Abstract：
:The article begin with a review of the high prevalence of concurrent mental illness and substance abuse disorders among general and clinical populations, highlighting the need for development of appropriate services to treat these persons. Several studies have revealed a significant adverse impact of comorbid personality disorders on treatment tenure and outcome in substance abuse populations and vice versa. We review findings on the longitudinal course of dual disorders in traditional treatment systems, which provide separate mental health and substance abuse programs, and describe new programs that integrate both types of treatment at the clinical level. This is followed by a description of main difficulties to do with outcome and treatment retention. Finally, we review the effectiveness of several specific treatments programs within psychiatric care for patients who have a dual diagnosis of a severe personality disorder and a substance abuse disorder. Such programs include, brief integrated programs based on the disease-and-recovery model or on the cognitive-behavioral model, comprehensive integrated assertive programs and intensive partial hospitalization programs. We conclude, that although several program features appear to be associated with effectiveness, there is no clear evidence supporting an advantage of any type of program when co-occurring substance abuse with severe personality disorder. Implementation of new specialized services for dual disorders should be within the context of simple, well designed controlled studies.
journal_name
Actas Esp Psiquiatrjournal_title
Actas espanolas de psiquiatriaauthors
Lana Moliner Fsubject
Has Abstractpub_date
2001-01-01 00:00:00pages
58-66issue
1eissn
1139-9287issn
1578-2735journal_volume
29pub_type
杂志文章,评审abstract：:Narcolepsy is an infrequent neurological disorder, included in the catalog of rare diseases. Despite the existenceof precise diagnostic criteria, this entity remains underdiagnosed. It is characterized by excessive daytime sleepiness associated with cataplexy; in some cases, hypnagogic or hypnopompic hallucinations, a...
journal_title：Actas espanolas de psiquiatria
pub_type： 杂志文章
doi：
更新日期：2020-11-01 00:00:00
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journal_title：Actas espanolas de psiquiatria
pub_type： 杂志文章,评审
doi：
更新日期：2011-09-01 00:00:00
abstract：INTRODUCTION:There are no conclusive data on the effectiveness of antidepressant drugs in the treatment of comorbid cases of alcohol dependence and depression. OBJECTIVES:To determine the effectiveness of venlafaxine on depression and on severity (need of treatment) of alcohol dependence and related problems. METHODS...
journal_title：Actas espanolas de psiquiatria
pub_type： 临床试验,杂志文章,多中心研究
doi：
更新日期：2005-01-01 00:00:00
abstract：INTRODUCTION:Test of Everyday Attention for Children (TEA-Ch) has been validated in different countries demonstrating that it is an instrument with a correct balance between reliability and duration. Given the shortage of trustworthy instruments of evaluation in our language for infantile population we decide to explor...
journal_title：Actas espanolas de psiquiatria
pub_type： 杂志文章
doi：
更新日期：2016-09-01 00:00:00
abstract：INTRODUCTION:Previous studies on adverse cognitive effects of electroconvulsive therapy (ECT) have not found any significant alteration of the frontal functions after an acute treatment course. This study aims to assess frontal executive functions in psychiatric patients during maintenance electroconvulsive therapy (M-...
journal_title：Actas espanolas de psiquiatria
pub_type： 杂志文章
doi：
更新日期：2003-03-01 00:00:00
abstract：INTRODUCTION:The Beck Cognitive Insight Scale has been designed to evaluate the cognitive insight capacity, that is to say, the practice of self-reflectiveness as a meta-cognitive mechanism for examining and analysing the disorder's symptoms, it also permits a continuous re-evaluation of inadequate interpretations. ME...
journal_title：Actas espanolas de psiquiatria
pub_type： 杂志文章
doi：
更新日期：2012-01-01 00:00:00
abstract：INTRODUCTION:The main objective of this study was to develop and validate a new olfactory measure that assesses the influence of olfaction on several emotional, behavioural, and cognitive issues: The Relational Scale of Olfaction (EROL). A secondary objective was to explore the relationship between the olfactory functi...
