AdiccionesPub Date : 2024-09-25DOI: 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":"<p><p>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.</p>","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}
AdiccionesPub Date : 2024-09-25DOI: 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":"<p><p>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.</p>","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}
AdiccionesPub Date : 2024-09-25DOI: 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":"<p><strong>Introduction: </strong>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.</p><p><strong>Method: </strong>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).</p><p><strong>Results: </strong>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).</p><p><strong>Conclusions: </strong>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.</p>","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}
AdiccionesPub Date : 2024-09-25DOI: 10.20882/adicciones.1801
Javier Ortuño-Sierra, Julia Pérez-Sáenz, Oliver Mason, Alicia Pérez de Albeniz, Eduardo Fonseca Pedrero
{"title":"Problematic Internet Use among adolescents: Spanish validation of the Compulsive Internet Use Scale (CIUS).","authors":"Javier Ortuño-Sierra, Julia Pérez-Sáenz, Oliver Mason, Alicia Pérez de Albeniz, Eduardo Fonseca Pedrero","doi":"10.20882/adicciones.1801","DOIUrl":"10.20882/adicciones.1801","url":null,"abstract":"<p><p>Problematic use of the Internet among adolescents has risen in the last decade. The Compulsive Internet Use Scale (CIUS) is one of the most frequently internationally-used tools developed to assess Problematic Internet Use (PIU). However, evidence concerning its validity and reliability in its Spanish version for the adolescent population is currently lacking. Thus, the main goal of the present study was to analyse the psychometric properties of CIUS scores in a large sample of Spanish adolescents. The sample consisted of 1,790 participants (53.7% female, mean age = 15.70 years old, SD = 1.26). The one-dimensional model displayed appropriate goodness of fit indices after error covariance of five items were allowed to correlate. Strong measurement invariance was found for the one-dimensional model across age and gender. The McDonald's Omega coefficient for the total score was 0.91. Furthermore, PIU was positively associated with different indicators of poor wellbeing and psychological difficulties and negatively associated with prosocial behaviour, self-esteem and sense of belonging to the educational centre. The study provided evidence of validity for the CIUS, confirming its utility for screening PIU in non-clinical adolescents.</p>","PeriodicalId":55560,"journal":{"name":"Adicciones","volume":"0 0","pages":"247-256"},"PeriodicalIF":2.2,"publicationDate":"2024-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33490549","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}
AdiccionesPub Date : 2024-09-25DOI: 10.20882/adicciones.1866
Peter Anderson, Daša Kokole
{"title":"Substitution of higher-strength beers with zero-alcohol beers: Interrupted time series analyses of Spanish household purchase data, 2017-2022.","authors":"Peter Anderson, Daša Kokole","doi":"10.20882/adicciones.1866","DOIUrl":"10.20882/adicciones.1866","url":null,"abstract":"<p><p>In its action plan (2022-2030) to reduce the harmful use of alcohol, WHO calls on economic operators to \"substitute, whenever possible, higher-alcohol products with no-alcohol and lower-alcohol products in their overall product portfolios, with the goal of decreasing the overall levels of alcohol consumption in populations and consumer groups\". This paper investigates substitution within beer brands at the level of the consumer, based on Spanish household purchase data using interrupted time series analysis. For households (n = 1791, 9.1% of all households) that newly bought at least one of eleven branded zero-alcohol beers (responsible for over three-quarters of all zero-alcohol beer purchased), the associated purchases of all grams of alcohol after the first purchase of zero-alcohol beer were reduced by 5.5%, largely due to substituting every one litre of higher strength beer (ABV > 3.5%) with 0.75 litres of same-branded zero-alcohol beer (ABV = 0.0%). For households (n = 337, 1.8% of all households) that had never previously purchased a same-branded higher-strength beer, but newly purchasing a same-branded zero-alcohol beer, the associated purchases of all grams of alcohol after the first purchase of zero-alcohol beer were reduced by 14%; this reduction was largely due to such households' decreasing their associated purchases of wines and spirits. Thus, at the level of the consumer, based on Spanish household purchase data of branded zero-alcohol beers, the evidence behind WHO's call for substitution appears to be substantiated.</p>","PeriodicalId":55560,"journal":{"name":"Adicciones","volume":"0 0","pages":"299-316"},"PeriodicalIF":2.2,"publicationDate":"2024-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9246985","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}
AdiccionesPub Date : 2024-06-28DOI: 10.20882/adicciones.1986
Alicia Pérez de Albéniz, Beatriz Lucas Molina, Adriana Díez-Gómez, Julia Pérez-Sáenz, Eduardo Fonseca-Pedrero
