Patología dual en pacientes inmigrantes con Trastorno por Uso de Alcohol: seguimiento tras dos años de tratamiento / Dual pathology in immigrant patients with Alcohol Use Disorder: follow-up after two years of treatment

Introducción: Existe una elevada prevalencia de trastornos psiquiátricos en el trastorno por uso de alcohol. Lapresencia de patología dual en el paciente disminuye el mantenimiento de la abstinencia y aumenta la probabilidad derecaída, lo que complica el tratamiento. Los objetivos de esteestudio son: Analizar la evolución a dos años de tratamiento de una población de pacientes inmigrantes con trastorno por uso de alcohol asociado a trastornos psiquiátricos,comparándola con una muestra de pacientes inmigrantes sinpatología dual e investigar los diagnósticos de patología psiquiátrica asociada al trastorno por uso de alcohol.Metodología. Se compararon dos poblaciones de pacientes inmigrantes con trastorno por uso de alcohol (DSM-5),una con trastornos psiquiátricos asociados, compuesta por219 pacientes y otra de 169 pacientes sin patología dual.Resultados y conclusiones. Los trastornos psiquiátricosmás frecuentes asociados al trastorno por uso de alcoholson el de personalidad (51,6%), el adaptativo y depresivo(22,8%), los de ansiedad (15,5%), los de conducta alimentaria y obsesivos compulsivos (5,9%), el bipolar (5%) y el deesquizofrenia (2,3%). El seguimiento a 2 años de tratamientopresenta que el 27% de la población inmigrante con patología dual se mantiene en abstinencia frente al 41,4% de la quesolo padece trastorno por uso de alcohol: Se constata unapeor evolución en los pacientes con patología dual. (AU)

Introduction: There is a high prevalence of comorbidpsychiatric disorders in alcohol abuse disorder. The presenceof dual diagnosis in patients decreases the maintenance ofabstinence and increases the likelihood of relapse, whichmakes treatment more complicated. The aims of thisstudy are: to investigate the progression along two yearsof treatment of a sample of migrant patients affected byalcohol abuse disorder associated with psychiatric disorders,comparing it with a sample of migrant patients withoutdual diagnosis and investigating the diagnoses of comorbidpsychiatric pathology with alcohol abuse disorder.Methods. Two populations of migrant patients withalcohol abuse disorder (DSM-5) were compared, one withcomorbid psychiatric disorders consisting of 219 patientsand the other of 169 patients without dual diagnosis.Results and conclusions. The most frequent psychiatricdisorders associated with alcohol use disorder are personalitydisorders (51,6%), adjustment and depressive disorders(22,8%), anxiety disorders (15,5%), eating disorders andobsessive-compulsive disorders (5,9%), bipolar disorders(5%) and schizophrenia (2,3%). The two-year follow-uptreatment shows that 27% of immigrant sample with dualdiagnosis remains in abstinence compared to 41,4% of thosewho only suffer from alcohol use disorder: Worse outcomesare observed in patients with dual diagnosis. (AU)

Dual diagnosis in immigrant patients with alcohol use disorder: 2-years of follow-up treatment.

There is a high prevalence of comorbid psychiatric disorders in alcohol abuse disorder. The presence of dual diagnosis in patients decreases the maintenance of abstinence and increases the likelihood of relapse, which makes treatment more complicated.

Alcohol Use Disorder in immigrant patients: 2-years of follow-up treatment.

In recent decades the immigrant population has increased significantly in Western countries, which not only influences the former culturally but also in their alcohol consumption patterns. The course of immigration can cause social stress, which can lead to uprooting, frustration of their expectations or marginality, which are risk factors for an increase in alcohol consumption, possibly in order to face their different problems. The aims of this study are: to investigate the progression along two years of treatment of a sample of immigrant patients with Alcohol Use Disorder, to compare it with a sample of Spanish natives and to analyze the evolution of immigrant patients according to the geographical area of origin.

