title: Dual diagnosis in an inpatient drug-abuse detoxification unit.
abstract: In Spain, detoxification in general hospitals plays an important role in the medical care of patients. We aim to provide clinicians with information on the prevalence and correlates of psychiatric co-morbidity in drug abusers in detoxification. A sample of 115 substance-abuse inpatients (mean age 31.9 +/- 6.4 years) in a Detoxification Unit of a general university hospital was studied using the Spanish version of the PRISM. Most of the patients had multiple dependence diagnoses and co-morbid axis I or axis II psychiatric disorders. Patients with dual diagnosis showed lower psychosocial functioning than patients without co-morbidity and more dependence diagnoses due to cannabis and sedatives. A total of 80% of the patients successfully completed the detoxification process. The present results enhance the value of detoxification in a general hospital as a first step of the overall treatment strategy.
authors.affiliation: Department of Psychiatry, Hospital del Mar, Barcelona, Spain.
authors.forename: Agnes
authors.initials: A
authors.lastname: Nocon
authors.forename: Daniel
authors.initials: D
authors.lastname: Bergé
authors.forename: Mónica
authors.initials: M
authors.lastname: Astals
authors.forename: Rocío
authors.initials: R
authors.lastname: Martín-Santos
authors.forename: Marta
authors.initials: M
authors.lastname: Torrens
mesh_terms: D000328:Adult; D000437:Alcoholism / Q000175:diagnosis / Q000453:epidemiology* / Q000534:rehabilitation; D015897:Comorbidity; D003430:Cross-Sectional Studies; D017831:Diagnosis, Dual (Psychiatry); D005260:Female; D006769:Hospitals, General / Q000706:statistics & numerical data; D006785:Hospitals, University / Q000706:statistics & numerical data; D006801:Humans; D006993:Hypnotics and Sedatives; D013287:Illicit Drugs; D008297:Male; D002189:Marijuana Abuse / Q000175:diagnosis / Q000453:epidemiology / Q000534:rehabilitation; D001523:Mental Disorders / Q000175:diagnosis / Q000453:epidemiology* / Q000534:rehabilitation; D008875:Middle Aged; D010349:Patient Compliance / Q000706:statistics & numerical data; D012917:Social Adjustment; D013030:Spain; D016320:Substance Abuse Treatment Centers / Q000706:statistics & numerical data*; D019966:Substance-Related Disorders / Q000175:diagnosis / Q000453:epidemiology* / Q000534:rehabilitation
chemical_list: D006993:Hypnotics and Sedatives; D013287:Illicit Drugs