IF 2.2 4区医学

Adicciones Pub Date : 2024-12-30 DOI: 10.20882/adicciones.1891

Katarina Serdar, Martina Feric, Matea Belosevic, Dijana Jerkovic, Alba González-Roz, Wouter Vanderplasschen

{"title":"Implementation of quality standards in drug demand reduction: Insights from FENIQS-EU project and ways forward.","authors":"Katarina Serdar, Martina Feric, Matea Belosevic, Dijana Jerkovic, Alba González-Roz, Wouter Vanderplasschen","doi":"10.20882/adicciones.1891","DOIUrl":"10.20882/adicciones.1891","url":null,"abstract":"Quality standards have been recognized as an important tool for improving the quality of drug use prevention, treatment, and harm reduction services and for bridging the gap between science and practice. The aim of this paper is to describe the state of implementation of quality standards in drug demand reduction in the European Union and to identify barriers, needs, and challenges to implementation and future pathways. Between June and November 2021, an online survey (n = 91) and follow-up interviews (n = 26) were conducted with key informants - experts in drug demand reduction and quality assurance. Data were analyzed using descriptive statistics and thematic analysis. The survey showed that most countries have implemented the European Drug Prevention Quality Standards (EDPQS) in the prevention domain and the Minimum Quality Standards (MQS) in drug demand reduction. A variety of standards are applied in the treatment area and the EQUS minimum quality standards are widely known. The application of quality standards is least reported in the harm reduction service area. Mentioned challenges and barriers to implementation included lack of funding, unrecognized importance of evaluation, professional competencies, and system fragmentation. Mentioned supportive factors included appropriate materials and training, as well as political support and professional networks. The study shows that quality standards are inconsistently implemented in all areas of drug demand reduction. According to respondents, implementation could be improved by advocating for the need to implement quality standards, ensuring sustainable funding for interventions, and providing education and training.","PeriodicalId":55560,"journal":{"name":"Adicciones","volume":"0 0","pages":"359-370"},"PeriodicalIF":2.2,"publicationDate":"2024-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141735810","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Integrated vs. parallel treatment in adolescents with substance use and comorbid disorders: A randomized trial. 对有药物使用和合并障碍的青少年进行综合治疗与平行治疗的随机试验：随机试验。

IF 2.2 4区医学

Adicciones Pub Date : 2024-12-30 DOI: 10.20882/adicciones.1912

Rosa Díaz Hurtado, Javier Goti, Ernesto Magallón-Neri, Sandra Mateus-Gómez, Daniel Ilzarbe, Josefina Castro-Fornieles

{"title":"Integrated vs. parallel treatment in adolescents with substance use and comorbid disorders: A randomized trial.","authors":"Rosa Díaz Hurtado, Javier Goti, Ernesto Magallón-Neri, Sandra Mateus-Gómez, Daniel Ilzarbe, Josefina Castro-Fornieles","doi":"10.20882/adicciones.1912","DOIUrl":"10.20882/adicciones.1912","url":null,"abstract":"Integrated treatments are often recommended for adolescents with substance use disorders (SUD) and comorbid pathologies. This study aims to compare the effectiveness of two different intervention programs (integrated and parallel) and to investigate treatment outcome predictors. Seventy-five adolescents (13-17 years old) with substance use and comorbid disorders referred to our outpatient program were randomized to integrated (n = 33) or parallel (n = 32) treatment groups. Their sociodemographic variables, psychopathology, substance use problems, and global functioning were assessed at baseline and 12 months after treatment initiation. Both treatments were associated with positive pre-post changes in several outcome variables (severity of school, family, and psychiatric problems; global functioning; and stage of change). Integrated treatment showed better outcome on adherence (χ2 = 14.328; p > .001) and a composite global measure based on the severity of drug-related problems (χ2 = 8.833, p = .003). Following an adaptive treatment strategy, we offered patients who dropped out of parallel treatment (n = 12) the possibility of entering integrated treatment. Eleven of them accepted and constituted a third comparison group (parallel-to-integrated). Multivariate logistic regression analysis showed that the likelihood of a positive global treatment outcome increased with integrated or parallel-to-integrated treatment, internalizing or mixed comorbid disorders, older age, and fewer legal issues. Integrated treatment showed better adherence and global treatment outcomes than parallel treatment in adolescent patients with dual disorders. Older age and fewer legal issues were also related to a positive global treatment outcome.","PeriodicalId":55560,"journal":{"name":"Adicciones","volume":"0 0","pages":"399-414"},"PeriodicalIF":2.2,"publicationDate":"2024-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141735815","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Latent classes of gambling in youths: The role of comorbidity, alexithymia and stressful life events by sex. 青少年赌博的潜在类别：按性别分列的合并症、亚历山大症和生活压力事件的作用。

