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This study aimed to determine the prevalence of comorbidity between psychological distres and abuse/dependence in patients on drug treatment centers in Leon, Nicaragua. We performed a cross-sectional study, aimed at people who were in treatment for abuse/dependence of drugs in specialized centers with a total of 41 participants. Most study participants were men and 68.5% were under 40 years old, single (58.5%), low education level, work independently (51.2%), 41.5% live with their biological mother. The 65.9% of patients arrived at the center on their own. The drugs most consumed were alcohol, marijuana and crack (59.7%, 58.2% and 53.7%). We conclude that the most common concurrent disorders were anxiety (29.3%), depression (24.1%), schizophrenia (9.8%) and bipolar disorder (2.4%) and according to the scale of the Kessler K-10 56.0% of participants were diagnosed with severe psychological distres. And according to the family APGAR scale, 26% had severe family dysfunction. DESCRIPTORS: Comorbidity. Psychological distress. Substance use-related disorders. Mental health assistance. COMORBIDADE ENTRE SOFRIMENTO PSIQUICO E ABUSO DE DROGAS EM PACIENTES NOS CENTROS DE TRATAMENTO NA CIDADE DE LEON – NICARAGUA: IMPLICACOES PARA AS POLITICAS E PROGRAMAS RESUMO: Este estudo teve como objetivo determinar a prevalencia de comorbidade entre a sofrimento psiquico e o abuso nos pacientes em centros de tratamento de toxicodependencia em Leon, na Nicaragua. Estudo transversal, destinado a pessoas que estavam em tratamento para abuso de drogas em centros especializados com um total de 41 participantes. A maioria dos participantes eram homens, 68,5% tinham menos de 40 anos, solteiros (58,5%), baixa escolaridade, trabalham de forma independente (51,2%), 41,5% moram com a mae biologica, 65,9% dos pacientes procuraram o centro por conta propria, 48,8% responderam que nao tinham recebido qualquer tratamento. As drogas mais consumidas pelos participantes foram alcool, maconha e crack (59,7%, 58,2% e 53,7%). Conclui-se que os disturbios mais comuns foram ansiedade (29,3%), depressao (24,1%), esquizofrenia (9,8%) e transtorno bipolar (2,4%). De acordo com a escala do K-10 Kessler, 56,0% dos participantes foram diagnosticados com sofrimento psiquico grave, e de acordo com a escala APGAR da familia, 26% tinham disfuncao familiar grave. DESCRITORES: Comorbidade. Sofrimento psiquico. Transtornos relacionados ao uso de substancias. Assistencia em saude mental.

texto and contexto enfermagem

Comorbilidad entre el distrés psicologico y el abuso de drogas en pacientes en centros de tratamiento, en la ciudad de Leon - Nicaragua: implicaciones para políticas y programas