot cohort study |
| dc.creator.none.fl_str_mv |
Puértolas Gracia, Beatriz Barbaglia, María Gabriela, 1979- Gotsens Miquel, Mercè, 1983- Parés-Badell, Oleguer, 1987- Brugal i Puig, M. Teresa Torrens, Marta Treviño, Lara Rodríguez-Díaz, Concepción Vázquez-Vázquez, José María Pascual, Alicia Coromina-Gimferrer, Marcela Jiménez-Dueñas, Míriam Oliva, Israel González, Erick Mestre, Nicanor Bartroli Checa, Montserrat |
| author |
Puértolas Gracia, Beatriz |
| author_facet |
Puértolas Gracia, Beatriz Barbaglia, María Gabriela, 1979- Gotsens Miquel, Mercè, 1983- Parés-Badell, Oleguer, 1987- Brugal i Puig, M. Teresa Torrens, Marta Treviño, Lara Rodríguez-Díaz, Concepción Vázquez-Vázquez, José María Pascual, Alicia Coromina-Gimferrer, Marcela Jiménez-Dueñas, Míriam Oliva, Israel González, Erick Mestre, Nicanor Bartroli Checa, Montserrat |
| author_role |
author |
| author2 |
Barbaglia, María Gabriela, 1979- Gotsens Miquel, Mercè, 1983- Parés-Badell, Oleguer, 1987- Brugal i Puig, M. Teresa Torrens, Marta Treviño, Lara Rodríguez-Díaz, Concepción Vázquez-Vázquez, José María Pascual, Alicia Coromina-Gimferrer, Marcela Jiménez-Dueñas, Míriam Oliva, Israel González, Erick Mestre, Nicanor Bartroli Checa, Montserrat |
| author2_role |
author author author author author author author author author author author author author author author |
| dc.subject.none.fl_str_mv |
Alcohol use disorder Cocaine use disorder Dual disorder Mental disorders Screening Substance-related disorders Treatment retention |
| topic |
Alcohol use disorder Cocaine use disorder Dual disorder Mental disorders Screening Substance-related disorders Treatment retention |
| description |
The coexistence of a substance use disorder and another mental disorder in the same individual has been called dual disorder or dual diagnosis. This study aimed to examine the prevalence of lifetime dual disorder in individuals with alcohol or cocaine use disorder and their retention in treatment. We conducted a pilot cohort study of individuals (n = 1356) with alcohol or cocaine use disorder admitted to treatment in the public outpatient services of Barcelona (Spain) from January 2015 to August 2017 (followed-up until February 2018). Descriptive statistics, Kaplan-Meier survival curves and a multivariable Cox regression model were estimated. The lifetime prevalence of screening positive for dual disorder was 74%. At 1 year of follow-up, >75% of the cohort remained in treatment. On multivariable analysis, the factors associated with treatment dropout were a positive screening for lifetime dual disorder (HR = 1.26; 95% CI = 1.00-1.60), alcohol use (HR = 1.35; 95% CI = 1.04-1.77), polysubstance use (alcohol or cocaine and cannabis use) (HR = 1.60; 95% CI = 1.03-2.49) and living alone (HR = 1.34; 95% CI = 1.04-1.72). Lifetime dual disorder is a prevalent issue among individuals with alcohol or cocaine use disorders and could influence their dropout from treatment in public outpatient drug dependence care centres, along with alcohol use, polysubstance use and social conditions, such as living alone. We need a large-scale study with prolonged follow-up to confirm these preliminary results. |
| publishDate |
2022 |
| dc.date.none.fl_str_mv |
2022 2022 2022 |
| dc.type.none.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
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article |
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publishedVersion |
| dc.identifier.none.fl_str_mv |
http://hdl.handle.net/10230/54880 http://dx.doi.org/10.3390/jcm11133760 |
| url |
http://hdl.handle.net/10230/54880 http://dx.doi.org/10.3390/jcm11133760 |
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Inglés |
| language_invalid_str_mv |
Inglés |
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http://creativecommons.org/licenses/by/4.0/ info:eu-repo/semantics/openAccess |
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http://creativecommons.org/licenses/by/4.0/ |
| eu_rights_str_mv |
openAccess |
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application/pdf application/pdf |
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MDPI |
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MDPI |
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reponame:Recercat. Dipósit de la Recerca de Catalunya instname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya) |
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Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya) |
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Recercat. Dipósit de la Recerca de Catalunya |
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