Open AccessAddictiveness: an independent dimension in the psychotic syndrome. Presentation of the Addictiveness in the Psychotic Syndrome Assessment Scale (APSAS)
Author(s) -
Martín L. Vargas-Aragón,
Sonia López-Lorenzo,
Natalia Jimeno Bulnes
Publication year - 2021
Publication title -
revista española de drogodependencias/revista española de drogodependencias
Language(s) - English
Resource type - Journals
eISSN - 2341-1759
pISSN - 0213-7615
DOI - 10.54108/red.2021.46.03.002
Subject(s) - delusion , psychology , mania , psychiatry , addiction , clinical psychology , psychotic depression , psychosis , cognition , bipolar disorder
Models of dual pathology habitually consider substance-use disorders (SUD) and the restof mental disorders as two pathological conditions coincident in a same person. This studyadopts a different point of view and accept adictivity as the nineth clinical dimension in thepsychotic disorders to be added to hallucinations, delusion, disorganised speech, abnormalpsychomotor behaviour, negative symptoms, cognitive deficit, depression, and mania. In thelast term, all of them seems to derive from a common fronto-subcortical disfunction withdopaminergic, glutamatergic and gabaergic implication.The Scale for the Evaluation of Adictivity in the Psychotic Syndrome (SEAPS) is presented. Itwants to be an integrated and easy to use tool for evaluating adictivity in the psychotic disorders.It is based in data collected with respect of first use, length of use, last use, frequency of use andaddiction intensity regarding twelve types of substances or addictive behaviours. Results of theapplication of SEAPS on a sample of 105 psychotic subjects suggest good psychometric characteristicsas well as the independency of adictivity respect with other clinical dimensions.