AdiccionesPub Date : 2023-01-01DOI: 10.20882/adicciones.1923
Kilian Abellaneda-Pérez, Laia Miquel, Pilar Lusilla-Palacios, Antoni Gual
{"title":"Non-invasive brain stimulation combined with neuroimaging: Towards precision medicine in the treatment of addictions.","authors":"Kilian Abellaneda-Pérez, Laia Miquel, Pilar Lusilla-Palacios, Antoni Gual","doi":"10.20882/adicciones.1923","DOIUrl":"https://doi.org/10.20882/adicciones.1923","url":null,"abstract":"* Department of Medicine, Faculty of Medicine and Health Sciences, Institute of Neurosciences, University of Barcelona, Barcelona, Spain. ** Institut d’Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Barcelona, Spain. *** Institut Guttmann, Institut Universitari de Neurorehabilitació adscrit a la UAB, Badalona, Barcelona, Spain. **** Addictive Behaviors Unit of Hospital Clinic of Barcelona. GRAC. Department of Psychiatry. ICN. Barcelona, Spain. ***** Red de Investigación en Atención Primaria de Adicciones (RIAPAd), Spain. ****** Psychiatry, Mental Health and Addictions research group, Vall d’Hebron Research Institute, Barcelona, Spain. ******* Psychiatry Department, Vall d’Hebron University Hospital Biomedical Network Research Centre on Mental Health (CIBERSAM) Department of Psychiatry and Legal Medicine, Universitat Autònoma de Barcelona, Barcelona, Spain. ******** Centro Bonanova de Psicología y Psiquiatría, Barcelona, Spain. ********* Emeritus Researcher, GRAC, IDIBAPS, Hospital Clinic of Barcelona, Barcelona, Spain.","PeriodicalId":55560,"journal":{"name":"Adicciones","volume":"35 1","pages":"3-8"},"PeriodicalIF":3.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10752470","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 : 2023-01-01DOI: 10.20882/adicciones.1506
Ali Al-Kassab-Córdova, Gonzalo Cornejo-Venegas, Nataly Gacharna-Madrigal, Carlos Baquedano-Rojas, Guillermo De La Borda-Prazak, Christian R Mejia
{"title":"Factors associated with frequent marijuana consumption in young people before admission to juvenile detention centers in Peru.","authors":"Ali Al-Kassab-Córdova, Gonzalo Cornejo-Venegas, Nataly Gacharna-Madrigal, Carlos Baquedano-Rojas, Guillermo De La Borda-Prazak, Christian R Mejia","doi":"10.20882/adicciones.1506","DOIUrl":"https://doi.org/10.20882/adicciones.1506","url":null,"abstract":"<p><p>Marijuana is the most widely used illicit drug in the world, especially among young people. This study is relevant to policy makers because it expands the knowledge regarding drug use in vulnerable youth, allowing health authorities to reduce marijuana consumption via educational, family, and governmental strategies and policies. The objective of this study was to determine the prevalence of frequent marijuana consumption and its associated factors in young people before admission to juvenile detention centers in Peru. The data was taken from the 2016 National Population Census of the Youth Diagnostic and Rehabilitation Centers in Peru. The final sample was made up of 1,848 people with ages between 14 and 22 years old, with a median age of 17 (95.6% males). The variable frequent marijuana consumption was defined as the use of marijuana at least once a week, prior to entering the center. The main factors associated with frequent marijuana use were male sex, running away from home before the age of 15, physical abuse during childhood, having a family member who consumed alcohol or drugs frequently, and the presence of criminal gangs in the housing area. Additionally, it was found that living with parents up to a specific critical age decreases the probability of frequent use of marijuana in young people. These results could aid the development of strategies and public policies that help prevent the consumption of marijuana and other drugs from an early age.</p>","PeriodicalId":55560,"journal":{"name":"Adicciones","volume":"35 1","pages":"9-20"},"PeriodicalIF":3.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9249705","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 : 2023-01-01DOI: 10.20882/adicciones.1726
Antonio Jesús Molina-Fernández, María Lucía Feo-Serrato, Pablo Serradilla-Sánchez
