American Journal of Nursing Research
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American Journal of Nursing Research. 2014, 2(3), 31-37
DOI: 10.12691/ajnr-2-3-1
Open AccessReview Article

Psychiatrics Disorders in Crack and Cocaine Addicts

Selene Cordeiro Vasconcelos1, , Adrielle Rodrigues dos Santos2, Ana Luisa Antunes Gonçalves Guerra3, Vilmar da Silva Nascimento4, Murilo Duarte da Costa Lima5, José Francisco de Albuquerque5 and Iracema da Silva Frazão6

1Federal University of Pernambuco, Psychosocial Care Center for Alcohol and other drugs Eulâmpio Cordeiro, Recife, Pernambuco, Brazil

2Management Specialist, Dom Helder Hospital, Recife, Brazil

3Specialist Nursing Work, UNIMED Hospital, Recife, Brazil

4Psychosocial Care Center for Alcohol and other drugs Eulâmpio Cordeiro, Recife, Pernambuco, Brazil

5Doctorate in Psychiatry, Professor at Federal University of Pernambuco, Recife, Brazil

6Doctorate in Social Work, Professor at Federal University of Pernambuco, Recife, Brazil

Pub. Date: September 08, 2014

Cite this paper:
Selene Cordeiro Vasconcelos, Adrielle Rodrigues dos Santos, Ana Luisa Antunes Gonçalves Guerra, Vilmar da Silva Nascimento, Murilo Duarte da Costa Lima, José Francisco de Albuquerque and Iracema da Silva Frazão. Psychiatrics Disorders in Crack and Cocaine Addicts. American Journal of Nursing Research. 2014; 2(3):31-37. doi: 10.12691/ajnr-2-3-1

Abstract

Objective: The aim of the present study was to determine the most common psychiatric comorbidities among crack/cocaine users. Materials and Methods: Integrative review. The following guiding question was defined: What are the most common psychiatric comorbidities among crack/cocaine users? The controlled descriptors were “Crack”, “Cocaine” and “Dual Diagnosis”. SCOPUS, PUBMED, LILACS and COCHRANE databases were searched by two independent researchers during August of 2014. Results: The most common psychiatric disorders among crack/cocaine users were the following: mood disorders, including depression; bipolar disorder; anxiety disorders, accompanied (or not) by panic attacks; post-traumatic stress disorder; personality disorders, with an emphasis on antisocial personality disorder and schizophrenia. Conclusions: There is a high prevalence of psychiatric disorders among crack/cocaine users and one disorder effects the other. In addition, the present study demonstrated the importance of the impact of a psychopathological comorbidity on the therapeutic success of treatment of cocaine/crack users.

Keywords:
nursing psychiatry dual diagnosis cocaine substance related disorders mental health

Creative CommonsThis work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

References:

[1]  Pratta, E., Santos, M., “O Processo Saúde-doença e a Dependência Química: Interfaces e Evolução”, Psicologia: Teoria e Pesquisa, 25 (2). 203-211. 2009.
 
[2]  Sampaio, J. J. C., Hermeto, E. M. C., Carneiro, C., “Atividades socioculturais e abandono do uso de drogas ilícitas: percepção de adolescentes usuários em estudo de caso”, Revista Baiana de Saúde Pública, 33 (3). 453-465. 2009
 
[3]  Chaves, T. V., Sanches, Z. M., Ribeiro, L. A., Nappo, S.A., “Crack cocaine craving: behaviors and strategies of users and ex-users”, Rev Saúde Pública, 45 (6). 1168-1175. 2011.
 
[4]  Rocha, C., Crack, a pedra da morte – desafios da adicção e violência instantâneas, Câmara dos 3 poderes, Distrito Federal, Brasil, 2010. http://bd.camara.gov.br/bd/bitstream/handle/bdcamara/4784/crack_pedra_rocha.pdf.
 
[5]  CFM - CONSELHO FEDERAL DE MEDICINA. General guidelines for comprehensive medical care to crack.Disponível em: <http://www.cremerj.org.br/downloads/386.PDF>.
 
[6]  Alves, H., Kessler, F., & Ratto, L. R. C. Comorbidade: usos de álcool e outros transtornos psiquiátricos. Revista Brasileira de Psiquiatria, 26(Supl I). may. 2004.
 
[7]  Ratto, L., Cordeiro, D.C. Principais comorbidades psiquiátricas na dependência química. Em: S. Bordin, N. B. Figlie & R. Laranjeira (Orgs.), Aconselhamento em dependência química, Roca, São Paulo, 2004, pp.167-186.
 
