Lifetime dual disorder screening and treatment retention: a pilot cohort study
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- dc.contributor.author Puértolas Gracia, Beatriz
- dc.contributor.author Barbaglia, María Gabriela, 1979-
- dc.contributor.author Gotsens Miquel, Mercè, 1983-
- dc.contributor.author Parés Badell, Oleguer
- dc.contributor.author Brugal i Puig, M. Teresa
- dc.contributor.author Torrens, Marta
- dc.contributor.author Treviño, Lara
- dc.contributor.author Rodríguez-Díaz, Concepción
- dc.contributor.author Vázquez-Vázquez, José María
- dc.contributor.author Pascual, Alicia
- dc.contributor.author Coromina-Gimferrer, Marcela
- dc.contributor.author Jiménez-Dueñas, Míriam
- dc.contributor.author Oliva, Israel
- dc.contributor.author González, Erick
- dc.contributor.author Mestre, Nicanor
- dc.contributor.author Bartroli Checa, Montserrat
- dc.date.accessioned 2022-11-16T07:34:24Z
- dc.date.available 2022-11-16T07:34:24Z
- dc.date.issued 2022
- dc.description.abstract The coexistence of a substance use disorder and another mental disorder in the same individual has been called dual disorder or dual diagnosis. This study aimed to examine the prevalence of lifetime dual disorder in individuals with alcohol or cocaine use disorder and their retention in treatment. We conducted a pilot cohort study of individuals (n = 1356) with alcohol or cocaine use disorder admitted to treatment in the public outpatient services of Barcelona (Spain) from January 2015 to August 2017 (followed-up until February 2018). Descriptive statistics, Kaplan-Meier survival curves and a multivariable Cox regression model were estimated. The lifetime prevalence of screening positive for dual disorder was 74%. At 1 year of follow-up, >75% of the cohort remained in treatment. On multivariable analysis, the factors associated with treatment dropout were a positive screening for lifetime dual disorder (HR = 1.26; 95% CI = 1.00-1.60), alcohol use (HR = 1.35; 95% CI = 1.04-1.77), polysubstance use (alcohol or cocaine and cannabis use) (HR = 1.60; 95% CI = 1.03-2.49) and living alone (HR = 1.34; 95% CI = 1.04-1.72). Lifetime dual disorder is a prevalent issue among individuals with alcohol or cocaine use disorders and could influence their dropout from treatment in public outpatient drug dependence care centres, along with alcohol use, polysubstance use and social conditions, such as living alone. We need a large-scale study with prolonged follow-up to confirm these preliminary results.
- dc.format.mimetype application/pdf
- dc.identifier.citation Puértolas-Gracia B, Barbaglia MG, Gotsens M, Parés-Badell O, Brugal MT, Torrens M, et al. Lifetime dual disorder screening and treatment retention: a pilot cohort study. J Clin Med. 2022 Jun 28; 11(13): 3760. DOI: 10.3390/jcm11133760
- dc.identifier.doi http://dx.doi.org/10.3390/jcm11133760
- dc.identifier.issn 2077-0383
- dc.identifier.uri http://hdl.handle.net/10230/54880
- dc.language.iso eng
- dc.publisher MDPI
- dc.rights Copyright © 2022 by Puértolas-Gracia B, Barbaglia MG, Gotsens M, Parés-Badell O, Brugal MT, Torrens M, et al. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
- dc.rights.accessRights info:eu-repo/semantics/openAccess
- dc.rights.uri http://creativecommons.org/licenses/by/4.0/
- dc.subject.keyword Alcohol use disorder
- dc.subject.keyword Cocaine use disorder
- dc.subject.keyword Dual disorder
- dc.subject.keyword Mental disorders
- dc.subject.keyword Screening
- dc.subject.keyword Substance-related disorders
- dc.subject.keyword Treatment retention
- dc.title Lifetime dual disorder screening and treatment retention: a pilot cohort study
- dc.type info:eu-repo/semantics/article
- dc.type.version info:eu-repo/semantics/publishedVersion