{"title":"Impact evaluation of European strategy on Spanish National Plan on Drugs and the role of civil society.","authors":"Antonio Jesús Molina-Fernández, María Lucía Feo-Serrato, Pablo Serradilla-Sánchez","doi":"10.20882/adicciones.1726","DOIUrl":"https://doi.org/10.20882/adicciones.1726","url":null,"abstract":"Send correspondence to: Antonio Jesús Molina Fernández. Universidad Complutense de Madrid. Departamento de Psicología Social, del Trabajo y Diferencial. Email: antmolin@ucm.es The European Drug Strategy (2013-2020) addressed the issues of illicit drugs, new psychoactive substances, the legal sale of alcohol, tobacco and medicines with addictive potential, and behavioural addictions, promoting coordination between EU member states and within individual national action plans (European Monitoring Centre for Drug Dependency and Addiction, 2017). Coordination is a way of ensuring that actions and policies are as reasonable and efficient as possible (O’Gorman, Quigley, Zobel & Moore, 2014); it provides an action framework to prevent potential duplication; it leverages and pools efforts; it reduces people’s care and treatment timelines (EMCDDA, 2017); it saves and maximises the use of resources (financial and human) and promotes significant levels of involvement for each of the organisations forming part of the Spanish National Plan on Drugs (PNSD, 2020). The strategic objectives of the national strategy include encouraging and promoting meaningful participation and engagement of civil society (scientific and professional associations, NGOs, social partners, neighbourhood associations and others), for the purpose of which these organisations were invited to join the Spanish Council on Drug and Other Addictions. The interest of Civil Society Organisations (CSOs) in participating in policies on drugs and other addictive behaviours has been expressed in national and international forums (O’Gorman et al., 2014). To this end, CSOs have proposed the participation of drug user organisations in national forums as well as international committees (Ernesto, 2017). Commissioned by the Civil Society Forum on Drugs, a study was carried out to analyse the impact of the European Drugs Strategy (2013-2020) on the Spanish action plan on drugs, especially the role of CSOs in this impact, taking into account the perceived strengths and improvement proposals of CSOs. The study used a qualitative methodology (Flick, 2018) with an action research approach (Creswell & Creswell, 2017). The instrument used for the analysis was a focus group as a primary source and a review of articles, reports and various studies as a secondary source. As a working strategy, participatory method research was proposed. The Consolidated Criteria for Reporting Qualitative Research, COREQ, report was used during the data gathering procedure (Tong, Sainsbury & Craig, 2007). A discussion group technique was adopted using a panel of experts on addiction interventions. A group of individuals significantly involved in the subject were selected, all of them considered key contributors at the international level (Tiburcio & Kressel, 2011). The selection criteria were: being a member of a non-governmental organization; with influence in the national and international network; being active locally, national","PeriodicalId":55560,"journal":{"name":"Adicciones","volume":"35 1","pages":"85-86"},"PeriodicalIF":3.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10806810","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 : 2023-01-01DOI: 10.20882/adicciones.1575
Francisco Arias, Ana Sion, Regina Espinosa, Rosa Jurado-Barba, Marta Marin, Andrés Martínez Maldonado, Gabriel Rubio
{"title":"Psychological recovery stages of alcohol dependent patients after an intensive outpatient treatment: A 4-year follow-up study.","authors":"Francisco Arias, Ana Sion, Regina Espinosa, Rosa Jurado-Barba, Marta Marin, Andrés Martínez Maldonado, Gabriel Rubio","doi":"10.20882/adicciones.1575","DOIUrl":"https://doi.org/10.20882/adicciones.1575","url":null,"abstract":"<p><p>The aim of this work is to determine if relapses can hinder the sequence of psychological recovery and to rebuild this sequence in patients with severe alcohol dependence that seek treatment. The sample was comprised of 159 patients seeking an intensive outpatient treatment of two years duration and who were subject to follow-up during four years after discharge. Patients were grouped according to the presence of relapse during follow-up, resulting in abstainers (n = 80) and relapsers (n = 79). Assessments were carried out in the following periods: baseline, at discharge, and at the second- and fourth-year follow-ups. The measurement variables were avoidance behavior, anxiety, depression, impulsivity and meaning in life (MiL). A