Trastornos adictivos最新文献

{"title":"Protocolo para el abordaje y derivación de los pacientes con problemas relacionados con el alcohol en el área de salud del Hospital Sierrallana","authors":"E. García Usieto ,&nbsp;E. Piney Palacio ,&nbsp;R. Vayas Abascal ,&nbsp;M.C. Toribio González ,&nbsp;F. Robledo González ,&nbsp;A. Rivas Veiga","doi":"10.1016/S1575-0973(10)70008-8","DOIUrl":"10.1016/S1575-0973(10)70008-8","url":null,"abstract":"<div><h3>Objective</h3><p>The alcohol consumption is associated with an important morbidity and mortality. Health professionals know about this risk and the high prevalence of alcoholism (about 7% of the general population in our area). But in spite of this knowledge there is no correspondence between the cases detected and the cases treated in our daily practice. For this reason, we have created a group constituted by members of the Alcohol Program pertaining to the Sierrallana Hospital's Mental Health Unit and family doctors who work for the Torrelavega-Reinosa Primary Care Area. The main objective of this protocol is to raise the professionals’ awareness about this topic.</p></div><div><h3>Material and methods</h3><p>We have developed a protocol for the management and referring of the patients with alcohol abuse and its consequences from Primary Care to the Alcohol Program.</p></div><div><h3>Results</h3><p>We have defined referral criteria to make this objective easier. We understand that the approach to this problem area must be multidisciplinary, so we have established a direct way of communication between Primary Care and Psychiatry that permits a coordinated treatment. The document classifies the kind of drinker according to quantitative criterias and differentiates the diagnose and the treatment for each case. For screening of abuse and alcohol dependence we have used the tests AUDIT, CAGE and the diagnostic criterias CIE and DSM-IV. Finally, we have made a model of an interclinical referral note that aims to be an efficient tool for the communication between Primary Care and the Alcohol Program.</p></div><div><h3>Conclusions</h3><p>The development of a protocol for the management and referring of the patients with alcohol abuse and its consequences from Primary Care to the Alcohol Program will lead to a better identification of the patients and a treatment as precocious as possible.</p></div>","PeriodicalId":89512,"journal":{"name":"Trastornos adictivos","volume":"12 1","pages":"Pages 33-38"},"PeriodicalIF":0.0,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1575-0973(10)70008-8","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"56642011","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"El efecto de relajación en la percepción de la dinámica familiar de pacientes con trastornos de personalidad","authors":"J.M. Martínez-González","doi":"10.1016/S1575-0973(10)70007-6","DOIUrl":"10.1016/S1575-0973(10)70007-6","url":null,"abstract":"<div><h3>Objectives</h3><p>The aims of this study were to know the perception of the family dynamics of the patients in abstinence during the first and third month of treatment, and whether differences exist between patient responses to the presence of personality disorders.</p></div><div><h3>Material and methods</h3><p>The perception of family dynamics were evaluated by questionnaire FAP-FACES-IV, and a questionnaire of own elaboration. The study was carried out 76 patients.</p></div><div><h3>Results</h3><p>We have found statistically significant differences between the scores at the start and three months of treatment. At all FAP scales has been lower in the second evaluation. Along with these differences and the moderate level of stress perceived by patients in the first evaluation, to confirm the hypothesis of other researchers who attributed the perception of family dynamics of a relaxation effect experienced by patients when starting treatment. This effect also affects patients with personality disorders.</p></div><div><h3>Conclusions</h3><p>The study shows the importance of assessing family dynamics not only in the initiation of treatment but also in a more advanced stage of the therapeutic process.</p></div>","PeriodicalId":89512,"journal":{"name":"Trastornos adictivos","volume":"12 1","pages":"Pages 27-32"},"PeriodicalIF":0.0,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1575-0973(10)70007-6","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"56642000","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Detección de adicciones comportamentales en adictos a sustancias en tratamiento","authors":"E.J. Pedrero Pérez","doi":"10.1016/S1575-0973(10)70005-2","DOIUrl":"10.1016/S1575-0973(10)70005-2","url":null,"abstract":"<div><h3>Objective</h3><p>to explore the utility of a screening instrument for addictive behaviors without substance in substance-addicted patients.</p></div><div><h3>Material and method</h3><p>216 subjects who start treatment for substance abuse/dependence in an outpatient specific centre (CAD-4, Institute of Addictions). MULTICAGE CAD-4 and VIP questionnaire was applied.</p></div><div><h3>Results</h3><p>20% of subjects (N<!--> <!-->=<!--> <!-->43) showed up pathologic game that was only detected in 21% of the cases (N<!--> <!-->=<!--> <!-->9). Only 5% showed up excessive use of Internet and 4% excessive use of videogames; in 72% and 100%, respectively, these behaviors were not detected as problematic during the diagnostic process.</p></div><div><h3>Conclusions</h3><p>MULTICAGE CAD-4 seems to be an useful instrument to detect problematic behaviors associated to the substance-addiction, not considered as problematic by the patient neither directly looked for by the clinicians, but that they can configure substantial part of the problem to treat, in the context of the individual behavioral structure.