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Systematic review on the clinical management of chronic pain and comorbid opioid use disorder. 慢性疼痛和合并症阿片类药物使用障碍临床管理的系统综述。
IF 3 4区 医学
Adicciones Pub Date : 2023-07-01 DOI: 10.20882/adicciones.1680
Beltrán Jiménez-Fernández, Cristina Calomarde-Gómez, Ana López-Lazcano, Anna Lligoña, Antoni Gual, Hugo López-Pelayo
{"title":"Systematic review on the clinical management of chronic pain and comorbid opioid use disorder.","authors":"Beltrán Jiménez-Fernández,&nbsp;Cristina Calomarde-Gómez,&nbsp;Ana López-Lazcano,&nbsp;Anna Lligoña,&nbsp;Antoni Gual,&nbsp;Hugo López-Pelayo","doi":"10.20882/adicciones.1680","DOIUrl":"https://doi.org/10.20882/adicciones.1680","url":null,"abstract":"<p><p>The crisis caused by prescribed opioids and their related side effects are a public health problem worldwide. Most of these are prescribed for coping with chronic pain. The coexistence of opioid use disorder (OUD) in patients with chronic pain represents a complex challenge due to the need for managing both pain and OUD. The aim of this systematic review is to evaluate the efficacy of feasible treatments for this population with OUD and comorbid chronic pain for both conditions. A systematic database search has been performed using Cochrane Library, MEDLINE, PsycINFO and ClinicalTrials.gov in compliance with PRISMA guidelines. Eligible articles addressed the outcomes in chronic pain patients with comorbid opioid use disorder after treatment interventions were applied. Of 593 identified articles, nine were eligible for qualitative review (n = 7 pharmacological interventions; n = 2 psychological interventions). Methadone, buprenorphine, cognitive-behavioral and mindfulness showed promising results, but data were inconclusive (<2 RCT with low risk of bias). It is unclear whether the opioid agonist treatment should be maintained or tapered and which drug should be prescribed for the opioid substitution therapy (methadone or buprenorphine/naloxone). Mindfulness and cognitive behavioral therapy have a discrete effect on improving negative affect but not pain. The therapeutic approach might be individualized under a shared decision-making basis.</p>","PeriodicalId":55560,"journal":{"name":"Adicciones","volume":"35 2","pages":"197-212"},"PeriodicalIF":3.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10160596","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: 3
Differences between substance-induced psychotic disorders and non-substance-induced psychotic disorders and diagnostic stability. 物质诱发性精神障碍与非物质诱发性精神障碍的差异及诊断稳定性。
IF 3 4区 医学
Adicciones Pub Date : 2023-07-01 DOI: 10.20882/adicciones.1291
Julia Cambra Almerge, Sergio Sánchez-Romero, Francisco Arias Horcajadas
{"title":"Differences between substance-induced psychotic disorders and non-substance-induced psychotic disorders and diagnostic stability.","authors":"Julia Cambra Almerge,&nbsp;Sergio Sánchez-Romero,&nbsp;Francisco Arias Horcajadas","doi":"10.20882/adicciones.1291","DOIUrl":"https://doi.org/10.20882/adicciones.1291","url":null,"abstract":"<p><p>Several hypotheses have been proposed to explain the comorbidity between psychotic disorders and substance use, one of them being the capacity of some to induce psychotic symptoms, although the transition from psychotic episodes induced by substances to schizophrenia has been less studied. In this study, differential variables between patients with induced and non-induced psychosis are determined, and the evolution and change of diagnosis of those induced to schizophrenia in the follow-up is analyzed. This is an observational case-control study with 238 patients admitted to the acute care unit for psychotic episodes between December 2003 and September 2011. The group of non-substance-induced psychotic disorders (NSIPD) included 127 patients, with 111 in the substance-induced (SIPD) group, according to the International Classification of Diseases. Sociodemographic and clinical characteristics, personal and family history, substance use, diagnostic stability and progression were compared. The NSIPD group showed higher scores in severity and in negative symptoms and more family history of psychosis. The SIPD group presented more personal history of personality disorder and family history of addictions and more positive symptoms At 6 years of follow-up, 40.9% of ISDP changed to a diagnosis of schizophrenia, presenting more family history of psychotic disorders and worse progression with more visits to the emergency department and readmissions, than subjects who maintained diagnostic stability. Therefore, special attention should be paid to this group of patients because of the potential severity and the increased risk of developing a chronic psychotic disorder.</p>","PeriodicalId":55560,"journal":{"name":"Adicciones","volume":"35 2","pages":"95-106"},"PeriodicalIF":3.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9845347","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: 1
