title: Psychopathological profile and prevalence of dual pathology on patients with alcoholic dependence undergoing outpatient treatment.
abstract: OBJECTIVE
  Assess the prevalence of dual pathology in patients with alcohol dependence and describe the psychopathological profile of mental disorders, impulsiveness, ADHD presence and craving.
  
  
  METHODS
  It is a cross-sectional study about dual pathology, carried out on 102 patients undergoing outpatient treatment. The presence of dual pathology is established by means of the MINI-5 interview and the MCMI-III test; DSM-IV being used as the alcohol abuse criteria. Impulsiveness, ADHD presence, craving and quality of life were measured through SIS, ASRSv1, MACS and SF-36.
  
  
  RESULTS
  The prevalence of dual pathology ranges from 45.1% to 80.4% according to MCMI-III and MINI-5, respectively. The most frequent pathologies are current major depressive episodes, followed by current generalized anxiety disorders, suicide risk and current dysthymia disorders; 73.2% of dual patients present a moderate and intense global score according to MACS, 56.1% got a meaningful score in impulsiveness according to SIS and 41.5% has highly consistent symptoms with ADHD. As regards quality of life, 53.7% of the sample had bad mental health. In the case of dual patients consuming other substances, 30% had a history of bipolar disorders and 10% had a high suicide risk.
  
  
  CONCLUSIONS
  The prevalence of psychiatric comorbidity in patients with alcohol dependence undergoing outpatient treatment varies depending on the detection method, MINI being the one identifying a greater number of cases. More than half of dual patients present impulsive behavior, a bad mental health state and high craving levels. Special attention should be paid to dual patients consuming other substances.
authors.affiliation: CTS-391 Grupo Multidisciplinario para el progreso de la Salud Mental, Universidad de Cádiz. Spain.
authors.forename: Miguel A
authors.initials: MA
authors.lastname: García-Carretero
authors.affiliation: Departamento de Biomedicina, Biotecnología y Salud Pública, Universidad de Cádiz. Spain.
authors.forename: José P
authors.initials: JP
authors.lastname: Novalbos-Ruiz
authors.affiliation: CTA ARCA y Unidad de gestión clínica Salud Mental. Hospital Universitario Puerta del Mar, Cádiz. Spain.
authors.forename: María
authors.initials: M
authors.lastname: Robles-Martínez
authors.affiliation: Hospital Universitario Puerta del Mar, Cádiz. Spain.
authors.forename: María A
authors.initials: MA
authors.lastname: Jordán-Quintero
authors.affiliation: Departamento Enfermería y Fisioterapia, Universidad de Cádiz. Spain.
authors.forename: Cristina
authors.initials: C
authors.lastname: O'Ferrall-González
mesh_terms: D000328:Adult; D000368:Aged; D000437:Alcoholism / Q000453:epidemiology* / Q000523:psychology*; D000553:Ambulatory Care; D003430:Cross-Sectional Studies; D017831:Diagnosis, Dual (Psychiatry); D005260:Female; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology* / Q000523:psychology*; D008875:Middle Aged; D015995:Prevalence