control group (n = 74) was evaluated at the same periods as the patients. Results indicate a slower recovery in relapsers in comparison to abstainers in all psychological dimensions and periods assessed. At the second-year follow-up, the abstainers achieved similar scores in depression as the control participants, in addition to higher scores in Meaning in Life at the end of treatment. In patients with severe alcohol dependence, our data supports a sequence of recovery that could continue beyond the four years of follow-up after treatment. This sequence would begin with the avoidance of risk situations and continue with the rest of dimensions (anxiety, depression, impulsivity).</p>","PeriodicalId":55560,"journal":{"name":"Adicciones","volume":"35 1","pages":"21-32"},"PeriodicalIF":3.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9265597","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 : 2023-01-01DOI: 10.20882/adicciones.1598
Nerea Cortazar, Esther Calvete
{"title":"Longitudinal associations between dispositional mindfulness and addictive behaviors in adolescents.","authors":"Nerea Cortazar, Esther Calvete","doi":"10.20882/adicciones.1598","DOIUrl":"https://doi.org/10.20882/adicciones.1598","url":null,"abstract":"<p><p>Adolescence is a vulnerable period for the development of addictive behaviors, and substance use (SU) and problematic Internet use (PIU) typically start during this developmental stage. Dispositional Mindfulness (DM) has been proposed as a protective factor for adolescents against numerous psychological problems. Previous studies have suggested that the Observing facet of DM may moderate the other facets' roles. The objective of this study was to longitudinally analyze whether the facets of DM could predict lower levels of PIU and SU among adolescents, and to assess whether the Observing facet moderated the associations between the other facets of DM and addictive behaviors. A total of 836 participants aged 11 to 18 completed measures of PIU, SU, and the five facets of DM. The results indicated that Acting with Awareness predicted lower SU, Describing predicted an increase in both PIU and SU, and Non-judging marginally predicted lower PIU. Furthermore, Observing was beneficial against PIU when combined with high levels of Acting with Awareness, but was not when combined with high levels of Describing. The implications and future directions for the empirical study of DM against addictive behaviors are discussed.</p>","PeriodicalId":55560,"journal":{"name":"Adicciones","volume":"35 1","pages":"57-66"},"PeriodicalIF":3.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10687385","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 : 2022-11-29DOI: 10.20882/adicciones.1656
Jose Antonio Ramos Atance, Francisco Arias Horcajadas
{"title":"Can we increase risk perception among medical cannabis users?","authors":"Jose Antonio Ramos Atance, Francisco Arias Horcajadas","doi":"10.20882/adicciones.1656","DOIUrl":"https://doi.org/10.20882/adicciones.1656","url":null,"abstract":"","PeriodicalId":55560,"journal":{"name":"Adicciones","volume":"34 4","pages":"253-258"},"PeriodicalIF":3.0,"publicationDate":"2022-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10328810","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 : 2022-11-29DOI: 10.20882/adicciones.1718
Gema Aonso-Diego, Alba González-Roz, Sara Weidberg, Gloria García-Fernández, Roberto Secades-Villa
{"title":"Smoking cessation treatment attendance among smokers with substance use disorders.","authors":"Gema Aonso-Diego, Alba González-Roz, Sara Weidberg, Gloria García-Fernández, Roberto Secades-Villa","doi":"10.20882/adicciones.1718","DOIUrl":"https://doi.org/10.20882/adicciones.1718","url":null,"abstract":"Send correspondence to: Gema Aonso Diego. Unidad Clínica de Conductas Adictivas, Fac. Psicología, Univ. Oviedo, Plaza Feijoo s/n, 33003 Oviedo, España. Tel. 985104189. Email: aonsogema@uniovi.es Attrition rates pose a considerable problem in smoking cessation intervention, especially with hard-to-treat population (Lappan, Brown & Hendricks, 2019; Lien, Bolstad & Bramness, 2021). In this sense, non-attendance to a smoking cessation treatment decreases effectiveness of these interventions (Garey et al., 2020; Martínez-Vispo, López-Durán, Rodríguez-Cano, Senra & Becoña, 2021), and also brings about several resource-related costs (e.g., therapists time, urinalysis, materials) (Brorson, Arnevik, Rand-hendriksen & Duckert, 