AIMS: To examine the psychiatric status of young cocaine users using a validated instrument for the evaluation of psychiatric comorbidity, emphasizing the distinction between independent and induced psychiatric conditions. DESIGN: Cross-sectional study. SETTING: Barcelona, Spain. PARTICIPANTS: A cohort of 139 young (18-30 years) adult current regular cocaine users. MEASUREMENTS: The Psychiatric Research Interview for Substance and Mental Disorders (PRISM-IV, which produces diagnoses according to DSM-IV criteria, including Axis II antisocial and borderline personality disorders). FINDINGS: Nearly 42.5% of the subjects presented psychiatric comorbidity. The most common Axis I diagnoses were mood disorders (26.6%) and anxiety disorders (13%). Increasing age, having ever received treatment for drug use and freebase cocaine use were associated with substance-induced disorders diagnoses relative to primary Axis I disorders. CONCLUSIONS: This study has shown a relatively high prevalence of psychiatric comorbidity in cocaine users recruited in non-clinical settings. Future studies examining potential differential factors associated with primary versus substance-induced disorders are necessary to optimize the implementation of more suitable approaching programmes for young regular cocaine users.
AIMS: To examine the psychiatric status of young cocaine users using a validated instrument for the evaluation of psychiatric comorbidity, emphasizing the distinction between independent and induced psychiatric conditions. DESIGN: Cross-sectional study. SETTING: Barcelona, Spain. PARTICIPANTS: A cohort of 139 young (18-30 years) adult current regular cocaine users. MEASUREMENTS: The Psychiatric Research Interview for Substance and Mental Disorders (PRISM-IV, which produces diagnoses according to DSM-IV criteria, including Axis II antisocial and borderline personality disorders). FINDINGS: Nearly 42.5% of the subjects presented psychiatric comorbidity. The most common Axis I diagnoses were mood disorders (26.6%) and anxiety disorders (13%). Increasing age, having ever received treatment for drug use and freebase cocaine use were associated with substance-induced disorders diagnoses relative to primary Axis I disorders. CONCLUSIONS: This study has shown a relatively high prevalence of psychiatric comorbidity in cocaine users recruited in non-clinical settings. Future studies examining potential differential factors associated with primary versus substance-induced disorders are necessary to optimize the implementation of more suitable approaching programmes for young regular cocaine users.
Authors: Catharine Montgomery; Matt Field; Amanda M Atkinson; Jon C Cole; Andrew J Goudie; Harry R Sumnall Journal: Psychopharmacology (Berl) Date: 2010-03-30 Impact factor: 4.530
Authors: M Chahua; A Sánchez-Niubò; M Torrens; L Sordo; M J Bravo; M T Brugal; A Domingo-Salvany Journal: Qual Life Res Date: 2015-02-15 Impact factor: 4.147
Authors: Constanza Daigre; Lara Grau-López; Laia Rodríguez-Cintas; Elena Ros-Cucurull; Marta Sorribes-Puertas; Oriol Esculies; Katia Bones-Rocha; Carlos Roncero Journal: Qual Life Res Date: 2017-08-07 Impact factor: 4.147
Authors: O M Lozano; A Domingo-Salvany; M Martinez-Alonso; M T Brugal; J Alonso; L de la Fuente Journal: Qual Life Res Date: 2008-08-05 Impact factor: 4.147