IF 2.2 4区医学

Adicciones Pub Date : 2024-12-30 DOI: 10.20882/adicciones.1838

Laura Macía, Paula Jauregui, Iciar Iruarrizaga, Marta Herrero, Ana Estévez Gutiérrez

{"title":"Latent classes of gambling in youths: The role of comorbidity, alexithymia and stressful life events by sex.","authors":"Laura Macía, Paula Jauregui, Iciar Iruarrizaga, Marta Herrero, Ana Estévez Gutiérrez","doi":"10.20882/adicciones.1838","DOIUrl":"10.20882/adicciones.1838","url":null,"abstract":"Alexithymia is related with propensity towards impulsive behavioral responses, rather than cognitive regulation of stressful events. Youth is a particularly vulnerable time for the confluence of these variables, which may impact the severity of gambling disorders (GD). However, sex differences have hardly been explored. This study aimed, firstly, to explore the frequency of GD among young people, as well as the presence of GD with other comorbid addictions. Secondly, latent classes were examined on the basis of gambling risk and their relationship to other addictive behaviors, alexithymia and stressful life events. Thirdly, we analyzed whether class membership was predicted by sex and age. The sample was composed of 360 participants between the ages of 18 and 35, the majority female. The results obtained revealed that alcohol abuse was the most prevalent addictive behavior both for problem and non-problem gamblers of both sexes. Group membership analyses showed the presence of two latent classes based on gambling risk. One of them was characterized by gambling risk, comorbidity, alexithymia, and stressful life events, and mainly predicted by being male. The other model was characterized by no gambling risk, lower levels of stressful life events and alexithymia, and mainly predicted by being female. This second profile presents a risk of alcohol abuse and compulsive buying. We highlight the need to introduce a gender perspective both in the interpretation of research findings and in the clinical application of treatments.","PeriodicalId":55560,"journal":{"name":"Adicciones","volume":"0 0","pages":"347-358"},"PeriodicalIF":2.2,"publicationDate":"2024-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141735778","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Relapse rates after treatment in Therapeutic Communities: A systematic review. 治疗社区治疗后的复发率：系统综述。

IF 2.2 4区医学

Adicciones Pub Date : 2024-12-30 DOI: 10.20882/adicciones.1898

Daniel Suárez-Castro, Diana Moreira, Andreia Azeredo, Paulo C Dias

引用次数: 0

Impact of alcohol consumption and diet on quality of life in higher education. A structural equation model. 饮酒和饮食对高校生活质量的影响。结构方程模型。

IF 2.2 4区医学

Adicciones Pub Date : 2024-12-30 DOI: 10.20882/adicciones.1903

José Luis Ubago-Jiménez, Félix Zurita-Ortega, Eduardo Melguizo-Ibáñez, José Manuel Alonso-Vargas

