Guidelines of the Brazilian Association of Studies on Alcohol and Other Drugs (ABEAD) for diagnosis and treatment of psychiatric comorbidity with alcohol and other substance and dependence

• Published in: International review of psychiatry (Abingdon, England) England), 2017-06, Vol.29 (3), p.254-262
• Main Authors: Zaleski, Marcos, Laranjeira, Ronaldo Ramos, Marques, Ana Cecília Petta Roselli, Ratto, Lílian, Romano, Marcos, Alves, Hamer Nastasy Palhares, de Macedo Soares, Márcia Britto, Abelardino, Valter, Kessler, Félix, Brasiliano, Sílvia, Nicastri, Sérgio, Brunferntrinker Hochgraf, Patrícia, de Paula Gigliotti, Analice, Lemos, Tadeu
• Format: Article
• Language: English
• Subjects: Alcohol; Alcohol-Related Disorders - diagnosis; Alcohol-Related Disorders - epidemiology; Alcohol-Related Disorders - therapy; Animal research; Associations; Brazil; Clinical research; Clinical trials; combined modality therapy; Comorbidity; diagnosis; Drug abuse; Humans; Medical diagnosis; Mental disorders; Mental Disorders - diagnosis; Mental Disorders - epidemiology; Mental Disorders - therapy; practice guidelines; Practice Guidelines as Topic; Psychotherapy; Societies, Scientific - standards; Substance abuse; Substance-related disorders; Substance-Related Disorders - diagnosis; Substance-Related Disorders - epidemiology; Substance-Related Disorders - therapy; Treatment methods
• ISSN: 0954-0261; 1369-1627
• DOI: 10.1080/09540261.2017.1285552

In recent years, several studies have been focused on the comorbidity of psychiatric disorders with alcohol and other substance dependence. In this context, the Brazilian Association of Studies on Alcohol and Other Drugs initiated a project to establish Brazilian Guidelines. The aim of this study was to review diagnostic and therapeutic criteria for the most prevalent psychiatric comorbidities. Randomized clinical trials, epidemiological studies, animal testing and other forms of research are reviewed herein. The main psychiatric comorbidities are investigated and data published in the literature are reviewed, based on guidelines adopted by other countries. Epidemiological aspects, diagnostic criteria, integrated treatment and the organization of specialized service, as well as details regarding psychotherapy and pharmacological treatment are discussed. The guidelines of the Brazilian Association of Studies on Alcohol and Other Drugs reinforce the importance of adequate diagnosis and treatment regarding alcoholic and drug dependent patients suffering of comorbid psychiatric disorders.