Pub Date : 2021-09-30DOI: 10.54108/red.2021.46.03.007
J. A. Fernández, Ernesto Baena
En el trastorno dual confluyen dos trastornos graves y crónicos que aún hoy son un desafío a las redes de atención sanitaria y social. En ese contexto las familias desempeñan un papel importante en el mantenimiento de estas personas en la comunidad. El trastorno dual se asocia con una serie de efectos negativos sobre el entorno familiar, con mayor carga de cuidados y conflictos. Para este artículo, se han revisado cuatro modelos de intervención familiar en el trastorno dual. Conclusiones. La intervención familiar ha demostrado ser un importante elemento del tratamiento del trastorno dual. Los cuatro programas de intervención presentados coinciden en unos componentes comunes: intervención uni/multi familiar, bases teóricas de los modelos de probada eficacia, psicoeducación, entrenamiento en comunicación, resolución de problemas y la entrevista motivacional transversal a todo el programa. Aun así persisten áreas que no mejoran y los resultados no son concluyentes, por lo que es necesario seguir buscando fórmulas que apunten hacia recursos terapéuticos más flexibles según las necesidades y circunstancias de cada una de estas personas.
{"title":"Rehabilitación psicosocial e intervención familiar en personas con trastorno dual","authors":"J. A. Fernández, Ernesto Baena","doi":"10.54108/red.2021.46.03.007","DOIUrl":"https://doi.org/10.54108/red.2021.46.03.007","url":null,"abstract":"En el trastorno dual confluyen dos trastornos graves y crónicos que aún hoy son un desafío a las\u0000redes de atención sanitaria y social. En ese contexto las familias desempeñan un papel importante\u0000en el mantenimiento de estas personas en la comunidad. El trastorno dual se asocia con una serie\u0000de efectos negativos sobre el entorno familiar, con mayor carga de cuidados y conflictos. Para\u0000este artículo, se han revisado cuatro modelos de intervención familiar en el trastorno dual.\u0000Conclusiones. La intervención familiar ha demostrado ser un importante elemento del\u0000tratamiento del trastorno dual. Los cuatro programas de intervención presentados coinciden en\u0000unos componentes comunes: intervención uni/multi familiar, bases teóricas de los modelos de\u0000probada eficacia, psicoeducación, entrenamiento en comunicación, resolución de problemas y la\u0000entrevista motivacional transversal a todo el programa. Aun así persisten áreas que no mejoran\u0000y los resultados no son concluyentes, por lo que es necesario seguir buscando fórmulas que\u0000apunten hacia recursos terapéuticos más flexibles según las necesidades y circunstancias de cada\u0000una de estas personas.","PeriodicalId":38489,"journal":{"name":"Revista Espanola de Drogodependencias","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70900121","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-09-30DOI: 10.54108/red.2021.46.03.003
Sonia López-Lorenzo, N. J. Bulnes, Martín L. Vargas-Aragón
El déficit cognitivo es uno de los principales predictores pronósticos de la esquizofrenia, especialmente el déficit de la memoria verbal. La relación de causalidad entre el uso de sustancias, los trastornos por uso de sustancias y el síndrome psicótico es probablemente multidireccional y aún está sujeto a diversos posibles factores de confusión. La Escala de Evaluación de la Adictividad en el Síndrome Psicótico (EASP) evalúa de manera global la dimensión de adictividad atendiendo a todos estos factores: inicio, frecuencia, duración e intensidad. El objetivo del estudio es conocer si la dimensión de adictividad se asocia al déficit de memoria verbal. Para ello se compara un grupo de sujetos psicóticos que presentaban déficit de memoria (n= 47) y un grupo control de sujetos psicóticos sin déficit de memoria (n= 58) y se comprueba una mayor adictividad en el primer grupo. Según nuestros resultados, una puntuación en EASP > 55 es indicador de posible déficit de memoria. Esta medición puede aportar información relevante sobre el estado actual, evolución y pronóstico de los pacientes con comorbilidad de psicosis y adicción.
