Dual Pathology in General Population of Itagüí, Colombia

To study the prevalence of dual diagnosis (presence of a substance use disorder and an associated mental disorder) in the general population of a small town in the department of Antioquia in Colombia, through secondary analysis of survey data on Mental Health held in this city in 2011. With a sample...

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Bibliographic Details
Published in:Revista colombiana de psiquiatría 2016-04, Vol.45 (2), p.108-117
Main Authors: Castaño Pérez, Guillermo A, Sierra Hincapié, Gloria Maria
Format: Article
Language:Spanish
Subjects:
Adolescent
Adult
Aged
Colombia - epidemiology
Diagnosis, Dual (Psychiatry) - statistics & numerical data
Female
Humans
Male
Mental Disorders - diagnosis
Mental Disorders - epidemiology
Middle Aged
Prevalence
Urban Health - statistics & numerical data
Young Adult
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Summary:To study the prevalence of dual diagnosis (presence of a substance use disorder and an associated mental disorder) in the general population of a small town in the department of Antioquia in Colombia, through secondary analysis of survey data on Mental Health held in this city in 2011. With a sample of 415 subjects, the interview Composite International Diagnostic Interview (CIDI), WHO CAPI version, was used and statistical analysis was performed using SPSS v.21. The prevalence of dual diagnosis, considering that the presence of a diagnosis of mental disorder and a disorder snuff use of different substances was 7.2%. Substances with higher prevalence of use in life for individuals with dual diagnosis were alcohol (96.7%), marijuana (80.0%), cocaine and derivatives (33.3%), heroin (23.3%) and finally no prescription tranquilizers (13.3%), finding statistical association between drug use and dual diagnosis. Major depression (40%), oppositional defiant disorder (36.7%), posttraumatic stress (33.3%), specific phobia and attention deficit (26.7%) are the most prevalent disorders in individuals with dual diagnosis of this sample. Alcohol or drugs consumption and fulfilling diagnostic criteria for dual diagnosis have a significant statistical association for consumption of drugs like marijuana, cocaine, heroin and prescription medications (P1.00, very high when the drug is heroin consumed (RD=38.754) or non-prescription medications (RD=29.462). A family history of disease and drug use has a high statistical association with dual diagnosis, with a higher association with a history of mental illness (P
ISSN:0034-7450
DOI:10.1016/j.rcp.2015.08.005