Qualidade de vida de usuários de drogas ilícitas em atendimento em um centro de atenção psicossocial álcool e drogas

• Autor(a) principal: Campêlo, Selva Rios
• Data de Publicação: 2016
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Repositório Institucional da UFG
• Texto Completo: http://repositorio.bc.ufg.br/tede/handle/tede/9804
• topic: Qualidade de vida; Transtornos por uso de substância; Gravidade da dependência; Drogas ilícitas; Comorbidades psiquiátricas; Quality of life; Substance use disorders; Dependence severity; Illicit drugs; Psychiatric comorbidity; SAUDE COLETIVA::SAUDE PUBLICA

The aim of this study was to investigate the relationship between illicit drug use and Quality of Life for users treated in a Psychosocial Care Center alcohol and drugs (CAPSad). Methodology: Literature review of Quality of Life instruments and its purpose in research with users in treatment for abuse and substance dependence guided the choice of Quality of Life instrument to be used in this study. To answer the main objective of the study was cross-sectional study with 60 users of illicit drugs in care in a CAPSad. The instruments used were WHOQOL-Bref to measure the Quality of Life in the physical, psychological, social and environmental, ASI-6 to investigate the severity of dependence on the dimensions drugs, family/child, alcohol, psychiatric, medical, legal, employment, family social support, family social problem, and MINI to identify the presence of psychiatric disorders of anxiety, mood, psychotic and anti-social personality. Statistical analysis was performed with Pearson and Spearman correlation tests to verify the association between the severity of dependence and the Quality of Life and Student's T test to compare Quality of Life in user groups with and without psychiatric comorbidities. Results: The literature review showed that the generic Quality of Life instruments SF-36 and WHOQOL Bref are the most used in the field of addiction, and there are still no specific instruments validated in Brazil. The WHOQOL-Bref was chosen to be an instrument that assesses the satisfaction of the subject to life globally, including environmental area, which is more related to treatment proposed by CAPSad, aimed at recovering drug users. There was a significant negative correlation of weak to moderate between the severity of dependence assessed by the ASI-6, dimensions drugs, alcohol, psychiatric, medical, legal, family social support and family social problem, and Quality of Life domains assessed by the WHOQOL bref. The evidence was strongest in psychiatric and medical dimensions and weaker in family social support, family social problem and legal. There was a significant difference in mean qualityof life among those who had psychiatric comorbidities and those who did not, for the psychological domain in anxiety disorder, and for the physical and psychological domains in mood disorder. Conclusion: The Quality of Life worsened as the severity of dependence has increased, with different results in various areas of life of illicit drug users, which underscores the need for training of professionals working in Substance Use Disorders area, to more comprehensive diagnostic evaluations, and more appropriate therapeutic interventions in each area. The results were more evident in the medical and psychiatric fields, which indicates the need for greater attention in relation to medical and psychiatric comorbidities.