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Markers for Severity of Problems in Interpersonal Relationships of Crack Cocaine Users from a Brazilian Multicenter Study.
Psychiatr Q. 2018 12; 89(4):923-936.PQ

Abstract

Crack cocaine users frequently report difficulties regarding having healthy and rewarding relationships. Factors other than the use of crack cocaine itself may be at play when it comes to being able to develop healthier connections with partners, adult relatives and close friends. To verify which factors, including demographics, substance abuse related factors and psychiatric comorbidities could be markers for a higher severity of problems in interpersonal relationships of crack cocaine users seeking for treatment. This was a cross-sectional study, conducted between April 2011 and November 2012. Participants were 407 crack cocaine users seeking treatment in specialized public facilities of six Brazilian capitals. The relationship of severity of problems in the family/social area and the prevalence of psychiatric disorders, exposure to stressful events, substance use related factors and practice of illicit activities were explored through multivariate analyses. Number of days using crack cocaine in the last 30 days, age of first time using alcohol and feeling its effects, a diagnosis of alcohol abuse, posttraumatic stress disorder, antisocial personality disorder and attention-deficit/hyperactivity disorder were significantly associated with a higher severity of problems in interpersonal relationships with partners, adult relatives and friends. Problems in interpersonal relationships are strongly related to specific psychiatric comorbidities and the frequency of crack cocaine use. Factors identified by this study can make the paths to recovery more challenging. These results support psychosocial interventions that focus in the improvement of interpersonal relationships of crack cocaine users.

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Publisher Full Text (DOI)

Authors+Show Affiliations

Pachado MP
Department of Psychology, Universidade Federal do Rio Grande do Sul, 33085261, Rua Ramiro Barcelos, 2600/SALA- Bairro Santa Cecilia, Porto Alegre, Rio Grande do Sul, CEP: 90035-003, Brazil.
Scherer JN
Department of Psychiatry and Legal Medicine, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil.
Guimarães LSP
Department of Epidemiology and Statistics, Hospital de Clínicas de Porto Alegre, Porto Alegre, Rio Grande do Sul, Brazil.
von Diemen L
Department of Psychiatry and Legal Medicine, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil.
Pechansky F
Department of Psychiatry and Legal Medicine, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil.
Kessler FHP
Department of Psychiatry and Legal Medicine, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil.
de Almeida RMM
Department of Psychology, Universidade Federal do Rio Grande do Sul, 33085261, Rua Ramiro Barcelos, 2600/SALA- Bairro Santa Cecilia, Porto Alegre, Rio Grande do Sul, CEP: 90035-003, Brazil. rosa_almeida@yahoo.com.

MeSH

AdolescentAdultAlcoholismAntisocial Personality DisorderAttention Deficit Disorder with HyperactivityBrazilCocaine-Related DisordersComorbidityCrack CocaineCross-Sectional StudiesFemaleHumansInterpersonal RelationsMaleMiddle AgedStress Disorders, Post-TraumaticUrban PopulationYoung Adult

Pub Type(s)

Journal Article
Multicenter Study
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

30019298

Citation

Pachado, Mayra Pacheco, et al. "Markers for Severity of Problems in Interpersonal Relationships of Crack Cocaine Users From a Brazilian Multicenter Study." The Psychiatric Quarterly, vol. 89, no. 4, 2018, pp. 923-936.
Pachado MP, Scherer JN, Guimarães LSP, et al. Markers for Severity of Problems in Interpersonal Relationships of Crack Cocaine Users from a Brazilian Multicenter Study. Psychiatr Q. 2018;89(4):923-936.
Pachado, M. P., Scherer, J. N., Guimarães, L. S. P., von Diemen, L., Pechansky, F., Kessler, F. H. P., & de Almeida, R. M. M. (2018). Markers for Severity of Problems in Interpersonal Relationships of Crack Cocaine Users from a Brazilian Multicenter Study. The Psychiatric Quarterly, 89(4), 923-936. https://doi.org/10.1007/s11126-018-9590-7
Pachado MP, et al. Markers for Severity of Problems in Interpersonal Relationships of Crack Cocaine Users From a Brazilian Multicenter Study. Psychiatr Q. 2018;89(4):923-936. PubMed PMID: 30019298.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Markers for Severity of Problems in Interpersonal Relationships of Crack Cocaine Users from a Brazilian Multicenter Study. AU - Pachado,Mayra Pacheco, AU - Scherer,Juliana Nichterwitz, AU - Guimarães,Luciano Santos Pinto, AU - von Diemen,Lisia, AU - Pechansky,Flavio, AU - Kessler,Felix Henrique Paim, AU - de Almeida,Rosa Maria Martins, PY - 2018/7/19/pubmed PY - 2019/1/4/medline PY - 2018/7/19/entrez KW - Comorbidity KW - Crack cocaine KW - Psychosocial aspects KW - Substance use-related disorders SP - 923 EP - 936 JF - The Psychiatric quarterly JO - Psychiatr Q VL - 89 IS - 4 N2 - Crack cocaine users frequently report difficulties regarding having healthy and rewarding relationships. Factors other than the use of crack cocaine itself may be at play when it comes to being able to develop healthier connections with partners, adult relatives and close friends. To verify which factors, including demographics, substance abuse related factors and psychiatric comorbidities could be markers for a higher severity of problems in interpersonal relationships of crack cocaine users seeking for treatment. This was a cross-sectional study, conducted between April 2011 and November 2012. Participants were 407 crack cocaine users seeking treatment in specialized public facilities of six Brazilian capitals. The relationship of severity of problems in the family/social area and the prevalence of psychiatric disorders, exposure to stressful events, substance use related factors and practice of illicit activities were explored through multivariate analyses. Number of days using crack cocaine in the last 30 days, age of first time using alcohol and feeling its effects, a diagnosis of alcohol abuse, posttraumatic stress disorder, antisocial personality disorder and attention-deficit/hyperactivity disorder were significantly associated with a higher severity of problems in interpersonal relationships with partners, adult relatives and friends. Problems in interpersonal relationships are strongly related to specific psychiatric comorbidities and the frequency of crack cocaine use. Factors identified by this study can make the paths to recovery more challenging. These results support psychosocial interventions that focus in the improvement of interpersonal relationships of crack cocaine users. SN - 1573-6709 UR - https://www.unboundmedicine.com/medline/citation/30019298/Markers_for_Severity_of_Problems_in_Interpersonal_Relationships_of_Crack_Cocaine_Users_from_a_Brazilian_Multicenter_Study_ DB - PRIME DP - Unbound Medicine ER -