2015, Number 6
<< Back Next >>
Salud Mental 2015; 38 (6)
Self-perceived quality of life in cocaine dependents with or without dual diagnosis
Díaz-Morán S, Palma-Álvarez RF, Grau-López L, Daigre C, Barral C, Ros-Cucurull E, Casas M, Roncero C
Language: English
References: 26
Page: 397-402
PDF size: 163.42 Kb.
ABSTRACT
Introduction
Although impairment in the quality of life is common among cocaine
dependent patients, there are but a few researches about the interaction
between addiction and quality of life.
Objective
To study different parameters of quality of life in a sample of cocaine
dependent patients and to compare patients with or without dual diagnosis.
Also, to promote the importance of subjectivity in the quality
of life and to propose to incorporate patients’ self-perception into their
treatment.
Method
Three diagnostic interviews were administered (SCID-I, SCID-II and
PRISM) and a quality of life questionnaire (SF-36) was applied between
two different patient groups: Group I (cocaine dependent patients)
and Group II (cocaine dependent patients with other mental
disorder).
Results
Patients diagnosed with dual disorders (Group II) showed broader
differences in perceptions of their quality of life in comparison with
their clinicians. The perception of quality of life may vary depending
on the presence and severity of mental disorders, and these different
appreciations may explain the difficulties that clinicians face in understanding
their patients’ expectations and motivations.
Discussion and conclusion
A systematic evaluation of the subjective quality of life should be included
in the management of cocaine dependent patients in order to
more accurately understand the patients’ perception of their treatment,
motivations and expectations.
REFERENCES
Del Bosque J, Fuentes Mairena A, Diaz DB, Espínola M et al. La cocaína: consumo y consecuencias. Salud Ment 2014;37:381-389.
Roncero C, Daigre C, Grau-López L, Barral C et al. An international perspective and review of cocaine-induced psychosis: a call to action. Subst Abus 2014;35(3):321-327.
Roncero C, Gómez-Baeza S, Vázquez JM, Terán A et al. Perception of Spanish professionals on therapeutic adherence of dual diagnosis patients. Actas Esp Psiquiatr 2013;41(6):319-329.
Bobes J, Gutiérrez M, Gibert J, González MP et al. Quality of life and disability in chronic schizophrenics treated with with risperidone and previously treated with depot neuroleptics. Actas Esp Psiquiatr 1999;27(4):229-234.
Torrens M, San L, Martinez A, Castillo C et al. Use of the Nottingham Health Profile for measuring health status of patients in methadone maintenance treatment. Addiction 1997;92(6):707-716.
Roncero C, Díaz-Morán S, Comín M, Miquel L et al. Quality of life concept evolution: the subjective dimension as a relevant factor on drug addiction. Vertex 2011;22(99):343-349.
Lozano OM, Domingo-Salvany A, Martinez-Alonso M, Brugal MT et al. Health-related quality of life in young cocaine users and associated factors. Qual Life Res 2008;17(7):977-985.
Bengtsson-Tops A, Hansson L, Sandlund M, Bjarnason O et al. Subjective versus interviewer assessment of global quality of life among persons with schizophrenia living in the community: a Nordic multicentre study. Qual Life Res 2005;14(1):221-229.
Holloway F, Carson J. Subjective quality of life, psychopathology, satisfaction with care and insight: an exploratory study. Int J Soc Psychiatry 1999;45(4):259-267.
Foster JH, Powell JE, Marshall EJ, Peters TJ. Quality of life in alcohol- dependent subjects-a review. Qual Life Res 1999;8(3):255-261.
Pedrero E, Olivar A, Chicharro J. CAD-4 Questionnaire, a biopsychosocial measure of selfperceived quality of life in drug-dependent patients. Trastornos Adictivos 2008;10(1):17-31.
Iraurgi I, Jiménez-Lerna JM, Landabasco M. Analysis of the psychometric characteristics of the SF-36 index as an outcome indicator of drugs addiction. Psiquiatría.com 2005;9(2). [serial on-line, cited 1/08/2010]. Avaliable in www.psiquiatria.com
Morales-Manrique CC, Palepu A, Castellano-Gomez M, Aleixandre- Benavent R et al. Cocaine Group Comunidad Valenciana. Quality of life, needs, and interest among cocaine users: differences by cocaine use intensity and lifetime severity of addiction to cocaine. Subst Use Misuse 2011;46(4):390-397.
Secades-Villa R, García-Rodríguez O, Fernández-Hermida JR, Carballo JL. Psychological bases of the treatment of drug-dependence. Papeles Picólogo 2007;28(1):29-40.
Morales-Manrique CC, Tomás-Dols S, Zarza-González M, Vidal-Infer A et al. Comparative study of the perceived quality of life of patients in treatment for cocaine and heroin dependence in Spain: differences by gender and time in treatment. Subst Use Misuse 2014;49(10):1353-1358.
Laudet AB, Becker JB, White WL. Don’t wanna go through that madness no more: quality of life satisfaction as predictor of sustained remission from illicit drug misuse. Subst Use Misuse 2009;44(2):227-252.
Schmitz JM, Stotts AL, Averill PM, Rothfleisch JM et al. Cocaine dependence with and without comorbid depression: a comparison of patient characteristics. Drug Alcohol Depend 2000;60(2):189-198.
Priebe S, Roeder-Wanner UU, Kaiser W. Quality of life in first-admitted schizophrenia patients: a follow-up study. Psychol Med 2000;30(1):225-230.
Lehman AF, Ward NC, Linn LS. Chronic mental patients: the quality of life issue. Am J Psychiatry 1982;139(10):1271-1276.
Rudolf H, Priebe S. Subjective quality of life in female in-patients with depression: a longitudinal study. Int J Soc Psychiatry 1999;45(4):238- 246.
Richter D, Eikelmann B, Berger K. Use of the SF-36 in the evaluation of a drug detoxification program. Qual Life Res 2004;13(5):907-914.
Kievit W, Hendrikx J, Stalmeier PF, van de Laar MA et al. The relationship between change in subjective outcome and change in disease: a potential paradox. Qual Life Res 2010;19(7):985-994.
Astals M, Domingo-Salvany A, Buenaventura CC, Tato J et al. Impact of substance dependence and dual diagnosis on the quality of life of heroin users seeking treatment. Subst Use Misuse 2008;43(5):612-632.
Chicharo J. Indicator variables and evolution in addicted patients. Its relation to personality traits. Psicologia.com 2005; 9(2). [serial on-line, cited 10/07/2009]. Avaliable in www.psiquiatria.com
Morales-Manrique CC, Palepu A, Castellano-Gomez M, Aleixandre- Benavent R et al. Cocaine Group Comunidad Valenciana. Quality of life, needs, and interest among cocaine users: differences by cocaine use intensity and lifetime severity of addiction to cocaine. Subst Use Misuse 2011;46(4):390-397.
Berlim MT, Fleck MP. “Quality of life”: a brand new concept for research and practice in psychiatry. Rev Bras Psiquiatr 2003;25(4):249- 25