[8]  Hess, A. R. B., Almeida R. M. M., Moraes A. L. Comorbidades psiquiátricas em dependentes químicos em abstinência em ambiente protegido. Estudos de Psicologia, 17 (1) 171-178. 2012.
 
[9]  Zaleski, M., & cols. Diretrizes da associação brasileira de estudos do álcool e outras drogas (ABEAD) para o diagnóstico e tratamento de comorbidades psiquiátricas dependência de álcool e outras substâncias. Revista Brasileira de Psiquiatria, 28(2). 142-8. 2006.
 
[10]  Armstrong. T. D., Costello, EJ. Comunitty studies on adolescent substance use, abuse, or dependence and psychiatric comorbidity. Journal Consult Clinical Psychology, 70(6). 1224-39. 2002.
 
[11]  Cooper R., Hildebrandta S., Gerlacha AL. Drinking motives in alcohol use disorder patients with and without social anxiety disorder. Anxiety, Stress & Coping:An International Journal, 27(1) 113-122. 2014.
 
[12]  Kenneson A., Funderburk JS., Maisto SA. Substance use disorders increase the odds of subsequent mood disorders Drug and Alcohol Dependence. 133(2). 338-343. 2013.
 
[13]  Asselmann E., Wittchen HU., Lieb R., Höfler M., Beesdo-Baum K.Associations of fearful spells and panic attacks with incident anxiety, depressive, and substance use disorders: A 10-year prospective-longitudinal community study of adolescents and young adults. Journal of Psychiatric Research, 55. 8-14. Aug. 2014.
 
[14]  Guimarães, CF., Santos, DVV., Freitas, RC., Araujo, RB., “Perfil do usuário de crack e fatores relacionados à criminalidade em unidade de internação para desintoxicação no Hospital Psiquiátrico São Pedro de Porto Alegre (RS)”, Rev Psiquiatria RS, 30 (2). 101-108. 2008.
 
[15]  Regier, DA., Farmer, ME., Rae, DS., Locke, BZ., Keith, SJ., Judd LL., Goodwin, F.K. Comorbidity of mental disorders with alcohol and other drug abuse: results from the Epidemiologic Catchment Area (ECA) Study, JAMA, 264(19). 2511-2518. 1990.
 
[16]  Moragues, EV., Saizemail, FG., Lozano, OM., Espinosa, PB., Calderón, FF., Acebos, IB., García, MP., García, AV. Psychiatric comorbidity in cocaine users treated in therapeutic community: Substance-induced versus independent disorders, Psychiatry Research, 200(2-3). 734-41. 2012.
 
[17]  Peer J., Bennett ME, Bellack AS. Neurocognitive Characteristics of Individuals with Schizophrenia and Cocaine Dependence: Comparison of Currently Dependent and Remitted Groups. J Nerv Ment Dis. 197(8). 631-634. 2009.
 
[18]  Meade CS., Conn NA, Skalski LM, Safren SA.Neurocognitive impairment and medication adherence in HIV patients with and without cocaine dependence. J Behav Med. 34(2). 128-138. 2011
 
[19]  Thomas MK., Dennis CD., Antoine BD. Treatment of Substance Abusing Patients with Comorbid Psychiatric Disorders. Addict Behav. 37(1). 11-24. 2012.
 
[20]  Carolyn JA., Linda G. Reasons for illicit drug use in people with schizophrenia: Qualitative study. BMC Psychiatry. 10(94). 1-15. 2010.
 
[21]  Laudet AB., Magura S., Vogel HS., Knight EL. Interest in and obstacles to pursuing work among unemployed dually diagnosed individuals. Subst Use Misuse. 37(2). 145-170. 2002.
 
[22]  Mendes, K. D. S., Silveira, R.C.C.P., Galvão C.M., “Revisão integrativa: método de pesquisa para a incorporação de evidências na saúde e na enfermagem”, Texto contexto enferm, 17 (4) 758-64. 2008.
 
[23]  Ursi E.S., Galvão C.M., “Prevenção de lesões de pele no perioperatório: revisão integrativa da literatura”, Rev Latino-am Enfermagem, 14 (1). 124-31. 2006.
 