journal_title：Actas espanolas de psiquiatria
pub_type： 杂志文章
doi：
更新日期：2013-01-01 00:00:00
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journal_title：Actas espanolas de psiquiatria
pub_type： 杂志文章,评审
doi：
更新日期：2008-01-01 00:00:00
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journal_title：Actas espanolas de psiquiatria
pub_type： 杂志文章
doi：
更新日期：2012-09-01 00:00:00
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journal_title：Actas espanolas de psiquiatria
pub_type： 杂志文章
doi：
更新日期：2001-05-01 00:00:00
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journal_title：Actas espanolas de psiquiatria
pub_type： 杂志文章
doi：
更新日期：2004-07-01 00:00:00
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journal_title：Actas espanolas de psiquiatria
pub_type： 杂志文章,随机对照试验
doi：
更新日期：2006-05-01 00:00:00
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journal_title：Actas espanolas de psiquiatria
pub_type： 杂志文章,评审
doi：
更新日期：2004-03-01 00:00:00
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journal_title：Actas espanolas de psiquiatria
pub_type： 杂志文章,评审
doi：
更新日期：2011-11-01 00:00:00
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journal_title：Actas espanolas de psiquiatria
pub_type： 杂志文章,评审
doi：
更新日期：2007-07-01 00:00:00
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journal_title：Actas espanolas de psiquiatria
pub_type： 杂志文章
doi：
更新日期：2009-03-01 00:00:00
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journal_title：Actas espanolas de psiquiatria
pub_type： 杂志文章
doi：
更新日期：2020-07-01 00:00:00
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journal_title：Actas espanolas de psiquiatria
pub_type： 杂志文章
doi：
更新日期：2005-05-01 00:00:00
abstract：INTRODUCTION:One of the most typical clinical problems is the assessment of malingering in the field of forensic and penitentiary psychiatry. OBJECTIVE:The purpose of this research was to find associations between different personality types and psychometric response styles. MATERIAL AND METHODS. SUBJECTS:participant...
journal_title：Actas espanolas de psiquiatria
pub_type： 杂志文章
doi：
更新日期：2004-09-01 00:00:00
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journal_title：Actas espanolas de psiquiatria
pub_type： 杂志文章
doi：
更新日期：2000-01-01 00:00:00
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journal_title：Actas espanolas de psiquiatria
pub_type： 杂志文章,评审
doi：
更新日期：2005-03-01 00:00:00
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journal_title：Actas espanolas de psiquiatria
pub_type： 杂志文章,评审
doi：
更新日期：2000-05-01 00:00:00
abstract：INTRODUCTION:Although in the pharmacological field topiramate has shown proved efficacy in impulsive behavioral disorders (IBD), this fact has not been demonstrated with the same evidence in children and adolescents. The aim of this study is to evaluate improvement of symptoms in different IBD in those ages after treat...
journal_title：Actas espanolas de psiquiatria
pub_type： 杂志文章
doi：
更新日期：2006-07-01 00:00:00
abstract：:In this paper, we present a case of chronic mania and we revise its diagnosis and treatment. A case of a 23 year old patient with chronic mania as well as his response to clozapine treatment is described. ...
journal_title：Actas espanolas de psiquiatria
pub_type： 杂志文章
doi：
更新日期：2004-11-01 00:00:00
abstract：:The Psychotic Symptom Rating Scales (PSYRATS) is a clinical assessment tool that focuses on the detailed measurement of delusions and hallucinations in patients with psychosis. The goal of this study was to examine the psychometric properties of the Portuguese version of the PSYRATS. A sample of 92 outpatients sufferi...
journal_title：Actas espanolas de psiquiatria
pub_type： 杂志文章
doi：
更新日期：2017-03-01 00:00:00
abstract：INTRODUCTION:The main purpose of this study was to analyze the psychometric properties of the State-Trait Anxiety Inventory (STAI1). Previous studies have indicated different factor solutions. Nevertheless, there is still a lack of consensus about the best dimensional model of STAI scores. METHOD:The sample consisted ...
journal_title：Actas espanolas de psiquiatria
pub_type： 杂志文章
doi：
更新日期：2016-05-01 00:00:00
abstract：INTRODUCTION:Suicidal behaviour is a major health problem in Spain. The aim of this study is to examine the relationship between the recurrence of suicide attempts and the level of lethality reached, and the profile of repeaters who perform more lethal attempts. METHOD:All patients admitted for attempted suicide in a ...
journal_title：Actas espanolas de psiquiatria
pub_type： 杂志文章
doi：
更新日期：2019-09-01 00:00:00
abstract：:There has been increasing interest about cognition in schizophrenia during recent years. The greater focus of the investigators has been focused greater interest on the relation of cognitive deterioration with positive and negative symptoms, and functionality. However very few studies, if any, have specifically focuse...
journal_title：Actas espanolas de psiquiatria
pub_type： 杂志文章,评审
doi：
更新日期：2012-07-01 00:00:00
abstract：INTRODUCTION:The metabolic syndrome (MS) is formed by elevated blood pressure, hypercholesterolemia, hypertriglyceridemía, hyperglycemia and abdominal obesity. Mexico occupies the second place worldwide in prevalence of obesity. It has been reported that the use of psychopharmaceuticals increase the risk of MS. OBJECT...
journal_title：Actas espanolas de psiquiatria
pub_type： 杂志文章
doi：
更新日期：2011-03-01 00:00:00
abstract：INTRODUCTION:The objective of this study is to describe the frequency and severity of behavioral and psychological symptoms (BPS) in a group of 125 patients diagnosed of Alzheimer's disease (AD) (DSM-IV-TR and NINCDSADRDA criteria). METHODS:The evaluation of the BPS was carried out using the Neuropsychiatric Inventory...
journal_title：Actas espanolas de psiquiatria
pub_type： 杂志文章
doi：
更新日期：2008-09-01 00:00:00
