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Contributi Scientifici

N. 60 (2022)

Predittori clinici e psicopatologici di out-come nel Disturbo da Uso di Cocaina: uno studio di follow-up a tre mesi

DOI
https://doi.org/10.3280/mis60-2022oa15775
Inviata
20 aprile 2023
Pubblicato
09-06-2023

Abstract

The research had as its object of study psychoactive substances, specifi cally cocaine addiction which today has a prevalence of 1.8% worldwide.
In collaboration with the Onlus Incontro Community, all those subjects who undertook a residential therapeutic-rehabilitative path for a Cocaine Use Disorder, sometimes with psychiatric comorbidity, were evaluated longitudinally, in order to carry out an in-depth characterization from the point of sociodemographic, clinical and psychopathological view.
The primary objective was to identify, within these clinical and psychopathological variables, the possible predictive factors of out-come in subjects affected by DUC.
Furthermore, the objective was to verify how, following a three-month community journey matured from the moment of entry into the Community, the depressive symptoms, the hedonic-volitional drive, the levels of craving and the general state of health change according to the time spent in the Structure.
The present was a prospective observational study that included a sample of 70 patients with a primary diagnosis of Cocaine Use Disorder, recruited consecutively at the study facility, between November 2021 and May 2022.
The study envisaged, in an initial phase – within a maximum of two weeks of hospitalization – the compilation of a medical history form for the collection of socio-demographic information.
Seventy patients with Cocaine Use Disorder were evaluated, of whom 49 completed the three-month followup.
The sample is therefore composed of 54 male subjects (77.1%), 16 female subjects (22.9%) with an average age of 39.6 ± 10.1 years. 77.1% of the sample is unmarried, 21.4% is separated and only 1.4% is married.
70% of patients live with their family of origin/spouse and 30% live alone.
The level of schooling was 9.41 ± 3.70, this means that on average, the sample completed lower secondary school and attended the fi rst year of high school. 52.9% of the sample has a job, while 47.1% is unemployed.
With regard to the type of occupation, 2.9% study, 21.4% perform occasional jobs and the remainder work regularly. 74.3% of the sample smoke cigarettes, with an average of 12.9 ± 9.18 per day. Furthermore, 1/3 of the sample presented legal problems.

Riferimenti bibliografici

  1. American Psychiatric Association (2014). Manuale diagnostico e statistico dei disturbi mentali – Quinta edizione. DSM-5. Milano: Raffaello Cortina.
  2. Bignamini E., Galassi C. (2019). Addiction: come pensarla, comprenderla, trattarla.
  3. Biondi M. (2016). Compendio di Psichiatria e Salute Mentale. Alpes Italia srl.
  4. Budney A.J., Hughes J.R., Moore B.A., Novy P.L. (2001). Marijuana abstinence effects in Marijuana smokers maintained in their home environment. Archive of General Psychiatry.
  5. Caretti V., La Barbera D. (2005). Le dipendenze patologiche. Clinica e psicopatologia. Raffaello Cortina Editore.
  6. Di Chiara G., Imperato A. (1998). Drugs abused by human preferentially increase synaptic dopamine concentrations in the mesolimbic system of freely moving rats. Proc. Natl Acad Sci USA.
  7. Fioritti A., Solomon J. (2002). Doppia diagnosi. Epidemiologia, clinica e trattamento. Milano: FrancoAngeli.
  8. Girardi P., Di Giannantonio M. (2020). Psicopatologia delle dipendenze. Pacini Editore.
  9. Lugoboni F., Zamboni L. (2018). In Sostanza Manuale sulle dipendenze patologiche Volume 1 e II. Edizione CLAD Onlus.
  10. Martinotti G., Di Giannantonio M., Janiri L. (2019). Compendio di psicopatologia, Fila37.
  11. Miller W.R., Rollnick S. (2014). Il colloquio motivazionale, aiutare le persone a cambiare 2a edizione. Erickson.
  12. Morbioli L., Belleri M., Congiu A., Lugoboni F. (2021). Pratiche bottom-up nelle dipendenze: verso un nuovo approccio con se stessi e coi pazienti. Azienda Ospedaliera Universitaria integrata Verona.
  13. Pavarin R., Lugoboni F., Mathewson S. et al. (2011). Cocaine-related medical and trauma problems: a consecutive series of 743 patients from multicenter study in Italy. Eur J Emerg Med.
  14. Quaglio G., Lugoboni F., Pajusco B. et al. (2004). Manifestazioni cliniche legate all’uso di cocaina. Ann Ital Med Int.
  15. Regier D.A. et al. (1990). Comorbility of mental disorders with alcohol and other drug abuse. JAMA.
  16. Spadafora R. (2019). Argomenti di Psichiatria, Compendio ragionato per professionisti sanitari e gli studenti. Publiedit s.a.s.
  17. Stolle M., Sack P.M., Thomasius R. (2009). Binge drinking in childhood and adolescence: epidemiology, consequences, and interventions. Dtsch Arztebl Int.
  18. Trombini G. (a cura di) (1994). Introduzione alla clinica psicologica. Zanichelli.

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