Sección de Adicciones y Patología Dual, Servicio de Psiquiatría, Hospital Universitario Vall d'Hebron, Barcelona, España; Servicio de Psiquiatría, Hospital Universitario Vall d'Hebron, Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Barcelona, España.
CTS-391 Grupo multidisciplinario para el progreso de la Salud Mental, Universidad de Cádiz, Cádiz, España.
Med Clin (Barc). 2018 Jan 23;150(2):49-55. doi: 10.1016/j.medcli.2017.06.005. Epub 2017 Jul 21.
Dual diagnosis is the coexistence of an addictive disorder and another mental disorder. The objective is to estimate cravings and self-reported quality of life in a sample of patients with alcoholic dependence, with or without dual pathology, who attend an outpatient treatment centre.
A cross-sectional study of 112 patients (56 dual and 56 non-dual), diagnosed with alcohol dependence according to DSM-IV-TR. The presence of cravings is determined by the Multidimensional Alcohol Craving Scale and quality of life through the SF-36 Health Questionnaire.
There are no statistically significant differences in cravings in either subgroup; the latter tend to refer to lower alcohol cravings than non-dual patients. The dual patients have a worse quality of life in all categories evaluated, highlighting a worse quality of life in the categories: social function, emotional role, vitality and general health. Females present a lower quality of life emphasising those of social function and emotional role. No differences were detected in relation to cravings between the 2 groups.
In order to perform a correct clinical and therapeutic approach for patients with alcohol dependence, we should consider focusing on the evaluation of cravings and quality of life. In order to perform a correct clinical and therapeutic approach for patients with alcohol dependence, it is necessary to consider cravings and quality of life, since these parameters are important for the evaluation of patients with alcohol dependence.
双重诊断是指成瘾障碍和另一种精神障碍的共存。目的是评估在一个接受门诊治疗中心治疗的酒精依赖患者样本中，是否存在双重病理，以及这些患者的渴望和自我报告的生活质量。
这是一项横断面研究，共纳入了 112 名患者（56 名双重诊断患者和 56 名非双重诊断患者），这些患者均根据 DSM-IV-TR 诊断为酒精依赖。通过多维酒精渴望量表和 SF-36 健康问卷来确定渴望的存在和生活质量。
在两个亚组中，渴望程度均无统计学差异；后者往往指的是比非双重诊断患者更低的酒精渴望程度。双重诊断患者在所有评估类别中的生活质量都更差，突出表现在社会功能、情感角色、活力和总体健康方面。女性的生活质量更低，特别是在社会功能和情感角色方面。两组之间在渴望程度方面没有差异。
为了对酒精依赖患者进行正确的临床和治疗方法，我们应该考虑关注对渴望和生活质量的评估。为了对酒精依赖患者进行正确的临床和治疗方法，有必要考虑渴望和生活质量，因为这些参数对于评估酒精依赖患者非常重要。