[24]  Singer, L., Arendt, R., Minnes, S., Farkas, K., Yamashita, T., Kliegman, R. Increased psychological distress in post-partum, cocaine-using mothers, J Subst Abuse. 7(2). 165-74. 1995
 
[25]  Galanter, M., Dermatis, H., Egelko, S., De Leon, G. Homelessness and mental illness in a professional- and peer-led cocaine treatment clinic, Psychiatr Serv. 49(4). 533-5. 1998
 
[26]  Falck, RS.,, Wang, J., Siegal, HA., Carlson, RG. The prevalence of psychiatric disorder among a community sample of crack cocaine users: an exploratory study with practical implications, J Nerv Ment Dis. 192(7). 503-7. 2004
 
[27]  Lejuez, CW., Paulsona, A., Daughters, SB., Bornovalova, MA., Zvolensky, MJ. The association between heroin use and anxiety sensitivity among inner-city individuals in residential drug use treatment, Behav Res Ther, 44(5). 667-77. 2006.
 
[28]  Carvalho, SVB., Collakis, ST., Oliveira, MPMT., Silveira, DX. Frequência de jogo patológico entre farmacodependentes em tratamento. Rev. Saúde Pública, 39(2) 2005 [on line] Disponível: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102005000200012 [Accessed: 03/09/ 2014].
 
[29]  Kertesz, SG., Madan, A., Wallace, D. Schumacher, JE., Milby, JB., Substance abuse treatment and psychiatric comorbidity: do benefits spill over? analysis of data from a prospective trial among cocaine-dependent homeless persons, Substance Abuse Treatment, Prevention, and Policy. 1.27. 2006.
 
[30]  Grella, CE., Stein, JA., Impact of Program Services on Treatment Outcomes of Patients with Comorbid Mental and Substance Use Disorders, Psychiatr Serv. 57(7): 1007-1015. 2006.
 
[31]  Magura, S. Effectiveness of Dual Focus Mutual Aid for Co-occurring Substance Use and Mental Health Disorders: A Review and Synthesis of the “Double Trouble” in Recovery Evaluation, Subst Use Misuse. 43(12-13). 1904-1926. 2008.
 
[32]  Ford, J.D., Gelernter, J.,, DeVoel, JS., Zhang, w., Weiss, RD., Brady, K., Farrer, L., Kranzler, HR. Association of Psychiatric and Substance Use Disorder Comorbidity with Cocaine Dependence Severity and Treatment Utilization in Cocaine-Dependent Individuals, Drug Alcohol Depend. 99(1-3). 193-203. 2009.
 
[33]  Magidson, JF., Gorka, SM., MacPherson, L., Hopko, DR., Blanco, C., Lejuez, CW., Daughters, SB. Examining the Effect of the Life Enhancement Treatment for Substance Use (LETS ACT) on Residential Substance Abuse Treatment Retention, Addict Behav. 36(6). 615-623. 2011.
 
[34]  Gratz, KL., Tull, MT. Exploring the relationship between posttraumatic stress disorder and deliberate self-harm: the moderating roles of borderline and avoidant personality disorders, Psychiatry Res. 199(1). 19-23. 2012
 
[35]  Silva, C. R., Kolling, N. M., Carvalho, J. C. N., Cunha, S. M., Kristensen, C. H., “Comorbidade psiquiátrica em dependentes de cocaína/crack e alcoolistas: um estudo exploratório”, Aletheia, 30. 101-112. 2009.
 
[36]  Scheffer, M., Pasa, G.G., Almeida, R. M. M., “Dependência de Álcool, Cocaína e Crack e Transtornos Psiquiátricos”, Psicologia: Teoria e Pesquisa, 26 (3). 533-541. 2010.
 
[37]  Compton, WM., Thomas, YF., Stinson, FS., Grant, BF. Prevalence, correlates, disability, and comorbidity of DSMIV drug abuse and dependence in the United States: results from the national epidemiologic survey on alcohol and related conditions. Archives of General Psychiatry, 64(7). 566-76. 2007.
 
[38]  Kessler, RC., Chiu, WT., Demler, O., Merikangas, KR, Walters, EE. Prevalence, severity, and comorbidity of 12-month DSM-IV disorders in the National Comorbidity Survey Replication. Archives of General Psychiatry, 62(6). 617-27. 2005.
 
[39]  Chan, YF., Dennis, ML., Funk, RR. Prevalence and comorbidity of major internalizing and externalizing problems among adolescentes and adults presenting to substance abuse treatment. Journal of Substance Abuse and Treatment, 34(1). 14-24. 2008
 
[40]  Arias F., Szerman N., Vega P., Mesias B., Basurte I., Morant C., Ochoa E., Poyo F., Babín F.Madrid study on the prevalence and characteristics of outpatients with dual pathology in community mental health and substance misuse services, Adicciones, 25(2). 118-127. 2013.
 
