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Anxiety and Depression in Drug-dependents Patients with Cluster C Personality Disorders

Published online by Cambridge University Press:  15 April 2020

C. Roncero
Affiliation:
Psychiatry, Outpatient Drug Clinic Vall d'Hebron University Hospital -ASPB. CIBERSAM., Barcelona, Spain
A. De Miguel
Affiliation:
Psychology, Psychology School. Universidad de La Laguna, Tenerife, Spain
A. Fumero
Affiliation:
Psychology, Psychology School. Universidad de La Laguna, Tenerife, Spain
L. Grau-López
Affiliation:
Psychiatry, Outpatient Drug Clinic Vall d'Hebron University Hospital -ASPB. CIBERSAM., Barcelona, Spain
R. Martin
Affiliation:
Psychology, Psychology School. Universidad de La Laguna, Tenerife, Spain
L. Rodriguez-Cintas
Affiliation:
Psychiatry, Outpatient Drug Clinic Vall d'Hebron University Hospital -ASPB. CIBERSAM., Barcelona, Spain
J.M. Bethencourt
Affiliation:
Psychology, Psychology School. Universidad de La Laguna, Tenerife, Spain
D. Bachiller
Affiliation:
Psychiatry, Outpatient Drug Clinic Vall d'Hebron University Hospital -ASPB. CIBERSAM., Barcelona, Spain
N. Tarifa
Affiliation:
Psychiatry, Outpatient Drug Clinic Vall d'Hebron University Hospital -ASPB. CIBERSAM., Barcelona, Spain
A. Beneria
Affiliation:
Psychiatry, Outpatient Drug Clinic Vall d'Hebron University Hospital -ASPB. CIBERSAM., Barcelona, Spain
M. Casas
Affiliation:
Psychiatry, Vall d'Hebron University Hospital. CIBERSAM., Barcelona, Spain
C. Martínez
Affiliation:
Psychiatry, Outpatient Drug Clinic Vall d'Hebron University Hospital -ASPB. CIBERSAM., Barcelona, Spain
C. Daigre
Affiliation:
Psychiatry, Outpatient Drug Clinic Vall d'Hebron University Hospital -ASPB. CIBERSAM., Barcelona, Spain

Abstract

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Introduction

Substance-dependent patients(SDP) have more personality disorders(PD) than general population; and they present more frequent and severe levels of depression and anxiety.

Objectives

To study cluster C personality disorders in SDP.

Methods

We included a clinical sample of 822(621 males) SDP according to the DSM-IV-TR criteria seeking treatment in the Outpatient Drug Clinic Vall d’Hebron in Barcelona, Spain.

The assessment process consisted of three interview sessions conducted by trained psychiatrists and psychologists using SCID I and II, BDI, STAI-R/S. Exclusion criteria were:intoxication at baseline examination, severe somatic disease at baseline examination and low language proficiency.

Results

39.2% of the sample presented at least one PD and 9.55% presented a cluster C PD. Of them the found prevalence were Avoidant(44.9%), Dependt(11.5%), Obssessive-compulsive(37.2%), comorbidity (6.4%). The addiction prevalences that Cluster C PD patients show were: dependent of alcohol 9.4%, benzodiazepines 18.5%, opioids 6.1%, cocaine 9.7 and cannabis 12.3%.

70.5% of the PD cluster C group were men, however differences according to the cluster C PD were found, being higher the proportion of men in Obsessive-compulsive PD (85.7%) and fewer in Dependent PD patients (33.7%)(χ2 =12.19, p = .007).

Cluster C PD patients presented more depressive symptoms and showed higher scores in anxiety-trait than patient with Cluster A or B PD, being this difference statistically significant.

Conclusion

There is a high rate of cluster C personality disorders among addicted patients. Higher levels of anxiety depression are detected in these patients. Clinicians should be check systematically this symptoms and traits in addicted patients.

Type
Article: 1530
Copyright
Copyright © European Psychiatric Association 2015
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