{"title":"Impact of alcohol consumption and diet on quality of life in higher education. A structural equation model.","authors":"José Luis Ubago-Jiménez, Félix Zurita-Ortega, Eduardo Melguizo-Ibáñez, José Manuel Alonso-Vargas","doi":"10.20882/adicciones.1903","DOIUrl":"10.20882/adicciones.1903","url":null,"abstract":"Alcohol consumption among Spanish undergraduates during their university time has increased exponentially in recent years. In addition, this lifestyle change is associated with abandoning the Mediterranean diet, increasing the risk of suffering some kind of injury and affecting their quality of life. The study was carried out with a sample of 1,057 Spanish university students, 12.1% (n = 127) of them women and 87.9% (n= 930) men. The SF-36 questionnaire was used to measure health-related quality of life, the MEDAS test to check adherence to the Mediterranean diet, and the AUDIT test to measure alcohol consumption. The results show an inverse relationship between injury and quality of life (β= -0.020) and adherence to the Mediterranean diet (β= -0.042) among students who have suffered some kind of injury. On the other hand, there was a positive relationship with alcohol consumption (β= -0.046). The main conclusion is that lower alcohol consumption and higher adherence to the Mediterranean diet was associated with a better quality of life and a reduced risk of injury in undergraduates in southern Spain.","PeriodicalId":55560,"journal":{"name":"Adicciones","volume":"0 0","pages":"389-398"},"PeriodicalIF":2.2,"publicationDate":"2024-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141735813","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

On the prevention of electronic cigarette use in adolescents. 预防青少年使用电子烟。

IF 2.2 4区医学

Adicciones Pub Date : 2024-12-30 DOI: 10.20882/adicciones.2232

José Luis Carballo, Francisco Pascual Pastor

引用次数: 0

Influence of educational level on the prevalence of risk behaviors during the perinatal period. 教育水平对围产期危险行为发生率的影响。

IF 2.2 4区医学

Adicciones Pub Date : 2024-12-30 DOI: 10.20882/adicciones.1892

Andrea Vila-Fariñas, Leonor Varela-Lema, Jessica Rial-Vázquez, María Isolina Santiago-Pérez, Cristina Candal-Pedreira, Julia Rey-Brandariz, Carla Guerra Tort, Lucia Martin-Gisbert, Alberto Ruano-Ravina, Mónica Pérez-Rios

{"title":"Influence of educational level on the prevalence of risk behaviors during the perinatal period.","authors":"Andrea Vila-Fariñas, Leonor Varela-Lema, Jessica Rial-Vázquez, María Isolina Santiago-Pérez, Cristina Candal-Pedreira, Julia Rey-Brandariz, Carla Guerra Tort, Lucia Martin-Gisbert, Alberto Ruano-Ravina, Mónica Pérez-Rios","doi":"10.20882/adicciones.1892","DOIUrl":"10.20882/adicciones.1892","url":null,"abstract":"The objective of this work was to assess changes during pregnancy and after childbirth in diet, consumption of tobacco, electronic cigarettes, cannabis, alcohol use and exposure to environmental tobacco smoke depending on the mother's educational level.A cross-sectional study was carried out whose target population was 18,822 Galician women aged 18-49 who gave birth between September 2015 and August 2016, and their 19,204 live-born children. A descriptive analysis was performed, and the prevalence of different behaviors was estimated at three time points - pre-pregnancy, pregnancy and after childbirth - depending on the mother's educational level. Percentages of change were calculated.Information was obtained from 6,436 women. Regardless of the educational level, during pregnancy there was an improvement in the different lifestyles. In the first months after childbirth, lifestyles worsened, except for exposure to environmental tobacco smoke and the use of electronic cigarettes. Most of the risk behaviors showed a gradient depending on the educational level; thus, the lower the educational level, the higher the prevalence of risk behaviors.In general, during pregnancy all women adopted healthier lifestyles that they abandoned in the months following childbirth. Women with a lower level of education showed a higher prevalence of risk behaviors, both in the period prior to pregnancy, as well as during pregnancy and after childbirth.","PeriodicalId":55560,"journal":{"name":"Adicciones","volume":"0 0","pages":"371-378"},"PeriodicalIF":2.2,"publicationDate":"2024-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141735814","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Cannabis use in adult population in Galicia: Prevalence and associated characteristics. 加利西亚成年人吸食大麻的情况：流行率及相关特征。

