Papers by Ignacio Basurte
Palabras clave: Trastorno bipolar. Estabilidad. Diagnóstico. Evolución.
European Psychiatry, 2007
The changes in metabolic parameters in olanzapinetreated adolescents were examined.
European Neuropsychopharmacology, 1997
European Neuropsychopharmacology, 2007
Archives of General Psychiatry, 1996
Addictive Disorders & Their Treatment, 2013
Comorbidity of addictive disorders and other psychiatric disorders is very common. The optimal tr... more Comorbidity of addictive disorders and other psychiatric disorders is very common. The optimal treatment of patients with addiction disorders requires awareness of their comorbid mental disorders and vice versa. The operational and contextual definitions of the different terms used vary significantly. To address this terminology problem the present document proposes and, therefore, has chosen the term 'dual pathology.'
Los trastornos de la conducta alimentaria (TCA) se caracterizan por una alteración del comportami... more Los trastornos de la conducta alimentaria (TCA) se caracterizan por una alteración del comportamiento ingestivo de un individuo que presenta una serie de conflictos psicosociales y estima que su resolución está inevitablemente condicionada por el logro y/o persistencia de un estado de delgadez. Los TCA no son una patología moderna ni un problema nuevo, ya que algunos fueron conocidos y descritos en la antigüedad; lo novedoso, en cambio, es la virulencia con la que se están presentando en las últimas décadas en las sociedades industrializadas y el cambio de actitudes que ésta ha tenido en sus conceptos de salud y de ideal estético. El incremento en los últimos años ha conducido a que durante la última década se haya producido una gran proliferación de investigaciones a fin de poder determinar, por una parte, los principales factores implicados en la adquisición y mantenimiento de estos TCA y, de otra, desarrollar instrumentos de evaluación y procedimientos terapéuticos potentes para poder tratar dichos trastornos y potenciar las vías para su prevención.
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Adicciones
To evaluate retrospectively the comorbidity of mental and addictive disorders in community mental... more To evaluate retrospectively the comorbidity of mental and addictive disorders in community mental health and substance misuse services in Madrid. The medical records of 400 patients from mental health and substance misuse services in Madrid were evaluated. Records were examined for the last 20 patients from each service unit. Dual pathology was constituted when a current diagnosis of mental and addictive disorders, excluding nicotine addiction, appeared on the patient's records. Prevalence of dual pathology was 34%. There were differences in the prevalence figures for the two kinds of service: 36.78% in substance misuse services, and 28.78% in mental health services. There was an association of dual diagnosis with alcohol or cocaine dependence, but not with opioid dependence. The mental disorders more prevalent in dually diagnosed than in non-dually diagnosed patients were mood disorders, personality disorders, and schizophrenia. There is a high prevalence of dual pathology in t...
Adicciones
The objective was to quantify the prevalence of dual diagnosis and to evaluate the characteristic... more The objective was to quantify the prevalence of dual diagnosis and to evaluate the characteristics of these patients from community mental health and substance misuse services in Madrid. The sample consisted of 837 outpatients from Madrid, 208 from mental health services and 629 from substance misuse services. We used the Mini International Neuropsychiatric Interview (MINI) and Personality Disorder Questionnaire (PDQ4+) to evaluate disorders from axis I and II. It was considered that 517 (61.8%) patients had dual pathology (current diagnoses of axis I or II disorders and an addictive disorder): 36,1% in mental health services and 70,3% in substance misuse services. There were fewer males amongst the dual patients and it was also found that they had a worse employment situation, along with higher figures of alcohol and cannabis dependence than addicts without dual diagnoses (n=194). When comparing them with patients with mental disorder diagnoses only, excluding substance use disorde...
Actas espanolas de psiquiatria
Aims: To evaluate the degree of knowledge of health professionals attending patients with dual pa... more Aims: To evaluate the degree of knowledge of health professionals attending patients with dual pathology on the available specific resources for dual pathology in different Spanish autonomous communities. Methodology: Observational, cross-sectional, multicentre study to compare health-care perceptions of professionals (n = 659) with reality on available specific resources for patients with dual pathology in Spain, using an on-line questionnaire, which was also was also completed by commissioners and managers responsible for national and regional healthcare plans on drug abuse. Results: A representative sample of professionals from each community participated in the study, belonging to 553 centers and 235 Spanish cities. Most participants (93.2%) considered that specific resources for dual pathology were necessary. High percentages of professionals reported the non existence of specific workshops (88.4%), acute admission units (83.1%), day hospitals (82.8%), day centers (78.5%) or ou...
The Scientific World Journal, 2012
Objectives. To examine whether age of First diagnosis, gender, psychiatric comorbidity, and treat... more Objectives. To examine whether age of First diagnosis, gender, psychiatric comorbidity, and treatment modalities (pharmacotherapy or psychotherapy) at Child and Adolescent Mental Health Services (CAMHS) moderate the risk of Adult Mental Health Services (AMHS) utilization in patients diagnosed with hyperkinetic disorder at CAMHS. Methods. Data were derived from the Madrid Psychiatric Cumulative Register Study. The target population comprised 32,183 patients who had 3 or more visits at CAMHS. Kaplan-Meier curves were used to assess survival data. A series of logistic regression analyses were performed to study the role of age of diagnosis, gender, psychiatric comorbidity, and treatment modalities. Results. 7.1% of patients presented with hyperkinetic disorder at CAMHS. Compared to preschool children, children and adolescents first diagnosed with hyperkinetic disorder at CAMHS were more likely to use AMHS. Female gender and comorbidity with affective disorders, schizophrenia, schizotypal and delusional disorders increased the risk of use of AMHS. Pharmacological or combined treatment of hyperkinetic disorder diagnosed at CAMHS was associated with increased risk of use at AMHS. Conclusions. Older age of first diagnosis, female gender, psychiatric comorbidity, and pharmacological treatment at CAMHS are markers of risk for the transition from CAMHS to AMHS in patients with hyperkinetic disorder diagnosed at CAMHS.
