Cargando…

Lifetime Dual Disorder Screening and Treatment Retention: A Pilot Cohort Study

The coexistence of a substance use disorder and another mental disorder in the same individual has been called dual disorder or dual diagnosis. This study aimed to examine the prevalence of lifetime dual disorder in individuals with alcohol or cocaine use disorder and their retention in treatment. W...

Descripción completa

Detalles Bibliográficos
Autores principales: Puértolas-Gracia, Beatriz, Barbaglia, María Gabriela, Gotsens, Mercè, Parés-Badell, Oleguer, Brugal, María Teresa, Torrens, Marta, Treviño, Lara, Rodríguez-Díaz, Concepción, Vázquez-Vázquez, José María, Pascual, Alicia, Coromina-Gimferrer, Marcela, Jiménez-Dueñas, Míriam, Oliva, Israel, González, Erick, Mestre, Nicanor, Bartroli, Montse
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9267195/
https://www.ncbi.nlm.nih.gov/pubmed/35807045
http://dx.doi.org/10.3390/jcm11133760
_version_ 1784743658925326336
author Puértolas-Gracia, Beatriz
Barbaglia, María Gabriela
Gotsens, Mercè
Parés-Badell, Oleguer
Brugal, María Teresa
Torrens, Marta
Treviño, Lara
Rodríguez-Díaz, Concepción
Vázquez-Vázquez, José María
Pascual, Alicia
Coromina-Gimferrer, Marcela
Jiménez-Dueñas, Míriam
Oliva, Israel
González, Erick
Mestre, Nicanor
Bartroli, Montse
author_facet Puértolas-Gracia, Beatriz
Barbaglia, María Gabriela
Gotsens, Mercè
Parés-Badell, Oleguer
Brugal, María Teresa
Torrens, Marta
Treviño, Lara
Rodríguez-Díaz, Concepción
Vázquez-Vázquez, José María
Pascual, Alicia
Coromina-Gimferrer, Marcela
Jiménez-Dueñas, Míriam
Oliva, Israel
González, Erick
Mestre, Nicanor
Bartroli, Montse
author_sort Puértolas-Gracia, Beatriz
collection PubMed
description The coexistence of a substance use disorder and another mental disorder in the same individual has been called dual disorder or dual diagnosis. This study aimed to examine the prevalence of lifetime dual disorder in individuals with alcohol or cocaine use disorder and their retention in treatment. We conducted a pilot cohort study of individuals (n = 1356) with alcohol or cocaine use disorder admitted to treatment in the public outpatient services of Barcelona (Spain) from January 2015 to August 2017 (followed-up until February 2018). Descriptive statistics, Kaplan–Meier survival curves and a multivariable Cox regression model were estimated. The lifetime prevalence of screening positive for dual disorder was 74%. At 1 year of follow-up, >75% of the cohort remained in treatment. On multivariable analysis, the factors associated with treatment dropout were a positive screening for lifetime dual disorder (HR = 1.26; 95% CI = 1.00–1.60), alcohol use (HR = 1.35; 95% CI = 1.04–1.77), polysubstance use (alcohol or cocaine and cannabis use) (HR = 1.60; 95% CI = 1.03–2.49) and living alone (HR = 1.34; 95% CI = 1.04–1.72). Lifetime dual disorder is a prevalent issue among individuals with alcohol or cocaine use disorders and could influence their dropout from treatment in public outpatient drug dependence care centres, along with alcohol use, polysubstance use and social conditions, such as living alone. We need a large-scale study with prolonged follow-up to confirm these preliminary results.
format Online
Article
Text
id pubmed-9267195
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-92671952022-07-09 Lifetime Dual Disorder Screening and Treatment Retention: A Pilot Cohort Study Puértolas-Gracia, Beatriz Barbaglia, María Gabriela Gotsens, Mercè Parés-Badell, Oleguer Brugal, María Teresa Torrens, Marta Treviño, Lara Rodríguez-Díaz, Concepción Vázquez-Vázquez, José María Pascual, Alicia Coromina-Gimferrer, Marcela Jiménez-Dueñas, Míriam Oliva, Israel González, Erick Mestre, Nicanor Bartroli, Montse J Clin Med Article The coexistence of a substance use disorder and another mental disorder in the same individual has been called dual disorder or dual diagnosis. This study aimed to examine the prevalence of lifetime dual disorder