{"title":"Dismantling stereotypes: Sexual orientation and risk for substance use in adolescence.","authors":"Alicia Pérez de Albéniz, Beatriz Lucas Molina, Adriana Díez-Gómez, Julia Pérez-Sáenz, Eduardo Fonseca-Pedrero","doi":"10.20882/adicciones.1986","DOIUrl":"https://doi.org/10.20882/adicciones.1986","url":null,"abstract":"<p><p>Substance use and abuse is a major public health problem. Research has generally shown that sexual minority groups such as lesbian, gay, bisexual, transgender and other (LGBT+) people are among the most at-risk vulnerable groups for substance use. However, research in the Spanish context is very scarce and has not analyzed these issues. This research, therefore, aimed to analyze substance use in young people according to their sexual orientation through two studies using representative samples of adolescents. The analyses revealed only some differences in substance use by sexual minority groups. Bisexual adolescents showed a higher frequency of use in some indicators of tobacco, cannabis and alcohol, and lesbians showed a higher frequency of heavy alcohol use but no other indicators of differential use. Questioning adolescents, on the other hand, had the lowest rates of use compared to the other groups on many indicators. Results derived from both studies could indicate, at least with these samples and indicators, that there is no generalized and more frequent use of substances by people of sexual minority groups, which could suggest the existence of a stereotype rather than a fact.</p>","PeriodicalId":55560,"journal":{"name":"Adicciones","volume":"0 0","pages":"1986"},"PeriodicalIF":2.2,"publicationDate":"2024-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141735812","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}
AdiccionesPub Date : 2024-06-28DOI: 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":"https://doi.org/10.20882/adicciones.1912","url":null,"abstract":"<p><p>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.</p>","PeriodicalId":55560,"journal":{"name":"Adicciones","volume":"0 0","pages":"1912"},"PeriodicalIF":2.2,"publicationDate":"2024-06-28","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}
AdiccionesPub Date : 2024-06-28DOI: 10.20882/adicciones.1966
Víctor José Villanueva-Blasco, Jorge Medina-Martínez, Javier Zaragoza
{"title":"Systematic review on the characteristics and efficacy of school preventive programs for drug addiction in Spain.","authors":"Víctor José Villanueva-Blasco, Jorge Medina-Martínez, Javier Zaragoza","doi":"10.20882/adicciones.1966","DOIUrl":"https://doi.org/10.20882/adicciones.1966","url":null,"abstract":"<p><p>The school environment is of great relevance in the prevention of drug use in students because it is where they spend most of their time and, since education is compulsory until upper secondary school in Spain, interventions in this area can reach the majority of children up to that stage. The objective of this systematic review is to determine the level of efficacy of the school preventive programs that have been implemented in Spain. Following the PRISMA recommendations, a systematic literature search was carried out in the Web of Science, PubMed/MEDLINE, Embase, Scopus, and Cochrane Library databases. The search yielded 274 studies, of which 29 studies were selected. It was found that 48 drug addiction prevention programs have been implemented in Spanish school context, of which only 18 (37.5%) had an evaluation of their effectiveness following the criteria and standards of effective prevention. Conversely, the programs that were not evaluated are far from these standards in their design. It is concluded that there are two models of school prevention of drug addiction in Spain: a model that meets this description; and another model classified as \"pseudo-prevention\", since its design does not meet the standards of effective prevention nor has its preventive efficacy been demonstrated.</p>","PeriodicalId":55560,"journal":{"name":"Adicciones","volume":"0 0","pages":"1966"},"PeriodicalIF":2.2,"publicationDate":"2024-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141735780","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}
AdiccionesPub Date : 2024-06-28DOI: 10.20882/adicciones.1948
Olatz López Fernández, Lucía Romo, Amélie Rousseau, Bernadeta Lelonek-Kuleta, Joanna Chwaszcz, Niko Männikkö, Ann-Kathrin Gässler, Zsolt Demetrovics, Sophia Achab, Daria J Kuss, Mark D Griffiths
{"title":"Problematic Internet use among adults: A longitudinal European study.","authors":"Olatz López Fernández, Lucía Romo, Amélie Rousseau, Bernadeta Lelonek-Kuleta, Joanna Chwaszcz, Niko Männikkö, Ann-Kathrin Gässler, Zsolt Demetrovics, Sophia Achab, Daria J Kuss, Mark D Griffiths","doi":"10.20882/adicciones.1948","DOIUrl":"https://doi.org/10.20882/adicciones.1948","url":null,"abstract":"<p><p>There are few cross-cultural studies utilizing longitudinal analysis to explore problematic internet use (PIU), and almost none among adults. The present follow-up study compared three waves across 12-month period every six months and observed the natural course and trajectory of PIU in a European multi-country sample of adults from 11 countries (Finland, Germany, Italy, Spain, France, Switzerland, Hungary, Poland, UK, Norway, Belgium). A total of 139 participants (45.5% females) provided data across all three waves with an average age of 26.14 years (SD = 5.92). There were longitudinal effects in PIU, with statistical differences between at-risk users compared to healthy users in Waves 1 and 2, and Waves 1 and 3. The analyses of variance showed a longitudinal effect of waves on the PIU symptoms. PIU was significantly affected by time and type of user, with those classed as at-risk having higher scores than healthy users, although PIU decreased over time. In addition, the type of PIU detected in adults contained mild addictive symptoms. In conclusion, this study demonstrated that PIU was generally low among European adult population and tended to decrease over the one-year period, what contrasts with adolescent population findings.</p>","PeriodicalId":55560,"journal":{"name":"Adicciones","volume":"0 0","pages":"1948"},"PeriodicalIF":2.2,"publicationDate":"2024-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141735779","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}