Psychiatric comorbidity in cocaine users treated in therapeutic community: Substance-induced versus independent disorders

Vergara-Moragues, Esperanza; González‐Sáiz, Francisco; Lozano, Óscar; Espinosa, Patricia Betanzos; Fernández‐Calderón, Fermín; Bilbao-Acebos, Izaskun; Garcı́a, Miguel Pérez; García, Antonio Burgos

doi:10.1016/j.psychres.2012.07.043

Cited by 53 publications

(58 citation statements)

References 66 publications

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“…Mental health problems are a major concern among individuals addicted to cocaine (Kandel et al 2001;Vergara-Moragues et al 2012). In fact, between 35-65 % of cocaine dependent users are diagnosed with a, or multiple, mental health issue(s) during their lifetime (Falck et al 2002;Herrero et al 2008;Vergara-Moragues et al 2012).…”

Section: Introductionmentioning

confidence: 99%

“…In fact, between 35-65 % of cocaine dependent users are diagnosed with a, or multiple, mental health issue(s) during their lifetime (Falck et al 2002;Herrero et al 2008;Vergara-Moragues et al 2012). When compared with those who do not have psychiatric comorbidity, cocaine dependent users who have dual diagnoses are more likely to abandon their treatment and report less improvement (Gonzalez-Saiz et al 2009;King et al 2014).…”

Section: Introductionmentioning

confidence: 99%

“…When compared with those who do not have psychiatric comorbidity, cocaine dependent users who have dual diagnoses are more likely to abandon their treatment and report less improvement (Gonzalez-Saiz et al 2009;King et al 2014). While comorbidity between cocaine dependence and mood disorders (Conner et al 2008;VergaraMoragues et al 2012), alcohol dependence (Ford et al 2009), post traumatic stress disorder (PTSD) (Saunders et al 2015), attention deficit hyperactivity disorder (ADHD) (Daigre et al 2013), psychotic disorders (Vergara-Moragues et al 2012) and some personality disorders (Ford et al 2009) have been previously documented, few studies have focused on problem gambling (PG) within these populations.…”

Section: Introductionmentioning

confidence: 99%

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Gambling Problems Among Community Cocaine Users

et al. 2016

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Cocaine use is highly prevalent and a major public health problem. While some studies have reported frequent comorbidity problems among cocaine users, few studies have included evaluation of gambling problems. This study aimed to estimate the prevalence of gambling problems and compare those who were at-risk gamblers with nonproblem gamblers in terms of mental health problems, substance use problems, and some risk factors (i.e. family antecedents, erroneous perceptions and coping strategies) among individuals who smoke or inject cocaine.METHOD: A total of 424 smoked or injected cocaine users recruited through community-based programs in Montreal, Quebec completed the questionnaire, including the Canadian Pathological Gambling Index, the Composite International Diagnostic Interview (CIDI), the CAGE, and the Severity Dependence Scale (SDS).RESULTS: Of the sample, 18.4 % were considered at-risk gamblers, of whom 7.8 % had problems gambling and 10.6 % were moderate-risk gamblers. The at-risk group was more likely to have experienced a recent phobic disorder and alcohol problems than the non-problem group. A multivariate analysis showed that, compared to those who were non-problem gamblers, the at-risk ones were more likely to have lost a large sum of money when they first started gambling, believed that their luck would turn, and gambled in reaction to painful life events. These results indicate the need to include routines for screening to identify gambling problem among cocaine users.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Gambling Problems Among Community Cocaine Users

et al. 2016

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“…En esta línea, en nuestro contexto, se han realizado investigaciones que relacionan la presencia de una alta comorbilidad psicopatológica en consumidores de cocaína. La prevalencia es elevada y se sitúa entre un 30 y un 65% tanto en población clínica como no clínica (Arias et al, 2012;Herrero, Domingo-Salvany, Torrens, Brugal y the ITINERE investigator, 2007;Herrero, Domingo-Salvany, Torrens, Brugal, Gutierrez y the ITINERE investigator, 2008;Tortajada et al, 2012;Vergara-Moragues et al 2012). La variabilidad observada entre estas prevalencias podría atribuirse, por un lado a las variaciones en las tendencias de la población debido a la disponibilidad de la sustancia en cada momento y, por otro, a las diferencias en el proceso de muestreo.…”

