Castro Antonio Gomes de, Silva Diego César Nunes da, Figueiroa Magda da Silva
Programa de Pós-graduação em Ciências Farmacêuticas, Prédio das Pós-Graduações, Centro de Ciências da Saúde, Universidade Federal de Pernambuco (UFPE), Recife, PE, Brazil.
Grupo de Estudos sobre Álcool e outras Drogas, Recife, PE, Brazil.
Trends Psychiatry Psychother. 2016 Oct-Dec;38(4):227-233. doi: 10.1590/2237-6089-2016-0002.
: Brazil's Northeast region has the highest crack-cocaine consumption in the country. Crack-cocaine has more intense effects than cocaine powder and can cause greater chemical dependence. Psychosocial Care Centers for Alcohol and Drugs (CAPSad) are public health services that provide treatment for drug dependence. It is common for drug users, and particularly crack-cocaine users, to develop mental disorders. Objective: To evaluate the most common mental disorders in crack-cocaine dependents in treatment at CAPSad in the city of Recife, Brazil.
: The research database "Between rocks and shots: user profiles, consumption strategies, and social impact of crack cocaine" (CEP/CCS/UFPE no. 206/11) was consulted to establish the areas of crack cocaine consumption in the city of Recife.
: There were 885 patients in treatment for crack-cocaine use, with a mean age of 29.8±9.4 years. The mean duration of drug use was 6.1±4.6 years. Most of the patients were males (80.3%), had left school at some point between the 1st and 9th grades (45.6%), were unemployed and/or seeking employment (52%) and used drugs daily (56.4%). Cocaine chemical dependence was more significant when correlated with use of crack-cocaine and other drugs such as medications and hallucinogens (p = 0.01).
: Data from this study showed strong associations between crack-cocaine uses and development of mental disorders, particularly when abuse of multiple substances occurs. Based on these data, there is a clear need for coordination of related public policies for support and social reintegration to provide these people with comprehensive care.
巴西东北地区的快克可卡因消费量在该国最高。快克可卡因比可卡因粉末的药效更强，会导致更严重的化学成瘾。酒精和毒品心理社会关怀中心（CAPSad）是为药物成瘾提供治疗的公共卫生服务机构。吸毒者，尤其是快克可卡因使用者，出现精神障碍很常见。目的：评估巴西累西腓市CAPSad接受治疗的快克可卡因成瘾者中最常见的精神障碍。
查阅研究数据库“在石块与枪击之间：快克可卡因使用者概况、消费策略及社会影响”（CEP/CCS/UFPE编号206/11），以确定累西腓市快克可卡因的消费区域。
有885名快克可卡因使用者接受治疗，平均年龄为29.8±9.4岁。药物使用的平均时长为6.1±4.6年。大多数患者为男性（80.3%），在1至9年级期间的某个时间辍学（45.6%），失业和/或正在找工作（52%），且每天吸毒（56.4%）。可卡因化学成瘾与快克可卡因及其他药物（如药品和致幻剂）的使用相关时更为显著（p = 0.01）。
本研究数据表明，快克可卡因使用与精神障碍的发展之间存在密切关联，尤其是在发生多种物质滥用的情况下。基于这些数据，显然需要协调相关公共政策以提供支持和社会重新融入，为这些人提供全面护理。
