inadecuada a los estresores laborales crónicos. En los últimos años el síndrome de desgaste profesional ha adquirido relevancia.Materiales y métodos: Se diseñó un estudio de corte transversal para evaluar la prevalencia y los factores psicosociales asociados al síndrome de desgaste profesional en médicos generales y especialistas que laboran en varias instituciones de la ciudad de Manizales, Caldas, y la Virginia Risaralda, mediante cuestionario autodiligenciado que evalúa factores sociodemográficos, la prevalencia del síndrome de desgaste profesional (mediante el empleo del cuestionario Maslach HSS), la funcionalidad familiar y las relaciones interpersonales.Resultados: Participaron 227 médicos. Se encontró una frecuencia de Burnout de 17,6%, 26,4% agotamiento alto, 26,1% despersonalización, y 7,2% de realizaciónpersonal baja. Se encontró relación significativa de Burnout con actividad extra laboral (p=0,039); se presenta en un 25,8% en los médicos que no realizan ningún tipo de actividad extralaboral en la semana, 14,3% entre los que la realizan. También conla funcionalidad familiar (p=0,009); los médicos que presentan disfunción moderada tienen mayor tendencia a presentar el síndrome de Burnout en un 37,5%.Conclusión: El síndrome de Burnout es común en esta población, aunque en menor proporción a otras poblaciones.

IntroSubstance use disorder is a growing phenomenon among the elderly. It is undervalued, misidentified, underdiagnosed and poorly treated.AimStudy prevalence, characteristics and risk factors associated with drug use among the elderly.MethodA 6-month prospective study of substance use in elderly patients (65+) who attended the addiction and dual diagnosis unit, Vall d’Hebron University Hospital.ResultsFifty-nine patients evaluated, mean age 70.04 years, 60% men. A total of 49.1% are married, 35.8% divorced and 53.8% live with a partner and/or children. A total of 67.3% have basic studies and 78.8% are pensioners. A total of 82.7% have no criminal record.Medical comorbidity presents in 90.4% of the sample, psychiatric and addictive family background in 42.3% and 37.3%. A total of 67.3% have comorbid Axis I (mainly affective disorders) and 25% Axis II (cluster B most). A total of 7.7% attempted suicide at least once.The main substance is alcohol (76.9%), followed by prescription drugs (19.3%). A total of 28.8% are multi-drug users. A total of 67.3% have used tobacco in their life and 63.5% are currently dependent. The average age of onset for a disorder for any substance consumption is 28.19, being lower for alcohol and illegal substances and higher for prescription drugs.A total of 61.5% have gone through treatment before but only 32.7% has been admitted because of addiction. The adherence rate is 90.4% and the relapse rate 8.3% at first month and 13% at 6 months.ConclusionsOld adults present differences compared to overall drug user population: prevalence by gender is almost equal, lower Axis II, less multi-drug consumption and both dropout and relapse rate are drastically lower.Disclosure of interestThe authors have not supplied their declaration of competing interest.