Problematic Internet use and Internet gaming disorder: Overlap and relationship with health-related quality of life in adolescents. 有问题的网络使用和网络游戏障碍:与青少年健康相关生活质量的重叠和关系
IF 3 4区 医学
Adicciones Pub Date : 2023-07-01 DOI: 10.20882/adicciones.1494
Juan Manuel Machimbarrena, Marta Beranuy, Esperanza Vergara-Moragues, Liria Fernández-González, Esther Calvete, Joaquín González-Cabrera
{"title":"Problematic Internet use and Internet gaming disorder: Overlap and relationship with health-related quality of life in adolescents.","authors":"Juan Manuel Machimbarrena,&nbsp;Marta Beranuy,&nbsp;Esperanza Vergara-Moragues,&nbsp;Liria Fernández-González,&nbsp;Esther Calvete,&nbsp;Joaquín González-Cabrera","doi":"10.20882/adicciones.1494","DOIUrl":"https://doi.org/10.20882/adicciones.1494","url":null,"abstract":"<p><p>General Problematic Internet Use (GPIU) is a dysfunctional use of Internet handling and management in general. In contrast, Internet Gaming Disorder (IGD) is a specific behaviour linked to online videogames. Both problems are becoming common in adolescents, but they have hardly been studied simultaneously, and the joint relationship of the two constructs with Health-Related Quality of Life (HRQoL) is unknown. The general objective of this study is to analyse the relationship between GPIU and IGD and their association with HRQoL. The study is analytical and cross-sectional with 2,024 participants (46.4% boys, n = 939) from 16 schools of 7 Spanish regions. The mean age and standard deviation were 14.20±1.42, with a range of 11-18 years. The Spanish versions of the KIDSCREEN-10, the Revised Generalized and Problematic Internet Use Scale 2 and the Internet Gaming Disorder Scale were used. Of the total sample evaluated, 15.5% of the participants had high levels of GPIU, and 3.3% of video game players presented IGD. The dimensions of GPIU are strongly associated with those of IGD. HRQoL correlated significantly and negatively with all the dimensions of GPIU and IGD (p <.001). Participants who reported problems with GPIU or IGD, individually or conjointly, had significantly lower scores in HRQoL than those with no problems.</p>","PeriodicalId":55560,"journal":{"name":"Adicciones","volume":"35 2","pages":"107-118"},"PeriodicalIF":3.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10143732","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: 1
On the issue of unconstitutionality raised by the Supreme Court regarding gambling advertising. 关于大法院对赌博广告提出的违宪问题。
IF 3 4区 医学
Adicciones Pub Date : 2023-07-01 DOI: 10.20882/adicciones.1941
Mariano Chóliz Montañés
{"title":"On the issue of unconstitutionality raised by the Supreme Court regarding gambling advertising.","authors":"Mariano Chóliz Montañés","doi":"10.20882/adicciones.1941","DOIUrl":"https://doi.org/10.20882/adicciones.1941","url":null,"abstract":"","PeriodicalId":55560,"journal":{"name":"Adicciones","volume":"35 2","pages":"91-94"},"PeriodicalIF":3.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9948941","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
Self-reported increase in alcohol and drugs intake as a coping strategy in hospital workers during COVID-19 outbreak: A cross-sectional study. 在COVID-19爆发期间,医院工作人员自我报告的酒精和药物摄入量增加作为应对策略:一项横断面研究
IF 3 4区 医学
Adicciones Pub Date : 2023-07-01 DOI: 10.20882/adicciones.1643
Agustín Madoz-Gúrpide, Mónica Leira-Sanmartín, Ángela Ibañez, Enriqueta Ochoa-Mangado