International Journal of Mental Health Systems, 2014
Background: Since provision of integrated services for patients with dual pathology or dual disor... more Background: Since provision of integrated services for patients with dual pathology or dual disorders (coexistence of an addictive disorder and other psychiatric disorders) constitutes an important challenge, this study compared the perceptions of health-care professionals with the existing, current state of specific resources for patients with dual pathology in Spain. Methods: Epidemiological, observational, cross-sectional, multicenter study with a large, representative sample of health care professionals attending patients with dual pathology in treatment resources throughout Spain. Participants completed a specifically designed ad-hoc on-line questionnaire about their perceptions on the existence of available resources and treatment needs for patients with dual pathology. To compare professionals' perceptions with existing available resources, the same on-line questionnaire was also completed by commissioners and managers responsible for national and regional healthcare plans on drug abuse. Results: A total of 659 professionals, mostly psychologists (43.40%) or psychiatrists (32.93%) agreed to participate in the study. The highest degree of concordance between the perceptions of professional and the actual situation was found regarding the existence of mental health and addiction networks (either separately or unified) (74.48%), followed by specific workshops (73.08%) and sub-acute inpatient units (67.38%), specific hospitalization units (66.26%), detoxification units (63.15%) and outpatient programs (60.73%). We detected a lower degree of agreement regarding specific occupational rehabilitation centers (59.34%) day hospitals (58.93%), day centers (57.88%), outpatient intermediate resources (48.87%), psychiatric acute admission units (46.54%) and therapeutic communities (43.77%). In addition, on average, health care professionals underestimated the number of resources present in their respective communities. Conclusions: Relevant differences exist between the perceptions of professional and existing available resources for dual pathology patients in Spain, thus supporting the need of additional efforts and strategies to establish a registry and clearly inform about available resources for patients with dual diagnosis.
Revista de Psiquiatría y Salud Mental (English Edition), 2013
Cómo citar este artículo: Arias F, et al. Abuso o dependencia a la cocaína y otros trastornos psi... more Cómo citar este artículo: Arias F, et al. Abuso o dependencia a la cocaína y otros trastornos psiquiátricos. Estudio Madrid sobre la prevalencia de la patología dual. Rev Psiquiatr Salud Ment (Barc.). 2012. http://dx.
Revista de Psiquiatría y Salud Mental, 2013
Progress in Neuro-Psychopharmacology and Biological Psychiatry, 2007
Attempted suicide appears to be a familial behavior. This study aims to determine the variables a... more Attempted suicide appears to be a familial behavior. This study aims to determine the variables associated with family history of attempted suicide in a large sample of suicide attempters. The sample included 539 suicide attempters 18 years or older recruited in an emergency room. The two dichotomous dependent variables were family history of suicide attempt (10%, 51/539) and of completed suicide (4%, 23/539). Independent variables were 101 clinical variables studied with two data mining techniques: Random Forest and Forward Selection. A model for family history of completed suicide could not be developed. A classificatory model for family history of attempted suicide included the use of alcohol in the intent and family history of completed suicide (sensitivity, specificity, 98.7%; and accuracy, 96.6%). This is the first study that uses a powerful new statistical methodology, data mining, in the field of familial suicidal behaviors and suggests that it may be important to study familial variables associated with alcohol use to better understand the familiality of suicide attempts.
Substance Use & Misuse, 2012
Schizophrenia Research, 2010
Mental Health and Substance Use, 2013
ABSTRACT The objective of this study was to analyse the alcohol addict subgroup from the Madrid s... more ABSTRACT The objective of this study was to analyse the alcohol addict subgroup from the Madrid study on the prevalence of dual pathology in community mental health and substance misuse services. The sample consisted of 837 outpatients from Madrid, Spain. We compared 528 subjects with a lifetime diagnosis of alcohol abuse or dependence and 182 with other substance use disorders (SUDs) not involving alcohol. The Mini International Neuropsychiatric Interview (MINI) was used to evaluate Axis I disorders and the Personality Disorder Questionnaire to evaluate personality disorders. It was considered that 76.1% of the alcohol addicts had a current dual diagnosis, the most prevalent being mood and anxiety disorders. Fifty-two per cent had a personality disorder and most of them (81.6%) had other SUDs. There was a greater prevalence of dual pathology in the alcohol addict subgroup than in the subgroup without problems of alcohol abuse or dependence. Alcohol addicts were associated with diagnoses of several types of personality disorder and bipolar disorder and presented a greater suicide risk than the subgroup of other SUDs. The subgroup of alcohol using poly-substance addicts had a greater prevalence of antisocial personality disorder than the alcohol only addicts and had initiated alcohol use at an earlier age. The presence of dual pathology is very high in alcohol addicts in treatment, higher than in the subgroup of addicts who are not alcohol users, and there were similar rates found in the subgroup of alcohol, using poly-substance addicts as in the alcohol addiction only subgroup.
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Papers by Ignacio Basurte