IF 2.2 4区医学

Adicciones Pub Date : 2024-09-25 DOI: 10.20882/adicciones.1805

Julia Rey-Brandariz, María Isolina Santiago-Pérez, Cristina Candal-Pedreira, Leonor Varela-Lema, Alberto Ruano-Ravina, Cristina Martinez, Sergio Veiga, Miriam Otero, Alberto Malvar, Mónica Pérez-Ríos

{"title":"Cannabis use in adult population in Galicia: Prevalence and associated characteristics.","authors":"Julia Rey-Brandariz, María Isolina Santiago-Pérez, Cristina Candal-Pedreira, Leonor Varela-Lema, Alberto Ruano-Ravina, Cristina Martinez, Sergio Veiga, Miriam Otero, Alberto Malvar, Mónica Pérez-Ríos","doi":"10.20882/adicciones.1805","DOIUrl":"10.20882/adicciones.1805","url":null,"abstract":"Cannabis is the most widely consumed illegal drug in Spain, with consumption concentrated mainly in adolescence and early adulthood. The objectives were to estimate the prevalence of cannabis use, cannabis use disorder (CUD) and dependent use in the Galician population aged 16 years and over, and to characterize cannabis users and cannabis dependent users. Data are from two cross-sectional studies from the Risk Behavior Information System conducted in 2017 (n = 7,841) and 2018 (n = 7,853). The Cannabis Abuse Screening Test (CAST) was used to identify users with CUD and/or dependent use. Prevalences were estimated and regression models were fitted to identify variables associated with cannabis use and dependent use. In 2017-2018, 2.7% (95% CI: 2.5-3.0) of the Galician population aged 16 years and over consumed cannabis at the time of the survey, with this prevalence being 9% in the 16-24 years age group. Prevalence decreased with age and was higher in males in all age groups. The prevalence of CUD in users was 69.5% (95% CI 61.1-78.1) and of dependent use it was 49.2% (95% CI 46.6-53.9). Tobacco use was the major determinant of being a cannabis user [OR = 19.8 (95% CI 13.8-28.4)] and daily cannabis use of being a dependent user [OR = 5.5 (95% CI 3.2-9.5)]. Cannabis use among the Galician population is high, especially among young people aged 16-24 years, who show the highest probability of dependent use. Prevention measures should be aimed especially at the younger population aged 16 years to curb its use and the development of consequences such as CUD and dependent use.","PeriodicalId":55560,"journal":{"name":"Adicciones","volume":"0 0","pages":"257-266"},"PeriodicalIF":2.2,"publicationDate":"2024-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9547132","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Training mental health residents in tobacco and alcohol: Relationship with their clinical intervention. 对精神卫生住院医生进行烟草和酒精方面的培训：与临床干预的关系。

IF 2.2 4区医学

Adicciones Pub Date : 2024-09-25 DOI: 10.20882/adicciones.1837

Sílvia Mondon, Antònia Raich, Concepció Martí, Esteve Fernández, Montse Ballbè, Grupo de Trabajo de Tabaco Y Salud Mental de La Red Catalana de Hospitales Sin Humo

