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Sociodemographic profile and psychiatric comorbidities in chemical dependent patients accompanied in therapeutic communities

ABSTRACT

Objectives

Analyze the sociodemographic profile, personal/family antecedents and the prevalence of psychiatric comorbidities in a sample of alcohol and/or psychoactive substances (PAS) accompanied in two therapeutic communities.

Methods

This is a prevalence study, having gathered data from a sample with 90 interviewee through a form with sociodemographic/personal/family antecedents data and the Mini International Neuropsychiatric Interview (MINI Plus). The interviewee were divided in three groups: alcohol dependent (group A), illicit PAS dependents (group B) and alcohol and illicit PAS (group C).

Results

A high prevalence of psychiatric comorbidities (88.8%) and, specifically, the major depressive disorder (MDD) in group A (36.7%) and antisocial personality disorder in groups B and C (46.7% and 30%, respectively) was found. It was possible to track characteristic profile for each group, having found a convergence of sociodemographic data for groups A and C, and between groups B and C, for psychiatric comorbidities.

Conclusion

The sociodemographic vulnerability and the high prevalence of psychiatric comorbidities denote the fragility of the population of chemical dependents. The characteristic profiles for each group demonstrate the importance of an individualized treatment.

Chemical dependence; mental disorders; psychiatric comorbidities; psychoactive substances; therapeutic communities

Instituto de Psiquiatria da Universidade Federal do Rio de Janeiro Av. Venceslau Brás, 71 Fundos, 22295-140 Rio de Janeiro - RJ Brasil, Tel./Fax: (55 21) 3873-5510 - Rio de Janeiro - RJ - Brazil
E-mail: editora@ipub.ufrj.br