Selene Cordeiro Vasconcelos^1,, Adrielle Rodrigues dos Santos², Ana Luisa Antunes Gonçalves Guerra³, Vilmar da Silva Nascimento⁴, Murilo Duarte da Costa Lima⁵, José Francisco de Albuquerque⁵, Iracema da Silva Frazão⁶

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.

nursing, psychiatry, dual diagnosis, cocaine, substance related disorders, mental health