Relación entre la comorbilidad psicopatológica y las variables de resultados en dependientes de cocaína tratados en comunidad terapéutica

Esperanza Vergara-Moragues, Francisco González-Saiz, Oscar Lozano-Rojas, Fermín Fernández Calderón, Antonio Verdejo García, Patricia Betanzos Espinosa, Izaskun Bilbao Acedos, Miguel Pérez García

Resumen


El ingreso en comunidad terapéutica de personas con problemas de consumo de cocaína y comorbilidad psicopatológica ha ido aumentando en los últimos años y es importante conocer más sobre el éxito de estos tratamientos. El objetivo de este trabajo es estudiar el perfil psicopatológico de los pacientes dependientes de cocaína y su asociación con las variables de resultados. Se entrevistaron mediante la Psychiatric Research Interview for Substance and Mental Disorders (PRISM-IV) y la Conners’ Adult ADHD Diagnostic Interview for DSM-IV (CAADID) a una muestral total de 218 pacientes que solicitaron tratamiento en alguna de las seis comunidades terapéuticas públicas de Andalucía. Los resultados exponen que el porcentaje de retención a los tres meses es del 68.3% (149). De los cuales, el 43.5% abandona el recurso con un alta terapéutica y el 52.8 % con cambios clínicamente relevantes. Además, el 57.8% presentan comorbilidad psicopatológica. Por último, existe un mayor éxito terapéutico (medidos por días de estancias, tipo de altas y objetivos cumplido tras el tratamiento) entre las personas sin comorbilidad psicopatológica. Estos datos sugieren la necesidad de adaptar las  comunidades terapéuticas en el tratamiento de personas dependientes de cocaína con comorbilidad psicopatológica y, de esta manera, mejorar el éxito terapéutico.


Palabras clave


Cocaína; comunidad terapéutica; tratamiento; psicopatología; trastornos por consumo de sustancias

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DOI: https://doi.org/10.20882/adicciones.60

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