{"title":"Self-reported increase in alcohol and drugs intake as a coping strategy in hospital workers during COVID-19 outbreak: A cross-sectional study.","authors":"Agustín Madoz-Gúrpide,&nbsp;Mónica Leira-Sanmartín,&nbsp;Ángela Ibañez,&nbsp;Enriqueta Ochoa-Mangado","doi":"10.20882/adicciones.1643","DOIUrl":"https://doi.org/10.20882/adicciones.1643","url":null,"abstract":"<p><p>Situations of psychological stress, such as the current COVID-19 pandemic, could lead to an increase in the consumption of alcohol and other drugs of abuse as an inadequate coping strategy in health workers. This study aimed to investigate the intake of alcohol and drugs of abuse in hospital workers during the first wave of COVID-19. A further focus was to define the worker profile most vulnerable to this behavior through a logistic regression analysis. A cross-sectional study in a tertiary hospital in Madrid, Spain, during the first wave of COVID-19 was designed. Information was collected from a sample (n = 657) of healthcare workers (n = 536) and non-healthcare workers (n = 121). An online survey (including questions about basic health habits, working environment conditions, sociodemographic data, and the 12-item version of the General Health Questionnaire as a measure of psychological well-being) was conducted. Increased consumption of alcohol and/or drugs of abuse during the analyzed period of the pandemic was reported by 17.1% of workers. The following variables were associated with a higher probability of increased consumption of alcohol and/or drugs of abuse: male gender (p = .044), living alone or without dependents (p = .005), staff physician or resident (p = .010), having worked on the COVID frontline (p = .058), poor nutritional habits (p = .004) and self-prescription of psychotropic drugs to manage anxiety and insomnia (p = .003). A significant percentage of hospital workers increased their consumption of alcohol and drugs of abuse during the first wave of the COVID-19 pandemic. A professional risk profile can be defined for this practice.</p>","PeriodicalId":55560,"journal":{"name":"Adicciones","volume":"35 2","pages":"143-150"},"PeriodicalIF":3.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9784525","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: 7
Percepción del consumo de alcohol propio y de allegados en universitarios de primer curso como predictor del consumo a 10 años. 本研究的目的是评估大学生对酒精消费的感知,以及他们与家人和朋友的关系,作为10年消费的预测因素。
IF 3 4区 医学
Adicciones Pub Date : 2023-07-01 DOI: 10.20882/adicciones.1510
Lucía Moure-Rodríguez, Carina Carbia, Montserrat Corral Varela, Ainara Díaz-Geada, Fernando Cadaveira, Francisco Caamaño-Isorna
{"title":"Percepción del consumo de alcohol propio y de allegados en universitarios de primer curso como predictor del consumo a 10 años.","authors":"Lucía Moure-Rodríguez,&nbsp;Carina Carbia,&nbsp;Montserrat Corral Varela,&nbsp;Ainara Díaz-Geada,&nbsp;Fernando Cadaveira,&nbsp;Francisco Caamaño-Isorna","doi":"10.20882/adicciones.1510","DOIUrl":"https://doi.org/10.20882/adicciones.1510","url":null,"abstract":"<p><p>The alcohol use perceptions young people have of those close to them can affect their expectations regarding alcohol and, thus, their own drinking. We aim to identify the predictive ability of own and significant others' perceived drinking at age 18-19 in the alcohol use patterns at 27-28. A cohort study was carried out among university students in Spain (n=1,382). Binge Drinking (BD) and Risky Consumption (RC) were measured with the Alcohol Use Disorders Identification Test at ages 18, 20, 22, 24 and 27. Multilevel logistic regression for repeated measures was used to calculate the adjusted Odds Ratios (ORs). College students perceive their family's alcohol consumption as very low or nothing, while the perception of their own alcohol use or that of their friends is higher. Perceiving higher alcohol use among their siblings and friends increases the risk of BD for both sexes and RC for women. Living away from the parental home increases the risk of RC and BD. In conclusion, the perception of their friend's alcohol use at age 18-19 is the most influential variable in BD among both sexes and in RC among men throughout 10 years of follow-up. Parental alcohol consumption does not affect college student drinking patterns when friends and siblings are considered. Living with one's family acts as a protective factor. Preventive measures focused on young people should take a contextual approach and include those closest to them.</p>","PeriodicalId":55560,"journal":{"name":"Adicciones","volume":"35 2","pages":"119-134"},"PeriodicalIF":3.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10158541","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: 1
Evolution of mortality attributable to alcohol in Spain according to age, sex, cause of death and type of drinker (2001-2017). 西班牙按年龄、性别、死因和饮酒者类型划分的酒精死亡率演变(2001-2017年)。
IF 3 4区 医学
Adicciones Pub Date : 2023-07-01 DOI: 10.20882/adicciones.1612
Marta Donat, Luis Sordo, María José Belza, Juan Hoyos, Enrique Regidor, Gregorio Barrio