Trastorno por Uso de Alcohol enpacientes inmigrantes: seguimiento a2 años de tratamiento / Alcohol Use Disorder in immigrant patients: 2-years of follow-up treatment

Introducción: En las últimas décadas, la poblacióninmigrante ha aumentado sensiblemente en los paísesoccidentales, que no solo les influye culturalmente sinotambién en su patrón de consumo de alcohol. El transcursode la inmigración puede originar estrés social, que es posibleque cause desarraigo, frustración de sus expectativas omarginalidad, que son factores de riesgo para un aumentodel consumo de alcohol, posiblemente con el fin de afrontarsus diferentes problemas. Los objetivos de este trabajo son:investigar la evolución a dos años de tratamiento de unapoblación de pacientes inmigrantes con Trastorno por Uso deAlcohol, comparándola con una muestra de origen español,y analizar la evolución de los pacientes inmigrantes según elárea geográfica de origen.Metodología. Se compararon dos poblaciones conTrastorno por Uso de Alcohol (DSM-V), una de inmigrantescompuesta por 388 pacientes y otra de control, de origenespañol, compuesta por 262 pacientes. Asimismo, se estudióla evolución de los pacientes según el área geográfica a laque pertenecen.Resultados y conclusiones. El 45,4 % de los pacientes dela población española se mantiene en abstinencia a los 2 añosde tratamiento frente al 33,8 % de la población inmigrante.Los pacientes que consiguen una mayor abstinencia sonlos de origen árabe (52,3 %). Sin embargo, hay una mayoradherencia en América del Sur/Cono Sur (67,7 %). Los paísesque tienen una peor evolución en la abstinencia son los deAmérica del Sur/Países del Norte (26,2 %) y los que procedende Europa Oriental (29,1 %). (AU)

Introduction: In recent decades the immigrant populationhas increased significantly in Western countries, which notonly influences the former culturally but also in their alcoholconsumption patterns. The course of immigration can causesocial stress, which can lead to uprooting, frustration oftheir expectations or marginality, which are risk factors foran increase in alcohol consumption, possibly in order toface their different problems. The aims of this study are: toinvestigate the progression along two years of treatment ofa sample of immigrant patients with Alcohol Use Disorder,to compare it with a sample of Spanish natives and toanalyze the evolution of immigrant patients according tothe geographical area of origin.Methods. Two samples of individuals with AlcoholUse Disorder (DSM-V) were compared: one sample of 388immigrant patients and a control sample composed of262 Spanish patients. Likewise, the patients were studiedaccording to the geographical area to which they belong.Results and conclusions. 45.4% of patients in theSpanish sample remain in abstinence after 2 years oftreatment compared to 33.8% in the immigrant sample.Patients who achieve greater abstinence are those of Araborigin (52.3%). However, there is a better adherence in SouthAmerica/Southern Cone (67.7%). The countries with theworst outcomes in abstinence are those in South America/Northern countries (26.2%) and those in Eastern Europe(29.1%). (AU)

Psychiatric disorders associated with alcoholism: 2 year follow-up of treatment.

INTRODUCTION: Alcoholics show high rates of comorbidity with other psychiatric disorders. It is known that women are more likely to have psychiatric comorbidity than men. Existence of comorbidity in alcoholism implies a worse prognosis in the disease evolution. Treatment becomes more complex because these patients have more physical, psychological, familial and social problems than alcoholics without comorbidity. This two-year treatment follow-up study has aimed to assess the evolution of a group of patients who have a psychiatric disorder associated with alcoholism. METHODS: We selected 100 patients enrolled in the alcohol program, with psychiatric disorder associated with "Harmful Use of Alcohol" or "Alcohol Dependence Syndrome" (ICD-10). This population was compared with a control sample consisting of 284 alcoholic patients without associated psychiatric disorders. RESULTS AND CONCLUSIONS: The percentage of women with psychiatric disorder associated with alcoholism is 47% (almost 1/1 in relation to men), significantly higher than the 10.56% of the control sample. Psychiatric disorders most frequently associated with alcoholism are personality disorders (30%), adjustment disorders (24%), depressive disorders (22%), and anxiety disorders (18%). In schizophrenic patients, the rate of alcoholism is 11% and in bipolar disorders 9%. After two years of follow up, it was found that 28% of the patients with psychiatric disorders associated with alcoholism were in abstinence compared to 41.90% of the control sample. Therefore, there is evidence of a worse outcome of patients suffering from a dual diagnosis.

