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Psychopathological characteristics of patients eligible for a diacethylmorphine prescription program: an ecological pilot study

Published online by Cambridge University Press:  01 September 2022

I. Gothuey ,
M. Jeannin ,
R. Bouzegaou ,
A. Kuntz  and
V. Salamin
I. Gothuey
Affiliation:
Fribourg University, Science And Medecine Faculty, Fribourg, Switzerland Freiburg Mental Health Network, Adult Psychiatric Department, Marsens, Switzerland
M. Jeannin*
Affiliation:
Fribourg University, Science And Medecine Faculty, Fribourg, Switzerland
R. Bouzegaou
Affiliation:
Freiburg Mental Health Network, Adult Psychiatric Department, Fribourg, Switzerland
A. Kuntz
Affiliation:
Freiburg Mental Health Network, Adult Psychiatric Department, Marsens, Switzerland
V. Salamin
Affiliation:
Freiburg Mental Health Network, Adult Psychiatric Department, Marsens, Switzerland
*
*Corresponding author.

Abstract

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Introduction

Agonist opiate treatments with diacethylmorphin (DAM) for heroin addiction have proven their effectiveness for a long time. But few studies focused on psychiatric troubles among the treated patients. As a new DAM program will open in Freiburg in Switzerland, in order to assess the eligibility to this program, we consider the psychiatric dimension using the Addition Severity Index French translation (IGT).

Objectives

Assessing the patient eligibility for the DAM programm and describing psychopathological characteristics

Methods

Assessing eligibility for a Dam program in Switzerland is based on some criteria defined by OFSP: Be adult, failure of at least two previous addiction treatments, intravenous consumption. In addition, the included patients (N=10) passed an interview with a trained examiner, to fill the addiction severity index scale (multidimensional psychometric scale). The result of the psychiatric dimension of IGT was compared with the psychiatric diagnosis in the medical file to assess the internal reliability of the descriptive method. Statistical method for little sample, mean, median, descriptive datas and Fisher test were applied.

Results

All kind of affective disorders, were the most representative psychiatric trouble in the studied population (47%) followed by personality disorders (32%) and severe anxiety troubles (21%). The psychiatric dimensional evaluation of IGT was consistent with the description file psychiatric diagnosis. In a surprising way, we found no psychosis spectrum troubles who could explained the previous treatment failure.

Conclusions

Affective disorders are overrepresented in our sample of addicted patient included in the DAM program. These troubles stay often underestimated. The have to be properly treated

Disclosure

No significant relationships.

Keywords

agonist opiate treatmentdiacethylmorphine treatmentAddictiondual disorders
Type
Abstract
Information
European Psychiatry , Volume 65 , Special Issue S1: Abstracts of the 30th European Congress of Psychiatry , June 2022 , pp. S291 - S292
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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