in individuals with alcohol or cocaine use disorder and their retention in treatment. We conducted a pilot cohort study of individuals (n = 1356) with alcohol or cocaine use disorder admitted to treatment in the public outpatient services of Barcelona (Spain) from January 2015 to August 2017 (followed-up until February 2018). Descriptive statistics, Kaplan–Meier survival curves and a multivariable Cox regression model were estimated. The lifetime prevalence of screening positive for dual disorder was 74%. At 1 year of follow-up, >75% of the cohort remained in treatment. On multivariable analysis, the factors associated with treatment dropout were a positive screening for lifetime dual disorder (HR = 1.26; 95% CI = 1.00–1.60), alcohol use (HR = 1.35; 95% CI = 1.04–1.77), polysubstance use (alcohol or cocaine and cannabis use) (HR = 1.60; 95% CI = 1.03–2.49) and living alone (HR = 1.34; 95% CI = 1.04–1.72). Lifetime dual disorder is a prevalent issue among individuals with alcohol or cocaine use disorders and could influence their dropout from treatment in public outpatient drug dependence care centres, along with alcohol use, polysubstance use and social conditions, such as living alone. We need a large-scale study with prolonged follow-up to confirm these preliminary results. MDPI 2022-06-28 /pmc/articles/PMC9267195/ /pubmed/35807045 http://dx.doi.org/10.3390/jcm11133760 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Puértolas-Gracia, Beatriz
Barbaglia, María Gabriela
Gotsens, Mercè
Parés-Badell, Oleguer
Brugal, María Teresa
Torrens, Marta
Treviño, Lara
Rodríguez-Díaz, Concepción
Vázquez-Vázquez, José María
Pascual, Alicia
Coromina-Gimferrer, Marcela
Jiménez-Dueñas, Míriam
Oliva, Israel
González, Erick
Mestre, Nicanor
Bartroli, Montse
Lifetime Dual Disorder Screening and Treatment Retention: A Pilot Cohort Study
title Lifetime Dual Disorder Screening and Treatment Retention: A Pilot Cohort Study
title_full Lifetime Dual Disorder Screening and Treatment Retention: A Pilot Cohort Study
title_fullStr Lifetime Dual Disorder Screening and Treatment Retention: A Pilot Cohort Study
title_full_unstemmed Lifetime Dual Disorder Screening and Treatment Retention: A Pilot Cohort Study
title_short Lifetime Dual Disorder Screening and Treatment Retention: A Pilot Cohort Study
title_sort lifetime dual disorder screening and treatment retention: a pilot cohort study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9267195/
https://www.ncbi.nlm.nih.gov/pubmed/35807045
http://dx.doi.org/10.3390/jcm11133760
work_keys_str_mv AT puertolasgraciabeatriz lifetimedualdisorderscreeningandtreatmentretentionapilotcohortstudy
AT barbagliamariagabriela lifetimedualdisorderscreeningandtreatmentretentionapilotcohortstudy
AT gotsensmerce lifetimedualdisorderscreeningandtreatmentretentionapilotcohortstudy
AT paresbadelloleguer lifetimedualdisorderscreeningandtreatmentretentionapilotcohortstudy
AT brugalmariateresa lifetimedualdisorderscreeningandtreatmentretentionapilotcohortstudy
AT torrensmarta lifetimedualdisorderscreeningandtreatmentretentionapilotcohortstudy
AT trevinolara lifetimedualdisorderscreeningandtreatmentretentionapilotcohortstudy
AT rodriguezdiazconcepcion lifetimedualdisorderscreeningandtreatmentretentionapilotcohortstudy
AT vazquezvazquezjosemaria lifetimedualdisorderscreeningandtreatmentretentionapilotcohortstudy
AT pascualalicia lifetimedualdisorderscreeningandtreatmentretentionapilotcohortstudy
AT corominagimferrermarcela lifetimedualdisorderscreeningandtreatmentretentionapilotcohortstudy
AT jimenezduenasmiriam lifetimedualdisorderscreeningandtreatmentretentionapilotcohortstudy
AT olivaisrael lifetimedualdisorderscreeningandtreatmentretentionapilotcohortstudy
AT gonzalezerick lifetimedualdisorderscreeningandtreatmentretentionapilotcohortstudy
AT mestrenicanor lifetimedualdisorderscreeningandtreatmentretentionapilotcohortstudy
AT bartrolimontse lifetimedualdisorderscreeningandtreatmentretentionapilotcohortstudy