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Vol. 150. Issue 2.
Pages 49-55 (January 2018)
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Vol. 150. Issue 2.
Pages 49-55 (January 2018)
Original article
Differences between craving and health-related quality of life in patients with alcohol dependence with or without dual pathology in outpatient treatment: A descriptive study
Diferencias entre craving y calidad de vida relacionada con la salud en pacientes con dependencia alcohólica con o sin enfermedad dual en tratamiento ambulatorio: un estudio descriptivo
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María Robles-Martíneza,b,
Corresponding author
correo@mariarobles.es

Corresponding author.
, Miguel Ángel García-Carreteroc, Juan Gibertd, Raúl Felipe Palma-Álvareza,b, Alfonso Carlos Abada,b, Marta Sorribesa,b, Carlos Ronceroa,b,e
a Sección de Adicciones y Patología Dual, Servicio de Psiquiatría, Hospital Universitario Vall d’Hebron, Barcelona, Spain
b Servicio de Psiquiatría, Hospital Universitario Vall d’Hebron, Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Barcelona, Spain
c CTS-391 Grupo multidisciplinario para el progreso de la Salud Mental, Universidad de Cádiz, Cádiz, Spain
d Departamento de Neurociencias, Universidad de Cádiz, Cádiz, Spain
e Departamento de Psiquiatría y Medicina Legal, Universidad Autónoma de Barcelona, Barcelona, Spain
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Tables (5)
Table 1. Sociodemographic data of the global sample in both subgroups.
Table 2. Prevalence of tobacco and other drug use throughout life and during the last 12 months.
Table 3. Results of the semi-structured MINI-5.0 interview.
Table 4. Results of the Multidimensional Alcohol Craving Scale according to gender.
Table 5. SF-36 results according to gender.
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Abstract
Background and objective

Dual diagnosis is the coexistence of an addictive disorder and another mental disorder. The objective is to estimate cravings and self-reported quality of life in a sample of patients with alcoholic dependence, with or without dual pathology, who attend an outpatient treatment centre.

Patients and method

A cross-sectional study of 112 patients (56 dual and 56 non-dual), diagnosed with alcohol dependence according to DSM-IV-TR. The presence of cravings is determined by the Multidimensional Alcohol Craving Scale and quality of life through the SF-36 Health Questionnaire.

Results

There are no statistically significant differences in cravings in either subgroup; the latter tend to refer to lower alcohol cravings than non-dual patients. The dual patients have a worse quality of life in all categories evaluated, highlighting a worse quality of life in the categories: social function, emotional role, vitality and general health. Females present a lower quality of life emphasizing those of social function and emotional role. No differences were detected in relation to cravings between the 2 groups.

Conclusions

In order to perform a correct clinical and therapeutic approach for patients with alcohol dependence, we should consider focusing on the evaluation of cravings and quality of life. In order to perform a correct clinical and therapeutic approach for patients with alcohol dependence, it is necessary to consider cravings and quality of life, since these parameters are important for the evaluation of patients with alcohol dependence.

Keywords:
Alcohol
Multidimensional Alcohol Craving Scale
Cravings
Short Form-36
Health-related quality of life
Resumen
Fundamentos y objetivo

Enfermedad dual es la coexistencia al mismo tiempo de un trastorno adictivo y otro trastorno mental. El objetivo es estimar el craving y la calidad de vida autopercibida en una muestra de pacientes con dependencia alcohólica, con o sin enfermedad dual, que acuden a un centro de tratamiento ambulatorio.

Pacientes y método

Estudio transversal de 112 pacientes (56 duales y 56 no duales) diagnosticados de dependencia de alcohol según el DSM-IV-TR. Se determina la presencia de craving mediante la Escala Multidimensional de Craving de Alcohol y la calidad de vida mediante el Cuestionario de Salud SF-36.

Resultados

No existen diferencias estadísticamente significativas en el craving entre ambos subgrupos; los duales tienden a referir menor craving de alcohol que los pacientes no duales. Los duales tienen una peor calidad de vida en todas las categorías evaluadas, destacando una peor calidad de vida en las categorías: función social, rol emocional, vitalidad y salud general. El sexo femenino presenta una menor calidad de vida, destacando las categorías de función social y rol emocional. No se detectan diferencias en relación al craving entre los 2 grupos.

Conclusiones

Para realizar un correcto abordaje clínico y terapéutico de los pacientes con dependencia alcohólica se debe plantear evaluar el craving y la calidad de vida, puesto que son parámetros importantes para la evaluación del paciente con dependencia alcohólica. Además, el craving es un parámetro propio de la dependencia alcohólica, no de la dualidad.

Palabras clave:
Alcohol
Escala Multidimensional de Craving de Alcohol
Craving
Short Form-36
Calidad de vida relacionada con la salud

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