{"title":"Evolution of mortality attributable to alcohol in Spain according to age, sex, cause of death and type of drinker (2001-2017).","authors":"Marta Donat,&nbsp;Luis Sordo,&nbsp;María José Belza,&nbsp;Juan Hoyos,&nbsp;Enrique Regidor,&nbsp;Gregorio Barrio","doi":"10.20882/adicciones.1612","DOIUrl":"https://doi.org/10.20882/adicciones.1612","url":null,"abstract":"<p><p>There are no recent estimates of alcohol-attributable mortality in Spain with Spanish alcohol consumption data. The objective is to estimate it and know its evolution between 2001 and 2017 in people ≥15 years, according to sex, age, period, cause of death and type of drinker. The cause-specific approach and Levin's equation were used. Survey consumption was corrected for underestimation with respect to sales statistics, and past consumption and binge drinking were considered. The average annual number of deaths attributable to alcohol in 2010-2017 was 14,927, 58.6% of which were premature (<75 years). The age-standardized alcohol-attributable mortality rate was 39.4/100,000 inhabitants, representing 3.9% of overall mortality. Using standardized percentages, 68.7% corresponded to heavy drinkers. The most frequent causes of alcohol-attributable mortality were cancer (44.7%) and digestive diseases (33.2%).  The rate of alcohol-attributable mortality was 3.5 times higher in men than in women (with higher ratios for young people and external causes). Between 2001-2009 and 2010-2017, the average annual rate decreased 16.8% (60.7% in 15-34 years; 19.4% in men and 9.8% in women). The contribution of heavy drinkers, digestive diseases and external causes to the risk of alcohol-attributable mortality decreased slightly between the two periods, while the contribution of cancer and circulatory diseases increased. These estimates are conservative. The contribution of alcohol to overall mortality is significant in Spain, requiring collective action to reduce it.</p>","PeriodicalId":55560,"journal":{"name":"Adicciones","volume":"35 2","pages":"165-176"},"PeriodicalIF":3.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9786067","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: 1
The relevance of patterns of use: A survey to assess cannabis use related harm. 使用模式的相关性:一项评估大麻使用相关危害的调查。
IF 3 4区 医学
Adicciones Pub Date : 2023-07-01 DOI: 10.20882/adicciones.1570
Eugènia Campeny, Hugo López-Pelayo, Antoni Gual, Maria de Las Mercedes Balcells-Olivero
{"title":"The relevance of patterns of use: A survey to assess cannabis use related harm.","authors":"Eugènia Campeny,&nbsp;Hugo López-Pelayo,&nbsp;Antoni Gual,&nbsp;Maria de Las Mercedes Balcells-Olivero","doi":"10.20882/adicciones.1570","DOIUrl":"https://doi.org/10.20882/adicciones.1570","url":null,"abstract":"<p><p>Lifetime prevalence of cannabis use is estimated 192 million adults worldwide (2017) and has increased by 16% in the last decade. However, data on quantity and frequency of use that can lead to harm is lacking. We have developed a survey to assess patterns of cannabis use and related harms in a sample of cannabis users. This paper focuses on evaluating the feasibility of the survey and the users' satisfaction in a pilot sample. Forty cannabis users were recruited (>18 years old, living in Spain, cannabis use at least once during the last 12 months) between December 2018 and January 2019. Participants answered an online survey (mental health, organic harm and injury) and an ad hoc questionnaire to assess accessibility, feasibility, satisfaction, design and content appropriateness. Of the participants, 93.23% (n = 37.3) were satisfied with the design, 94.92% (n = 38.2) were satisfied with the content, and 94.73% (n = 37.0) were satisfied with the accessibility of the survey; only minor changes were required to improve feasibility and accessibility. Participants used a median of 1.0 Standard Joint Unit per day (Interquartile Range [IQR] 1.0-2.0). Of the sample, 92.5% reported at least one related harm and suffers a median of 4.0 disorders (IQR, 1.25-5.0). The present study allows for designing a feasible online survey to conduct a cross-sectional study with a larger sample.</p>","PeriodicalId":55560,"journal":{"name":"Adicciones","volume":"35 2","pages":"135-142"},"PeriodicalIF":3.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9845349","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
Smoking-attributable mortality in Spain: A systematic review. 西班牙吸烟导致的死亡率:一项系统综述。
IF 3 4区 医学
Adicciones Pub Date : 2023-07-01 DOI: 10.20882/adicciones.1619
Julia Rey-Brandariz, Mónica Pérez-Ríos, María Isolina Santiago-Pérez, Leonor Varela-Lema, Alexandra Giraldo-Osorio, Nerea Mourino, Alberto Ruano-Ravina