</p></div>","PeriodicalId":89512,"journal":{"name":"Trastornos adictivos","volume":"12 1","pages":"Pages 13-18"},"PeriodicalIF":0.0,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1575-0973(10)70005-2","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"56641984","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Potencial adictivo del éxtasis: una visión desde los modelos animales","authors":"M. Daza-Losada,&nbsp;M. Rodríguez-Arias,&nbsp;M.A. Aguilar,&nbsp;J. Miñarro López","doi":"10.1016/S1575-0973(10)70004-0","DOIUrl":"10.1016/S1575-0973(10)70004-0","url":null,"abstract":"<div><p>3,4-methylenedioxymetamphetamine (MDMA) is the active compound of the recreational drug “ecstasy”, a popular psychostimulant among adolescent and young adults. The pharmacological action of ecstasy is mediated by serotonin (5-HT) and dopamine (DA), the latter of which is strongly implicated in the modulation of the reinforcing effects of drugs of abuse. The few studies performed in human users of ecstasy indicate that a percentage of these subjects fulfill the criteria of dependence to this drug. The present review analyzes the most relevant results published until now regarding the reinforcing effects of MDMA, giving special attention to those obtained with animal models employing intravenous self-administration or conditioned place preference, and those using these paradigms as models of relapse. MDMA produces reinforcing effects and is capable of reinstating an extinguished behavior (relapse model); thus, we can conclude that this drug possesses addictive potential and, in addition, is capable of inducing modifications in the brain reward system that alter the response to other drugs of abuse.</p></div>","PeriodicalId":89512,"journal":{"name":"Trastornos adictivos","volume":"12 1","pages":"Pages 7-12"},"PeriodicalIF":0.0,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1575-0973(10)70004-0","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"56641975","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"La colaboración entre Atención Primaria y atención especializada en el abordaje y derivación de los pacientes con problemas relacionados con el alcohol","authors":"T. Gómez-Talego,&nbsp;F. Javier Álvarez","doi":"10.1016/S1575-0973(10)70003-9","DOIUrl":"10.1016/S1575-0973(10)70003-9","url":null,"abstract":"","PeriodicalId":89512,"journal":{"name":"Trastornos adictivos","volume":"12 1","pages":"Pages 5-6"},"PeriodicalIF":0.0,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1575-0973(10)70003-9","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"56642456","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Uso y abuso de las nuevas tecnologías","authors":"F. Lara Ortega ,&nbsp;M. Fuentes Gómez ,&nbsp;R. de la Fuente Anuncibay ,&nbsp;F. Pérez del Río ,&nbsp;M.V. Rodríguez del Burgo ,&nbsp;G. Garrote Pérez de Albéniz","doi":"10.1016/S1575-0973(10)70002-7","DOIUrl":"10.1016/S1575-0973(10)70002-7","url":null,"abstract":"","PeriodicalId":89512,"journal":{"name":"Trastornos adictivos","volume":"12 1","pages":"Pages 2-4"},"PeriodicalIF":0.0,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1575-0973(10)70002-7","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"56642445","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Buprenorfina-naloxona: lo nuevo de 2009","authors":"F.J. Álvarez-González","doi":"10.1016/S1575-0973(09)73467-1","DOIUrl":"10.1016/S1575-0973(09)73467-1","url":null,"abstract":"","PeriodicalId":89512,"journal":{"name":"Trastornos adictivos","volume":"11 4","pages":"Pages 247-251"},"PeriodicalIF":0.0,"publicationDate":"2009-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1575-0973(09)73467-1","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"56642310","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Consumo de alcohol en pacientes en tratamiento sustitutivo con opiáceos medido con el cuestionario AUDIT y su relación con otros factores asociados","authors":"M. Correa,&nbsp;T. Abad,&nbsp;J.J. Hernández,&nbsp;A. Parra,&nbsp;T. Radinova,&nbsp;G. Molina","doi":"10.1016/S1575-0973(09)73472-5","DOIUrl":"10.1016/S1575-0973(09)73472-5","url":null,"abstract":"<div><h3>Objective</h3><p>To study the relationship of alcohol consumption, measured with AUDIT test, with methadone dose in patients assigned to Methadone Maintenance Treatment (MMT) Programs, and other factors often present in this population.</p></div><div><h3>Material and methods</h3><p>We took a random sample of 80 patients in the Drug Adiction Treatment Center of Moratalaz, who were given the AUDIT questionnaire. We obtained data related to the pathology and consumption of various substances from medical records.</p></div><div><h3>Results</h3><p>Patients were divided into groups according to whether they had achieved a score higher or lower than the cut scores of proposed by the authors of the test. There was no significant statistically difference between the daily methadone dose, cocaine use, HIV and HCV among these groups. There was a higher prevalence of risk consumption of alcohol among those patients with a dual diagnosis or who consumed benzodiazepines, with statistically significant differences between different groups.</p></div><div><h3>Conclusions</h3><p>The methadone dose is not associated with the consumption of alcohol in our sample, although there is a high prevalence of alcohol consumption problematic for patients in MMTP. Risky alcohol consumption is more frequent within benzodiazepine users and dual diagnosis.</p></div>","PeriodicalId":89512,"journal":{"name":"Trastornos adictivos","volume":"11 4","pages":"Pages 278-283"},"PeriodicalIF":0.0,"publicationDate":"2009-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1575-0973(09)73472-5","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"56642404","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"","authors":"","doi":"10.1016/S1575-0973(09)73473-7","DOIUrl":"10.1016/S1575-0973(09)73473-7","url":null,"abstract":"","PeriodicalId":89512,"journal":{"name":"Trastornos adictivos","volume":"11 4","pages":"Pages 284-285"},"PeriodicalIF":0.0,"publicationDate":"2009-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1575-0973(09)73473-7","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"56642420","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"","authors":"","doi":"10.1016/S1575-0973(09)73474-9","DOIUrl":"https://doi.org/10.1016/S1575-0973(09)73474-9","url":null,"abstract":"","PeriodicalId":89512,"journal":{"name":"Trastornos adictivos","volume":"11 4","pages":"Pages 286-288"},"PeriodicalIF":0.0,"publicationDate":"2009-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1575-0973(09)73474-9","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137155531","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}