[41]  Weaver, T., Madden, P., Charles, V., Stimson, G., Renton, A., Tyrer, P. Ford, C. Comorbidity of substance misuse and mental illness in community mental health and substance misuse services. British Journal of Psychiatry, 183, 304-313. 2003.
 
[42]  Regier, D. A., Farmer, M. E., Rae, D. S., Locke, B. Z., Keith, S. J., Judd, L. L., Goodwin, F.K. (1990). Comorbidity of mental disorders with alcohol and other drug abuse: results from the Epidemiologic Catchment Area (ECA) Study. JAMA, 264(19), 2511-2518.
 
[43]  Almeida, RMM., Flores, ACS., Schefferb, M. Ideação Suicida, Resolução de Problemas, Expressão de Raiva e Impulsividade em Dependentes de Substâncias Psicoativas. Psicologia: Reflexão e Crítica, 26 (1) 1-9. 2013.
 
[44]  Silva, L. H. P., et al., “Perfil dos dependentes químicos atendidos em uma unidade de reabilitação de um hospital psiquiátrico”, Esc. Anna Nery, 14 (3). 585-590. 2010.
 
[45]  Louzã, M. R. N., Hélio, E., Psiquiatria básica, 2ª ed. Porto Alegre (RS): Artmed, 2007.
 
[46]  Moran P, Coffey C, Romaniuk H, Degenhardt L, Borschmann R, Patton GC. Substance use in adulthood following adolescente self-harm: a population-based cohort study. Acta Psychiatrica Scandinavica. 1-8. 2014
 
[47]  Shane D., Michelle T. Childhood physical abuse, non-suicidal self-harm and attempted suicide amongst regular injecting drug users. Drug and Alcohol Dependence. 133( 2). 420-426. 2013.
 
[48]  Preller KH., Ingold N., Hulka LM., Vonmoos M., Jenni D., Baumgartner MR., Vollenweider FX., Quednow BB.Increased Sensorimotor Gating in Recreational and Dependent Cocaine Users Is Modulated by Craving and Attention-Deficit/Hyperactivity Disorder Symptoms. Biological Psychiatry. 73(3). 225-234. 2013.
 
[49]  Turner NE., Littman-Sharp N., Toneatto T., Liu E., Ferentzy P..Centre for Addiction and Mental Health Inventory of Gambling Situations: Evaluation of the Factor Structure, Reliability, and External Correlations. Int J Ment Health Addiction. 11. 526-545. 2013.
 
[50]  Herrero MJ., Domingo-Salvany A., Brugal MT., Torrens M.; Itinere Investigators.Incidence of psychopathology in a cohort of young heroin and/or cocaine users. Journal of Substance Abuse Treatment, 41(1). 55-63. 2011.
 
[51]  González-Saiz F., Vergara-Moragues E., Verdejo-García A., Fernández-Calderón F., Lozano OM.. Impact of Psychiatric Comorbidity on the In-Treatment Outcomes of Cocaine-Dependent Patients in Therapeutic communities, Substance Abuse, 35(2). 133-140. 2014.
 
[52]  Araos, P., et al. Comorbilidad psicopatológica en consumidores de cocaína en tratamiento ambulatório. Adicciones: Revista de socidrogalcohol, 26(1).15-26. 2014.
 
[53]  Vergara-Moragues, E., et al. Relationship between psychopathological comorbidity and outcomes variables in-treatment cocaine dependent subject in therapeutic community. Adicciones, 25(2). 128-136. 2013.
 
[54]  Bunt GC., Muehlbach B., Moed CO.The therapeutic Community: an international perspective. Substance Abuse, 29(3). 81-87. 2008.
 
[55]  Carvalho, S. V. B., Collakis, S. T., Oliveira, M. P. M. T., Silveira, D. X., Frequency of pathological gambling among substance abusers in treatment, Rev. Saúde Pública, 39 (2). 217-222. 2005.
 
[56]  Vasconcelos, S. C., Frazão, I. S., Monteiro, E. M. L. M., Lima, M. D. C., Albuquerque, J. F., Ramos, V. P., “Nursing Interventions for Drug Users: Qualitative Meta-Synthesis”, American Journal of Nursing Research, 1: (1). 24-27. 2013.