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Comorbilidad psicopatológica en consumidores de cocaína en tratamiento ambulatorio

et al. 2014

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“…Three studies focused solely on cocaine users in their research (Levin et al, 2004;Vergara-Moragues et al, 2012;Vergara-Moragues, González-Saiz, Lozano, & Verdejo García, 2013), and further three focused solely on opiate dependence (Dekel, Benbenishty, & Amram, 2004;Keen, Oliver, Rowse, & Mathers, 2001;Zoccali et al, 2007). Of the multi-substance studies, the classification methodology was widely varied.…”

Section: Drug Use Patternsmentioning

confidence: 99%

Posttraumatic stress disorder in a therapeutic community for substance use disorders: an evaluation of the influence

Perryman¹

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The purpose of this body of research is twofold. First, to investigate posttraumatic stress disorder (PTSD) in a sample of adults undergoing substance use disorder (SUD) treatment in a therapeutic community (TC) and, second, to apply major psychological theories to help understand the nature of this comorbidity in ways that inform treatment. The focal theories of this research are: emotion dysregulation (Gratz & Roemer, 2004), and revised Reinforcement Sensitivity Theory (rRST; Corr, 2008;Gray & McNaughton, 2000). Rash Impulsiveness will be included as an important dimension of rRST that has been consistently linked to substance misuse. Chapter 1 presents an overview of research related to the thesis as a whole. In Chapter .72, p < .00). Furthermore, the correlations between PTSS and two of the facets of rRST, BAS and fight-flight-freeze sensitivity (FFFS), were significantly correlated (r = -.23 and .49, p < .01, respectively). BAS sensitivity was shown to negatively correlate with PTSS, indicating that lower BAS sensitivity related to higher PTS severity. No relationship was found between the Behavioural Inhibition System (BIS) and PTSS. Finally, Rash Impulsivity significantly correlated with PTSS at intake, r = .50, p < .00. Contrary to hypotheses, and previous research, Rash Impulsivity did not significantly correlate with retention. Theoretical mechanisms linking PTSS and substance misuse were investigated further, with tests of theoretical models in which individual difference factors (facets of the rRST) were related to retention and outcomes from treatment, and facets of emotional dysregulation were tested as mediators of this relationship. Upon investigation through linear regression, no suitable variable was found the mediate the relationship between PTSS and retention.iii The final moderated mediated model, therefore, was not suitable for this population. Limited moderation, though, occurred between the two facets of rRST and retention. Specifically, investigation of the simple slopes showed that FFFS and Rash Impulsivity both moderate the relationship between PTSD and retention at high (+1 SD) and mean scores. These findings indicate that high levels of both facets do interact with PTSD to negatively influence treatment retention.The null findings for both mediation and the moderated mediation model contradict previous research, and may be due to homogeneity in scores across the population. Overall, some implications for treatment can be extrapolated. First, PTSD is highly prevalent in the TC population, and should be assessed using psychometrically valid measures, such as the PCL-C, and addressed in treatment. Second, treatment for SUD does not exacerbate PTSD; on the contrary, PTSS significantly decreased during TC treatment. Finally, as there is solid theoretical support to suggest an influence of emotion dysregulation and Rash Impulsiveness on retention and outcomes, more research needs to be conducted on the role of these two constructs with the intent of creating a better suited rehabi...

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Psychiatric comorbidity in cocaine users treated in therapeutic community: Substance-induced versus independent disorders

Cited by 53 publications

References 66 publications

Gambling Problems Among Community Cocaine Users

Gambling Problems Among Community Cocaine Users

Comorbilidad psicopatológica en consumidores de cocaína en tratamiento ambulatorio

Posttraumatic stress disorder in a therapeutic community for substance use disorders: an evaluation of the influence

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