{"title":"Training mental health residents in tobacco and alcohol: Relationship with their clinical intervention.","authors":"Sílvia Mondon, Antònia Raich, Concepció Martí, Esteve Fernández, Montse Ballbè, Grupo de Trabajo de Tabaco Y Salud Mental de La Red Catalana de Hospitales Sin Humo","doi":"10.20882/adicciones.1837","DOIUrl":"10.20882/adicciones.1837","url":null,"abstract":"The objective of this study is to describe how mental health professionals in training (residents) apply the brief intervention (5As) on the tobacco and alcohol consumption to their patients, and if this is related to the training received and/or their own consumption. This is a cross-sectional study in which a self-reported questionnaire was administered to first-year residents of mental health professionals in Catalonia (2016-2019) (psychiatrists, psychologists and nurses). We performed a descriptive analysis of the variables and we applied a chi-square test for the comparison of proportions. 154 professionals completed the questionnaire. Half of them had not received any university training on intervention in smoking (46.8%) or in alcohol consumption (53.2%). Those who had received it, advised, assessed and helped their patients to quit smoking more frequently (p = 0.008, p = 0.037 and p = 0.039; respectively). Those who had received training in alcohol intervention gave advice, performed assessments and offered help to quit/reduce alcohol among their patients more frequently (p < 0,001; p = 0,001; y p < 0,001; respectively). Residents usually helped more to quit or reduce alcohol than to quit tobacco (p < 0,001). 60.1% of them never or rarely helped their patients to stop smoking and 34.6% rarely helped in the case of alcohol. In general, nurses did more intervention for tobacco than alcohol use, regardless of the training received. The lack of training of professionals in tobacco and alcohol intervention at university is related to a lack of intervention on patients in their professional practice, regardless of their own consumption.","PeriodicalId":55560,"journal":{"name":"Adicciones","volume":"0 0","pages":"277-286"},"PeriodicalIF":2.2,"publicationDate":"2024-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9547134","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Emergency care carried out during the pandemic due to substance abuse in a Spanish province. 西班牙某省在大流行病期间因药物滥用而开展的紧急护理。

IF 2.2 4区医学

Adicciones Pub Date : 2024-09-25 DOI: 10.20882/adicciones.1819

María Irigoyen-Otiñano, Lucía Ibarra-Pertusa, Eugènia Nicolau-Subires, Carla Albert-Porcar, Marina Adrados-Pérez, Esther Buil-Reiné, Laura Arenas-Pijoan, Giovanni Torterolo, Marta Sánchez-Cazalilla, Margarita Puigdevall-Ruestes, Vicent Llorca-Bofí

{"title":"Emergency care carried out during the pandemic due to substance abuse in a Spanish province.","authors":"María Irigoyen-Otiñano, Lucía Ibarra-Pertusa, Eugènia Nicolau-Subires, Carla Albert-Porcar, Marina Adrados-Pérez, Esther Buil-Reiné, Laura Arenas-Pijoan, Giovanni Torterolo, Marta Sánchez-Cazalilla, Margarita Puigdevall-Ruestes, Vicent Llorca-Bofí","doi":"10.20882/adicciones.1819","DOIUrl":"10.20882/adicciones.1819","url":null,"abstract":"Introduction: During periods of isolation, people with substance use disorders may reduce tension, stress, uncertainty and possible distress by increasing the use of substances or practices that they have abused. The objective of this study was to evaluate the impact of the pandemic on emergency care and continuity of care for patients with substance use disorders.Method: Study carried out in the only psychiatric emergency service in the province at the Hospital Universitario Santa María de Lérida, which cares for 431,183 people. Sociodemographic, clinical and evolutionary variables were collected from all the patients treated during a period prior to lockdown (January 13, 2020, until March 14, 2020) and during the first (March 15, 2020 until June 20, 2020) and second states of emergency (from October 25, 2020 to May 9, 2021).Results: 908 patients attended with substance use disorder, representing 23.8% of all visits. During the first state of emergency, visits increased (p < 0,001) with a decrease in the average age (p = 0.0023). During the second state of emergency, there was an increase in the use of alcohol with respect to the rest of toxic substances (p < 0,001) and an increase in the visits of patients without prior follow-up (p = 0.005).Conclusions: Substance use disorder consultations increased in the first state of emergency, with patients being younger and attending for reasons related to outpatient discontinuity, while in the second state of emergency, alcohol use increased in people without prior follow-up and with small social networks. Admissions in the first state of emergency were shorter, with no subsequent link to other detoxification treatment centers and with an earlier return to the emergency room, especially in female users.","PeriodicalId":55560,"journal":{"name":"Adicciones","volume":"0 0","pages":"267-276"},"PeriodicalIF":2.2,"publicationDate":"2024-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9547133","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

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