Substance use disorders in patients with intellectual disability admitted to psychiatric hospitalisation

Salavert, J.; Clarabuch, A.; Fernández‐Gómez, M. J.; Barrau, V.; Giráldez, M. P.; Borras, J. A.

doi:10.1111/jir.12514

Cited by 14 publications

(15 citation statements)

References 18 publications

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“…More than half of the current emerging adult sample did not complete high school, and the number of emerging adult patients with low educational achievement was considerably higher than in the adult sample. Hence, it is plausible that low educational achievement was related to early onset of substance use and underlying common prior causes, such as other deviant behaviors and adverse psychosocial factors [37, 38] and intellectual disabilities [39]. The elevated prevalence of ADHD among emerging adults concords with its estimated prevalence in the general adult population [40] and may be explained by symptoms declining with age [41] and/or underdiagnosing of ADHD in older adults [42].…”

Section: Discussion/conclusionmentioning

confidence: 99%

Emerging Adults in Inpatient Substance Use Treatment: A Prospective Cohort Study of Patient Characteristics and Treatment Outcomes

2020

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Introduction: Compared to older adults, emerging adults treated for substance use disorders (SUDs) are more likely to have unfavorable outcomes. However, few studies have investigated the baseline characteristics and treatment outcomes of emerging adults in inpatient SUD treatment. Aims: This study investigated differences in demographic and clinical characteristics and treatment outcomes (relapse or treatment discontinuation) among emerging adult and adult inpatients. Prospective associations between baseline characteristics and unfavorable treatment outcomes were also analyzed across both patient groups. Methods: A prospective cohort study was conducted among inpatients (n = 499) at 4 SUD treatment centers in Norway. The sample included emerging adult patients aged 18–25 years (n = 149) and adult patients above 25 years (n = 350). Medical records provided data on sociodemographic variables, substance use characteristics, diagnoses, and treatment completion status. Self-reported measures, including age of onset of substance use, motivation, and mental distress, were completed within 2 weeks of admission to treatment. A telephone interview 3 months after discharge provided information about relapses. Results: Emerging adults had a more adverse risk profile in terms of demographic characteristics, clinical variables, and treatment outcomes. Multivariable results showed that polysubstance use and an attention deficit hyperactivity disorder (ADHD) diagnosis were the strongest predictors of unfavorable treatment outcomes for emerging adults. For older adults, only baseline mental distress was a significant predictor of unfavorable treatment outcomes. Conclusions: Treatment and follow-up initiatives could be better tailored for emerging adults. Identification of treatment needs among emerging adults manifesting polysubstance use and ADHD may reduce the likelihood of unfavorable treatment outcomes in this patient group.

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Section: Discussion/conclusionmentioning

confidence: 99%

Emerging Adults in Inpatient Substance Use Treatment: A Prospective Cohort Study of Patient Characteristics and Treatment Outcomes

2020

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“…Por otro lado, entre los estudios que señalan altas tasas de consumo, se observa que entre el 54 % (Poelen et al, 2016) y el 93 % han probado o consumido alcohol en algún momento de su vida (Swerts et al, 2016), mientras casi la mitad (45 %) se declaran consumidores regulares (Swerts et al, 2016). Más preocupantes son los estudios de Pezzoni y Kouimtsidis (2015) y Salavert et al (2018), pues señalan que una quinta parte (20-23 %) de las personas con discapacidad intelectual que consumían alcohol presentaba trastorno por uso de alcohol y el 82 % de estos tenían otro trastorno psicopatológico comórbido (i. e., el "triple diagnóstico" descrito por Barnhill).…”

Section: Relación Entre Discapacidad Intelectual Y Consumo De Alcoholunclassified

“…Durante la adolescencia, los factores predictores del consumo de alcohol en varones con discapacidad intelectual fueron la edad (mayor prevalencia del trastorno por uso de sustancias entre los jóvenes; Salavert et al, 2018), haber tenido pareja, haber ejercido acoso escolar y el bajo interés académico (Pacoricona et al, 2016). En el caso de las adolescentes, los factores predictores fueron: haber tenido pareja, ser víctima de acoso escolar e ir a centros educativos socioeconómicamente desfavorecidos (Pacoricona et al, 2016).…”

Section: Factores Predictores Y Variables Que Influyen En El Consumo De Alcohol En Personas Con Discapacidad Intelectualunclassified

Consumo de alcohol en personas con discapacidad intelectual. Revisión sistemática

Díaz

Sánchez

Fernández

2021

Redis

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La cada vez mayor inclusión social de las personas con discapacidad intelectual en la sociedad ha supuesto una mayor visibilidad y una mayor exposición a conductas de riesgo como el consumo de sustancias. Se presenta una revisión sistemática del consumo de alcohol en la población con discapacidad intelectual a partir de una búsqueda bibliográfica en las principales bases de datos y un análisis siguiendo el método PRISMA donde se incluyeron 24 artículos. Se encuentran altas tasas de consumo de alcohol en personas con discapacidad intelectual y, especialmente, en jóvenes, varones y personas que han cometido un delito. La edad de inicio, los factores de riesgo y los motivos de consumo de alcohol son similares a los de la población sin discapacidad intelectual. Es necesario que los programas de prevención e intervención eficaces basados en la evidencia para el consumo de sustancias resulten accesibles para población con discapacidad intelectual.

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“…Among all substances, alcohol, tobacco, and cannabis were found to be the most used substances in the higher functioning ID population. [11] The rate of SUD in the ID population is relatively better known in European countries from reports of several studies among populations of Greece, Spain, the United Kingdom, the Netherlands, and Ireland. [1112131415] Few estimation studies on the rate of SUD were also conducted in Canada, the United States, and Australia.…”

Section: Introductionmentioning

confidence: 99%

“…[11] The rate of SUD in the ID population is relatively better known in European countries from reports of several studies among populations of Greece, Spain, the United Kingdom, the Netherlands, and Ireland. [1112131415] Few estimation studies on the rate of SUD were also conducted in Canada, the United States, and Australia. [61617] Studies conducted in the United Kingdom, the Netherlands, and Australia estimated SUD as high as 15%–30% among the ID population.…”

Section: Introductionmentioning

confidence: 99%

Substance Use Disorder in People with Intellectual Disabilities: Current Challenges in Low- and Middle-Income Countries

Lakhan

Sagiraju

Ekúndayò

et al. 2019

Journal of Neurosciences in Rural Practice

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Use of illegal and prescription drugs has significantly increased in recent years all over the world in most populations. Greater worldwide awareness in this regard has substantially improved the epidemiological understanding of substance use, its risk factors, and impact on life. People with intellectual disabilities constitute 0.5%–1.5% of the world’s population. It can be conjectured that they might be experiencing similar or even a greater burden of substance use in their lives. This article highlights some important aspects of substance use among this population in low- and middle-income countries that need urgent attention.

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Substance use disorders in patients with intellectual disability admitted to psychiatric hospitalisation

Cited by 14 publications

References 18 publications

Emerging Adults in Inpatient Substance Use Treatment: A Prospective Cohort Study of Patient Characteristics and Treatment Outcomes

Emerging Adults in Inpatient Substance Use Treatment: A Prospective Cohort Study of Patient Characteristics and Treatment Outcomes

Consumo de alcohol en personas con discapacidad intelectual. Revisión sistemática

Substance Use Disorder in People with Intellectual Disabilities: Current Challenges in Low- and Middle-Income Countries

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