Women with dual disorders: Clinical and treatment characteristics
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Abstract
Introduction: women with substance use disorders (SUD) are more likely to endorse dual disorders (DD) in comparison to men with the same condition, defining DD as the co-occurrence of SUD with other psychiatric disorders (OPD). This relationship causes negative consequences in the severity of the symptomatology and treatment of both conditions.
Objective: to analyze the clinical characteristics and treatment history of women with DD.
Method: psychiatric interview of women receiving treatment in two residential treatment centers. Disorders and their characteristics were compared in relation to previous treatments, GEE was used to determine the differences in medical prescriptions over time.
Results: data from 100 women was analyzed, 30 of them reported not having received any previous treatments, and less than 20% reported important medical illness. Women with borderline personality disorder had approximately a third of the odds of reporting previous treatments (OR=.33; IC 95% .13-.84). Significant differences were found in antidepressant (17.6% vs 41.8%; p<.05), mood stabilizers (12.1% vs 32.7%; p<.05), antipsychotics (15.4% vs 48.0%; p<.05), others (4.4% vs 29.6%; p<.05) over time.
Discussion and conclusions: this study represents an approximation based on the clinical evaluation of women with SUD and OPD, where the change in medical prescription over time might be related to the pharmacological treatment needs, which are not adequately treated.
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