{"title":"Smoking-attributable mortality in Spain: A systematic review.","authors":"Julia Rey-Brandariz,&nbsp;Mónica Pérez-Ríos,&nbsp;María Isolina Santiago-Pérez,&nbsp;Leonor Varela-Lema,&nbsp;Alexandra Giraldo-Osorio,&nbsp;Nerea Mourino,&nbsp;Alberto Ruano-Ravina","doi":"10.20882/adicciones.1619","DOIUrl":"https://doi.org/10.20882/adicciones.1619","url":null,"abstract":"<p><p>Smoking-attributable mortality (SAM) is an indicator that reflects the evolution of the tobacco epidemic at the population level. The objective of this study is to identify and to describe published studies that have estimated SAM in Spain. A search in PubMed and EMBASE databases was performed, limited to studies published until April 15th, 2021. Studies that estimated SAM in Spain or its constituent regions were included. Of the 146 studies identified, 22 met eligibility criteria. The first estimate of SAM in Spain dates from 1978 and the last from 2017. Twelve of the studies found estimated SAM at national level, 8 in regions, 1 in a province and 1 in a city. Most estimates were made for adults aged over 34, categorized as smokers, ex-smokers and never smokers. Observed mortality derived, in all studies, from official records, and relative risks mostly from Cancer Prevention Study II. In the period analyzed, a decrease in the burden of SAM was observed. In Spain, different SAM estimates are available globally, but they do not have regular periodicity, and such estimates are infrequently made by region. Due to variations in methodology and data sources, it is difficult to assess changes in SAM. Having global and regional periodic estimates would be necessary to correctly monitor the tobacco epidemic in Spain.</p>","PeriodicalId":55560,"journal":{"name":"Adicciones","volume":"35 2","pages":"185-196"},"PeriodicalIF":3.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9786064","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: 8
Problematic Internet Use and Psychological Problems among University Students with Disabilities. 残疾大学生上网问题与心理问题
IF 3 4区 医学
Adicciones Pub Date : 2023-07-01 DOI: 10.20882/adicciones.1574
María José Pino Osuna, Carlos Herruzo Pino, Valentina Lucena Jurado, Javier Herruzo Cabrera
{"title":"Problematic Internet Use and Psychological Problems among University Students with Disabilities.","authors":"María José Pino Osuna,&nbsp;Carlos Herruzo Pino,&nbsp;Valentina Lucena Jurado,&nbsp;Javier Herruzo Cabrera","doi":"10.20882/adicciones.1574","DOIUrl":"https://doi.org/10.20882/adicciones.1574","url":null,"abstract":"<p><p>Problematic internet use (PIU) among people with disabilities has received very little attention in scientific literature. The objective of this work is to study PIU among Spanish university students with disabilities, and determine whether it is related to the presence of psychological problems and discomfort. A total of 432 Spanish university students with disabilities from six universities participated in the study (35% motor disability, 22.7% sensory disability and 42.1% other disabilities, excluding psychical or intellectual disability). PIU in the sample was assessed using the Internet Addiction Test (IAT), while psychological problems were assessed using the Clinical Outcomes in Routine Evaluation-Outcome Measure (CORE-OM). PIU prevalence was 6.3%, and significant differences were found by age (< 22 had a PIU prevalence five times higher), onset of disability (prevalence was 3.7 times higher in those with congenital disability) and main type of internet use (recreational). There were no differences by sex, level of education or type of disability. In all the dimensions measured by CORE-OM (psychological problems, subjective well-being, life functioning and risk of self-harm and harm to others), the prevalence of psychological problems was significantly higher among problematic internet users. In conclusion, university students who are disabled from birth (regardless of their type of disability and sex), under the age of 22, and use the internet mainly for social networking and recreational purposes are at greater risk of psychological distress and are more vulnerable to problems like anxiety and difficulties with social relationships.</p>","PeriodicalId":55560,"journal":{"name":"Adicciones","volume":"35 2","pages":"177-184"},"PeriodicalIF":3.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9780528","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: 1
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