Trastornos por abuso y dependencia de sustancias en población colombiana: su prevalencia y comorbilidad con otros trastornos mentales seleccionados

Información del artículo

Resumen

Introducción

Poco se conoce sobre la prevalencia de los trastornos por abuso y dependencia de sustancias y su comorbilidad con otros trastornos psiquiátricos en Colombia.

Objetivos

Calcular la prevalencia anual y de vida para uso y trastornos por abuso o dependencia de sustancias y su comorbilidad con trastornos del ánimo, ansiedad e impulsividad.

Método

Analítico, a partir de la información de la Encuesta Nacional de Hogares, que para el diagnóstico de los trastornos psiquiátricos aplicó el CIDI-WHO a 3.896 adultos de 18 a 54 años de edad no institucionalizados y residentes en el área urbana.

Resultados

La prevalencia anual para trastorno por uso de sustancias en los 12 meses anteriores fue de 0,7% y para alguna vez en la vida de 2,4%. En el grupo de trastornos de ansiedad, el estrés postraumático presentó la mayor fuerza de asociación. Entre los trastornos del estado del ánimo, el trastorno afectivo bipolar (TAB) I presentó la asociación más alta. Entre los trastornos del impulso, la asociación más fuerte se encontró con el trastorno de la conducta.

Conclusión

Este estudio sugiere que existe una fuerte asociación entre los trastornos por uso de sustancias y otros trastornos psiquiátricos, como el síndrome de estrés postraumático, el TAB I y trastornos de la conducta. Estos resultados tienen gran importancia clínica y de salud pública.

Palabras clave:

comorbilidad

estudios transversales

oportunidad relativa

trastornos relacionados con sustancias

Abstract

Introduction

Little is known about the prevalence of drug use, abuse and dependence and its comorbility with DSM-IV mental disorders in the general population in Colombia.

Objective

To estimate the lifetime and 12-month prevalence of comorbidities such as anxiety, mood, impulse control, and substance disorders in the Colombia National Comorbidity Survey.

Method

Nationally representative face-to-face household survey conducted using a fully structured diagnostic interview, the World Health Organization World Mental Health Survey Initiative version of the Composite International Diagnostic Interview with 3,896 respondents 18 to 54 years old.

Results

the lifetime and 12-month prevalence of substance use disorders were 0.7% and 2.4%, respectively. An important contribution of this study is the assessment of the associations between substance use disorders and other psychiatric disorders studied. In the anxiety disorders group, post-traumatic stress had the strongest association with substance use disorders. Among mood disorders, bipolar I disorder had the highest association. Among the disorders of impulse, the strongest association found was with conduct disorder.

Conclusion

There is a strong association between substance use disorders and other psychiatric disorders such as post-traumatic stress disorder, bipolar I disorder, and conduct disorder. These results have great clinical and public health relevance.

Key words:

Comorbility

cross-sectional studies

odds ratio

substance-related disorders

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