{"title":"La adictividad como factor de riesgo del déficit de memoria\u0000verbal en la esquizofrenia: estudio de casos y controles","authors":"Sonia López-Lorenzo, N. J. Bulnes, Martín L. Vargas-Aragón","doi":"10.54108/red.2021.46.03.003","DOIUrl":"https://doi.org/10.54108/red.2021.46.03.003","url":null,"abstract":"El déficit cognitivo es uno de los principales predictores pronósticos de la esquizofrenia,\u0000especialmente el déficit de la memoria verbal. La relación de causalidad entre el uso de sustancias,\u0000los trastornos por uso de sustancias y el síndrome psicótico es probablemente multidireccional y\u0000aún está sujeto a diversos posibles factores de confusión. La Escala de Evaluación de la Adictividad\u0000en el Síndrome Psicótico (EASP) evalúa de manera global la dimensión de adictividad atendiendo a\u0000todos estos factores: inicio, frecuencia, duración e intensidad. El objetivo del estudio es conocer si\u0000la dimensión de adictividad se asocia al déficit de memoria verbal. Para ello se compara un grupo\u0000de sujetos psicóticos que presentaban déficit de memoria (n= 47) y un grupo control de sujetos\u0000psicóticos sin déficit de memoria (n= 58) y se comprueba una mayor adictividad en el primer\u0000grupo. Según nuestros resultados, una puntuación en EASP > 55 es indicador de posible déficit de\u0000memoria. Esta medición puede aportar información relevante sobre el estado actual, evolución y\u0000pronóstico de los pacientes con comorbilidad de psicosis y adicción.","PeriodicalId":38489,"journal":{"name":"Revista Espanola de Drogodependencias","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70899798","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-09-30DOI: 10.54108/red.2021.46.03.008
J. A. Fernández, Ernesto Baena
In dual disorder, two serious and chronic disorders converge that are still a challenge to health and social care networks. In this context, families play an important role in keeping these people included in the community. Dual disorder is associated with a series of negative effects on the family environment, with a greater burden of care and conflict. For this article, four models of family intervention in dual disorder have been reviewed. Conclusions. Family intervention has proven to be an important element of dual disorder treatment. The four intervention programs presented coincide in share some common components: single / multi-family intervention, theoretical bases of the models of with proven efficacy, psychoeducation, communication training, problem solving, and the motivational interview across the entire program. Even so, some areas still persist without improvements and areas that do not improve persist and the results are not conclusive, so it is necessary to continue looking for formulas that point towards more flexible therapeutic resources according to the needs and circumstances of each of these people.
{"title":"Psychosocial rehabilitation and family intervention for people with dual disorders","authors":"J. A. Fernández, Ernesto Baena","doi":"10.54108/red.2021.46.03.008","DOIUrl":"https://doi.org/10.54108/red.2021.46.03.008","url":null,"abstract":"In dual disorder, two serious and chronic disorders converge that are still a challenge to health\u0000and social care networks. In this context, families play an important role in keeping these people\u0000included in the community. Dual disorder is associated with a series of negative effects on the\u0000family environment, with a greater burden of care and conflict. For this article, four models of\u0000family intervention in dual disorder have been reviewed.\u0000Conclusions. Family intervention has proven to be an important element of dual disorder\u0000treatment. The four intervention programs presented coincide in share some common\u0000components: single / multi-family intervention, theoretical bases of the models of with proven\u0000efficacy, psychoeducation, communication training, problem solving, and the motivational\u0000interview across the entire program. Even so, some areas still persist without improvements and\u0000areas that do not improve persist and the results are not conclusive, so it is necessary to continue\u0000looking for formulas that point towards more flexible therapeutic resources according to the\u0000needs and circumstances of each of these people.","PeriodicalId":38489,"journal":{"name":"Revista Espanola de Drogodependencias","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70900197","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-09-30DOI: 10.54108/red.2021.46.03.006
Lorena Pallas-Álvarez, Á. Díez-Revuelta, J. J. M. Jambrina, M. Vargas
The main objective of the present study is to estimate the prevalence of severe mental and substance use disorders in homeless people (HP). The work was carried out on the basis of data obtained from a representative sample of HP in Avilés (Asturias) (n = 100) using the International Neuropsychiatric Interview (M.I.N.I.). The results of our study reveal a close relationship between substance use and homelessness. More than half of the HP have substance use disorders compared to substance use problems in the general population. Psychosocial care and the organization of a support network for the HP are discussed.
