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Dual disorders in liaison-consultation psychiatry. A descriptive study of patients with substance use disorder admitted to a general hospital

Published online by Cambridge University Press:  01 September 2022

F. Dinamarca Cáceres*
Affiliation:
Hospital del Mar, Institut De Neuropsiquiatria I Addiccions (inad), Barcelona, Spain
M. Garcia
Affiliation:
Hospital del Mar, Institut De Neuropsiquiatria I Addiccions (inad), Barcelona, Spain
F. Casanovas
Affiliation:
Hospital del Mar, Institut De Neuropsiquiatria I Addiccions (inad), Barcelona, Spain
S. Oller Canet
Affiliation:
Hospital del Mar, Institut De Neuropsiquiatria I Addiccions (inad), Barcelona, Spain
R. Sauras
Affiliation:
Hospital del Mar, Institut De Neuropsiquiatria I Addiccions (inad), Barcelona, Spain
F. Fonseca
Affiliation:
Hospital del Mar, Institut De Neuropsiquiatria I Addiccions (inad), Barcelona, Spain
M. Torrens
Affiliation:
Hospital del Mar, Institut De Neuropsiquiatria I Addiccions (inad), Barcelona, Spain
*
*Corresponding author.

Abstract

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Introduction

Several studies describe that the coexistence of a substance use disorder with another psychiatric condition or “dual disorder” (DD) is associated with a worse evolution at all levels, including a greater burden of medical illnesses and greater mortality.

Objectives

To describe the presence of DD and related factors in patients admitted to a General Hospital that required assessment by a psychiatry service.

Methods

A descriptive study that includes patients admitted to the Hospital del Mar in Barcelona for all medical-surgical reasons and attended by the specific addiction psychiatry consultation service between January 2016 and October 2021. Sociodemographic and clinical data are collected including the history of consumption and the diagnosis of dual disorder. Chi-square test was used for comparison between groups.

Results

The sample was 1796 patients (Women: 345. Mean age: 50.3 years; SD: 12.6). 43.7% of the sample presented DD, with axis 1 disorders being the most frequent. There was an association of DD to factors as: being woman (54 vs 41.2% p <0.001), HIV positive serologies (54 vs 42.7% p <0.001), being homeless (49 vs 31.7% p <0.001) and cocaine consumption compared to other substances (53.4 vs 39.8% p <0.001).

Conclusions

In our sample, almost half of patients had DD. The representation of women was significantly lower, however they presented a higher proportion of DD. In this study we describe an association of DD with other biopsychosocial problems, and further studies are necessary to determine in which sense they are related and optimize patient care.

Disclosure

No significant relationships.

Type
Abstract
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of the European Psychiatric Association
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