2013; Cooper, Kline, Baier & Feeny, 2018). All of the above results in a decrease in the cost-effectiveness of smoking cessation treatments in this population (Cooper et al., 2018). Although multiple researches on dropping out of smoking cessation treatments has been examined in SUD population, to our knowledge, no previous studies have examined specific predictors associated with treatment attendance in this population. Analyzing which factors predict non-attendance is expected to be clinically informative because it will enable to improve the efficacy and cost-effectiveness of existing smoking treatments. Amid this background, this exploratory study sought to examine which baseline variables (i.e., sociodemographic, tobacco, and substance use related variables) were associated with non-attendance to the smoking cessation treatment. This is a secondary study derived from a parent randomized controlled trial (Aonso-Diego, González-Roz, Krotter, García-Pérez & Secades-Villa, 2021). The eligibility criteria were: being ≥ 18 years old, smoking at least 10 cigarettes per day within the last year, and being enrolled in an outpatient substance use treatment. Participants were excluded if they had severe mental disorders (i.e., active psychotic disorder, or suicidal ideation), current cannabis use, or were receiving any other smoking cessation treatment, either psychological or pharmacological. Out of 101 participants who were assessed in an individual baseline interview, 15 were excluded for not meeting inclusion criteria, and a total of 86 patients were assigned to smoking cessation treatment. A binary logistic regression analysis was performed with attrition groups as dependent variable. The independent variables introduced were: sociodemographic (i.e., sex, age, employment status, marital status, and educational level), smoking features (i.e., cigarettes per day, years of regular use, nicotine dependence, urine cotinine levels, previous quit attempts, and current motivation to quit), and substance use related characteristics, that is, primary substance use (cocaine, alcohol, opioids, or cannabis), days of substance abstinence, and days on substance use treatment. Treatment condition [(cognitive-behavioral treatment (CBT) or CBT + contin","PeriodicalId":55560,"journal":{"name":"Adicciones","volume":"34 4","pages":"327-330"},"PeriodicalIF":3.0,"publicationDate":"2022-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10335528","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 : 2022-11-29DOI: 10.20882/adicciones.1213
José Ventura-León
{"title":"Back to content-based validity.","authors":"José Ventura-León","doi":"10.20882/adicciones.1213","DOIUrl":"https://doi.org/10.20882/adicciones.1213","url":null,"abstract":"Letter to the editor.","PeriodicalId":55560,"journal":{"name":"Adicciones","volume":"34 4","pages":"323-326"},"PeriodicalIF":3.0,"publicationDate":"2022-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10667847","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 : 2022-07-01DOI: 10.20882/adicciones.1469
A Menéndez-García, A Jiménez-Arroyo, M Rodrigo-Yanguas, M Marin-Vila, F Sánchez-Sánchez, E Roman-Riechmann, H Blasco-Fontecilla
{"title":"Internet, video game and mobile phone addiction in children and adolescents diagnosed with ADHD: A case-control study.","authors":"A Menéndez-García, A Jiménez-Arroyo, M Rodrigo-Yanguas, M Marin-Vila, F Sánchez-Sánchez, E Roman-Riechmann, H Blasco-Fontecilla","doi":"10.20882/adicciones.1469","DOIUrl":"https://doi.org/10.20882/adicciones.1469","url":null,"abstract":"<p><p>The use of new technologies has become widespread worldwide. There is increasing concern about \"Internet addiction disorder\" (IAD), \"Internet gaming disorder\" (IGD), and \"Mobile phone addiction\" (MPA). Attention Deficit Hyperactivity Disorder (ADHD) has been associated with IAD and IGD. However, evidence is lacking about the relationship between ADHD and MPA. Naturalistic case-control study. 