Evaluación de las alteraciones del sueño en pacientes drogodependientes hospitalizados

Roncero, Carlos; Grau-López, Lara; Díaz-Morán, Sira; Miquel, Laia; Martínez-Luna, Nieves; Casas, Miguel

doi:10.1016/j.medcli.2011.07.015

Cited by 24 publications

(11 citation statements)

References 8 publications

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“…Sleep problems are commonly associated with drug and alcohol use. Nearly 70 % of patients admitted for detoxification report sleep problems prior to admission, and 80 % of those who report sleep problems relate them to their substance use [ 169 ]. The association between substance use and sleep problems appears to be bidirectional [ 105 , 110 ], with sleep problems increasing risk for developing substance use disorders [ 31 , 89 , 210 ], and acute and chronic substance use leading to acute and chronic problems with sleep [ 44 , 47 , 89 , 97 , 104 , 138 , 156 , 168 ].…”

Section: Introductionmentioning

confidence: 99%

Sleep abnormalities associated with alcohol, cannabis, cocaine, and opiate use: a comprehensive review

Angarita

Emadi

Hodges

et al. 2016

Addict Sci Clin Pract

269

193

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Sleep abnormalities are associated with acute and chronic use of addictive substances. Although sleep complaints associated with use and abstinence from addictive substances are widely recognized, familiarity with the underlying sleep abnormalities is often lacking, despite evidence that these sleep abnormalities may be recalcitrant and impede good outcomes. Substantial research has now characterized the abnormalities associated with acute and chronic use of alcohol, cannabis, cocaine, and opiates. This review summarizes this research and discusses the clinical implications of sleep abnormalities in the treatment of substance use disorders.

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Section: Introductionmentioning

confidence: 99%

Sleep abnormalities associated with alcohol, cannabis, cocaine, and opiate use: a comprehensive review

Angarita

Emadi

Hodges

et al. 2016

Addict Sci Clin Pract

269

193

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“…This result is consistent with studies in which the use of benzodiazepines without prescription has been evaluated. 89 , 90 …”

Section: Discussionmentioning

confidence: 99%

Professionals’ perception on the management of patients with dual disorders

Roncero

Szerman

Terán³

et al. 2016

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BackgroundThere 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.MethodsAn online survey, released on the Socidrogalcohol [Spanish Scientific Society for Research on Alcohol, Alcoholism and other Drug Addictions] and Sociedad Española de Patología 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.ResultsMost 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.ConclusionMost 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.

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“…Este dato concuerda con la mayoría de los estudios en los que objetivan que los pacientes politoxicómanos son más graves, ya que tienen peor pronóstico a largo plazo, con mayor riesgo de recaída (Santos et al, 2000), mayor número de reingresos (Secades et al, 2000), patología médica asociada (Xie et al, 2005), mayor alteración del sueño (Roncero et al, 2011b) y desestructuración social (Goeb et al, 2000).…”

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Factores de riesgo de recaída en pacientes drogodependientes tras desintoxicación hospitalaria

Grau-López¹,

Roncero

Daigre

et al. 2012

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This work describes the profile of patients with relapse after hospital detoxification at six months of outpatient follow-up. An observational and prospective study was carried out in patients with substancedependence disorder who were in the Detoxification Unit of the Vall d'Hebron University Hospital (Barcelona) between June 2009 and October 2010. Demographic, clinical, diagnostic and therapeutic variables were assessed. The criterion for relapse was a return to use of the substance that had led to hospitalization, and relapse was assessed by means of anamnesis, breathalyzer and/or urine analysis. Study variables were compared between patients who relapsed and those who did not. Of the 165 patients included, 108 patients finished the study (75% males, age 37.7 ± 9.5 years). A total of 72.2% had relapsed at the 6-month follow-up. Profile of patients who relapsed was: hospitalized for heroin detoxification (91.7% vs 8.3%, p = .038), polyconsumers (71.4% vs 32%, p = .05), high substance use in the hours prior to admission as a "farewell" (61.5% vs 39.5%, p = .04), patients with comorbidity (44.9% vs 23.3%, p = .04) and patients with affective disorders (19.5% vs 3.2%, p = .005). Detoxification from opiates and use in the hours prior to admission were associated independently with relapse at 6 months. There is a high percentage of relapses after hospital detoxification. Patients most likely to relapse are those dependent on opiates and those with compulsive use immediately prior to hospitalization.Key words: addiction, relapses, risk factors, in-patient unit, follow-up.El presente trabajo pretende comparar las características entre los pacientes que recaen en el consumo y los que se mantienen abstinentes, a los seis meses de seguimiento ambulatorio tras terminar una desintoxicación hospitalaria. Se realizó un estudio observacional y prospectivo en pacientes con trastorno por dependencia de sustancias que ingresaron en la Unidad Hospitalaria de Desintoxicación del Hospital Universitario de Vall d'Hebron desde junio 2009 hasta octubre 2010. Durante el ingreso se recogieron variables demográficas, clínicas, diagnósticas y terapéuticas, y se realizó la entrevista SCID. Se consideró recaída el reinicio del consumo de la sustancia que fue motivo de ingreso y se evaluó por anamnesis y alcohotest y/o urinoanálisis. Las variables de estudio se compararon entre los pacientes que recayeron y los que no. De 165 pacientes incluidos, 108 finalizaron el estudio (75% varones, edad 37,7±9,5 años). 72,2% recayeron a los 6 meses. El perfil de pacientes que recayeron fue: pacientes que ingresaban para desintoxicación de heroína (91,7% vs 8,3%, p = .038), policonsumidores (71,4% vs 32%, p = .05), pacientes que consumían horas previas al ingreso a modo de despedida (61,5% vs 39,5%, p = .04), aquellos con comorbilidad médica (44,9% vs 23,3%, p = .04), y con trastornos afectivos comórbidos (19,5% vs 3,2%, p = .005). La desintoxicación de opiáceos y el consumo en horas previas se asociaron de forma independiente con la recaída a los 6 mes...

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Evaluación de las alteraciones del sueño en pacientes drogodependientes hospitalizados

Cited by 24 publications

References 8 publications

Sleep abnormalities associated with alcohol, cannabis, cocaine, and opiate use: a comprehensive review

Sleep abnormalities associated with alcohol, cannabis, cocaine, and opiate use: a comprehensive review

Professionals’ perception on the management of patients with dual disorders

Factores de riesgo de recaída en pacientes drogodependientes tras desintoxicación hospitalaria

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Evaluación de las alteraciones del sueño en pacientes drogodependientes hospitalizados

Cited by 24 publications

References 8 publications

Sleep abnormalities associated with alcohol, cannabis, cocaine, and opiate use: a comprehensive review

Sleep abnormalities associated with alcohol, cannabis, cocaine, and opiate use: a comprehensive review

Professionals&rsquo; perception on the management of patients with dual disorders

Factores de riesgo de recaída en pacientes drogodependientes tras desintoxicación hospitalaria

Contact Info

Product

Resources

About

Professionals’ perception on the management of patients with dual disorders