Trastornos psiquiátricos asociados a alcoholismo: seguimiento a 2 años de tratamiento / Psychiatric disorders associated with alcoholism: 2 year follow-up of treatment

Introducción. Los alcohólicos registran altas tasas de comorbilidad con otros trastornos psiquiátricos. Se ha constatado que el sexo femenino tiene más posibilidades de presentar una comorbilidad psiquiátrica que el masculino. La existencia de comorbilidad en el alcoholismo implica un peor pronóstico en la evolución de la enfermedad. La terapia se hace más compleja debido a que estos pacientes padecen más problemas físicos, psíquicos, familiares y sociales que los alcohólicos sin comorbilidad. Con este trabajo se pretende estudiar la evolución a dos años de tratamiento de una población de pacientes afectados de patología psiquiátrica asociada a alcoholismo. Metodología. Se seleccionaron 100 pacientes, incluidos en el Programa de Alcoholismo, con trastorno psiquiátrico asociado a "Consumo Perjudicial" o "Síndrome de Dependencia" de Alcohol (CIE-10). Esta población se comparó con una muestra control constituida por 284 pacientes alcohólicos sin patología psiquiátrica asociada. Resultados y conclusiones. El porcentaje de mujeres afectadas de trastorno psiquiátrico asociado a alcoholismo es del 47% (casi un 1/1 en relación al varón), mucho mayor que el 10,56% de la muestra control. Los trastornos psiquiátricos más frecuentes asociados al alcoholismo son los trastornos de personalidad (30%), trastornos adaptativos (24%), trastornos depresivos (22%) y de ansiedad (18%). En la esquizofrenia la tasa de alcoholismo asociado es de un 11% y en los trastornos bipolares de un 9%. Después de dos años de seguimiento se obtiene que el 28% de los pacientes con patología psiquiátrica asociada a alcoholismo se encuentra en abstinencia frente al 41,90% de la muestra control. Por tanto, se evidencia una peor evolución de los enfermos afectados de patología dual (AU)

Introduction. Alcoholics show high rates of comorbidity with other psychiatric disorders. It is known that women are more likely to have psychiatric comorbidity than men. Existence of comorbidity in alcoholism implies a worse prognosis in the disease evolution. Treatment becomes more complex because these patients have more physical, psychological, familial and social problems than alcoholics without comorbidity. This two-year treatment follow-up study has aimed to assess the evolution of a group of patients who have a psychiatric disorder associated with alcoholism. Methods. We selected 100 patients enrolled in the alcohol program, with psychiatric disorder associated with "Harmful Use of Alcohol" or "Alcohol Dependence Syndrome" (ICD-10). This population was compared with a control sample consisting of 284 alcoholic patients without associated psychiatric disorders. Results and conclusions. The percentage of women with psychiatric disorder associated with alcoholism is 47% (almost 1/1 in relation to men), significantly higher than the10.56% of the control sample. Psychiatric disorders most frequently associated with alcoholism are personality disorders (30%), adjustment disorders (24%), depressive disorders (22%), and anxiety disorders (18%). In schizophrenic patients, the rate of alcoholism is 11% and in bipolar disorders 9%. After two years of follow up, it was found that 28% of the patients with psychiatric disorders associated with alcoholism were in abstinence compared to 41.90% of the control sample. Therefore, there is evidence of a worse outcome of patients suffering from a dual diagnosis (AU)