112 patients (51 children with and 61 children without ADHD) between 7 and 17 years old were compared regarding IAD, IGD, and MPA. We used the TEA questionnaire for the assessment of executive function and ADHD (ATENTO), and the ADITEC questionnaire to get gender-differentiated information for IAD, IGD, and MPA. Female children scored higher on MPA (Mean ± Standard Deviation, M ± SD) (25.93 ± 17.64 vs. 14.77 ± 19.43, p=0.03), while male children scored higher on IGD (30.09 ± 21.65 vs. 12.51 ± 16.61, p < 10^-3). Severity of hyperactivity/impulsivity and IGD were moderately correlated (r=0.349, p=0.013), but the correlation disappeared after controlling for the impact on the social domain as measured by the ATENTO questionnaire (r=171, p=0.250). Most parents are concerned that their children may be addicted to IAD/IGD/MPA. Female gender is associated with MPA, while male gender is associated with IGD. ADHD is a risk factor for developing IAD and IGD. Combined type and predominantly hyperactive/impulsive ADHD are each associated with IGD. Good social adjustment protects against developing IGD. There are gender vulnerabilities for IAD/IGD/MPA. ADHD is a risk factor for IGD, but good social adjustment buffers this association.</p>","PeriodicalId":55560,"journal":{"name":"Adicciones","volume":"34 3","pages":"208-217"},"PeriodicalIF":3.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10735256","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 : 2022-07-01DOI: 10.20882/adicciones.1855
Antonio Varela, Gerardo Flórez
{"title":"Addictions and COVID-19, the pandemic impact.","authors":"Antonio Varela, Gerardo Flórez","doi":"10.20882/adicciones.1855","DOIUrl":"https://doi.org/10.20882/adicciones.1855","url":null,"abstract":"Received: April 2022; Received: June 2022. Send correspondence to: Gerardo Flórez. Francisco Huertas no 1 6o A 32004 Ourense, Spain. Email: gerardof@mundo-r.com stress disorder, self-harm behaviour or suicide (Dubey et al., 2020; Marel et al., 2021; Shanahan et al., 2019). Studies conducted during the pandemic in the most affected countries have shown high rates of symptoms linked to moderate-severe anxiety, fear of contagion and disorders linked to trauma and depression (Marel et al., 2021; Shanahan et al., 2019). These psychiatric symptoms have been associated with risk factors such as female sex, feelings of loneliness and financial instability, among others (Marel et al., 2021; Shanahan et al., 2019). Such factors are also likely to affect other risk behaviours and generate changes in the consumption of alcohol and other addictive psychoactive substances (Clay & Parker, 2020). It has been shown that an increase in the level of stress and anxiety increases the motivation to use psychoactive substances as a coping mechanism; in this case, it is clear that the global pandemic was a highly stressful event (Marel et al., 2021; Shanahan et al., 2019). It has been argued that the increase in fear and concern regarding the rise of COVID-19 infections would generate an increase in consumption and in the age of onset, while others have suggested that trafficking of illicit drugs, and thus their sale and purchase, would be seriously disrupted during lockdown, thereby leading to a significant reduction in the use of such drugs and with it an increase in withdrawal syndromes (Cisneros & Cunningham, 2021; Dubey et al., 2020; Kumar et al., 2022; Mallet, Dubertret & Le Strat, 2021). It is also understood that COVID-19 disrupts the treatment of As was to be expected, the impact of the SARSCoV2 pandemic and the months-long lockdown it caused brought about changes in the patterns of addictive psychoactive substance use, in other non-substance addictive behaviours and in the population’s mental health (García-Álvarez, Fuente-Tomás, Sáiz, García-Portilla & Bobes, 2020). Since then, numerous studies have been conducted in an attempt to determine the consequences of these changes for the physical and mental health of the population, both general and clinical. This editorial presents the main findings and lessons of this abundant research. In March 2020, the WHO declared the outbreak of SARS-CoV2, which causes the COVID-19 disease, a global pandemic. Governments enforced isolation rules and restrictions on the movement of the population to limit the rise of cases and the associated morbidity and mortality. Spain was one of the worst affected countries and the one that imposed the tightest restrictions in Europe. These restrictions affected the entire population, but the most vulnerable, such as patients with substance use disorders (SUD) or mental health problems, were affected in a way that has not yet been fully understood (Marel, Mills & Teesson, 2021). The menta","PeriodicalId":55560,"journal":{"name":"Adicciones","volume":"34 3","pages":"183-188"},"PeriodicalIF":3.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10702395","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}