{"title":"Dual pathology in homeless people in the Health Area of Avilés","authors":"Lorena Pallas-Álvarez, Á. Díez-Revuelta, J. J. M. Jambrina, M. Vargas","doi":"10.54108/red.2021.46.03.006","DOIUrl":"https://doi.org/10.54108/red.2021.46.03.006","url":null,"abstract":"The main objective of the present study is to estimate the prevalence of severe mental and\u0000substance use disorders in homeless people (HP). The work was carried out on the basis of\u0000data obtained from a representative sample of HP in Avilés (Asturias) (n = 100) using the\u0000International Neuropsychiatric Interview (M.I.N.I.). The results of our study reveal a close\u0000relationship between substance use and homelessness. More than half of the HP have substance\u0000use disorders compared to substance use problems in the general population. Psychosocial care\u0000and the organization of a support network for the HP are discussed.","PeriodicalId":38489,"journal":{"name":"Revista Espanola de Drogodependencias","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70899942","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-09-09DOI: 10.54108/red.2021.46.03.002
Martín L. Vargas-Aragón, S. López-Lorenzo, N. Jimeno-Bulnes
Models of dual pathology habitually consider substance-use disorders (SUD) and the rest of mental disorders as two pathological conditions coincident in a same person. This study adopts a different point of view and accept adictivity as the nineth clinical dimension in the psychotic disorders to be added to hallucinations, delusion, disorganised speech, abnormal psychomotor behaviour, negative symptoms, cognitive deficit, depression, and mania. In the last term, all of them seems to derive from a common fronto-subcortical disfunction with dopaminergic, glutamatergic and gabaergic implication. The Scale for the Evaluation of Adictivity in the Psychotic Syndrome (SEAPS) is presented. It wants to be an integrated and easy to use tool for evaluating adictivity in the psychotic disorders. It is based in data collected with respect of first use, length of use, last use, frequency of use and addiction intensity regarding twelve types of substances or addictive behaviours. Results of the application of SEAPS on a sample of 105 psychotic subjects suggest good psychometric characteristics as well as the independency of adictivity respect with other clinical dimensions.
{"title":"Addictiveness: an independent dimension in the psychotic\u0000syndrome. Presentation of the Addictiveness in the Psychotic\u0000Syndrome Assessment Scale (APSAS)","authors":"Martín L. Vargas-Aragón, S. López-Lorenzo, N. Jimeno-Bulnes","doi":"10.54108/red.2021.46.03.002","DOIUrl":"https://doi.org/10.54108/red.2021.46.03.002","url":null,"abstract":"Models of dual pathology habitually consider substance-use disorders (SUD) and the rest\u0000of mental disorders as two pathological conditions coincident in a same person. This study\u0000adopts a different point of view and accept adictivity as the nineth clinical dimension in the\u0000psychotic disorders to be added to hallucinations, delusion, disorganised speech, abnormal\u0000psychomotor behaviour, negative symptoms, cognitive deficit, depression, and mania. In the\u0000last term, all of them seems to derive from a common fronto-subcortical disfunction with\u0000dopaminergic, glutamatergic and gabaergic implication.\u0000The Scale for the Evaluation of Adictivity in the Psychotic Syndrome (SEAPS) is presented. It\u0000wants to be an integrated and easy to use tool for evaluating adictivity in the psychotic disorders.\u0000It is based in data collected with respect of first use, length of use, last use, frequency of use and\u0000addiction intensity regarding twelve types of substances or addictive behaviours. Results of the\u0000application of SEAPS on a sample of 105 psychotic subjects suggest good psychometric characteristics\u0000as well as the independency of adictivity respect with other clinical dimensions.","PeriodicalId":38489,"journal":{"name":"Revista Espanola de Drogodependencias","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70899834","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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