The Relevance of Dual Diagnoses among Drug-Dependent Patients with Sleep Disorders
Background: Sleep disorders are often associated with drug use. Nearly 70% of patients admitted for detoxification report sleep problems. Dual disorder (DD) is the comorbidity between mental disorders in general and disorders related to psychoactive substance use. The association between substance u...
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| Format: | Article |
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MDPI AG
2020-09-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/9/9/2862 |
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| author | Carlos Roncero Llanyra García-Ullán Alberto Bullón Diego Remón-Gallo Begoña Vicente-Hernández Ana Álvarez Amaya Caldero Andrea Flores Lourdes Aguilar |
| author_facet | Carlos Roncero Llanyra García-Ullán Alberto Bullón Diego Remón-Gallo Begoña Vicente-Hernández Ana Álvarez Amaya Caldero Andrea Flores Lourdes Aguilar |
| author_sort | Carlos Roncero |
| collection | DOAJ |
| description | Background: Sleep disorders are often associated with drug use. Nearly 70% of patients admitted for detoxification report sleep problems. Dual disorder (DD) is the comorbidity between mental disorders in general and disorders related to psychoactive substance use. The association between substance use and sleep disorders (SD) appears to be bidirectional. Our objective is to analyze the association between sleep disturbance history and drug use pattern (alcohol, cannabis, opioids, and cocaine). Methods: Analysis of data in the first interview at the Addictions Unit of the Department of Psychiatry at the University of Salamanca Health Care Complex between October 2017 and January 2020. The sample consists of 398 patients. We studied the association between different variables: origin of patients (Inpatient Dual Diagnosis Detoxification Unit (IDDDU) vs. Outpatient Drug Clinic (ODC), presence of affective disorder, psychotic disorder, type of drug used, and treatment. Results: Of patients with DD, 62% had more delayed sleep induction, sleep fragmentation, early awakening, and nightmares. Outpatients had more difficulty falling asleep because, in many cases, they had not previously sought any medical assistance. On the other hand, 67% of the patients with insomnia presented depression. Conclusions: There is evidence of a harmful association between DD and SD. |
| first_indexed | 2024-03-10T16:33:59Z |
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| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-10T16:33:59Z |
| publishDate | 2020-09-01 |
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| series | Journal of Clinical Medicine |
| spelling | doaj.art-7942de2f5d394e8b989c650aeea5e17a2023-11-20T12:35:17ZengMDPI AGJournal of Clinical Medicine2077-03832020-09-0199286210.3390/jcm9092862The Relevance of Dual Diagnoses among Drug-Dependent Patients with Sleep DisordersCarlos Roncero0Llanyra García-Ullán1Alberto Bullón2Diego Remón-Gallo3Begoña Vicente-Hernández4Ana Álvarez5Amaya Caldero6Andrea Flores7Lourdes Aguilar8Psychiatry Service, University of Salamanca Health Care Complex, Paseo de San Vicente 58-182, 37007 Salamanca, SpainPsychiatry Service, University of Salamanca Health Care Complex, Paseo de San Vicente 58-182, 37007 Salamanca, SpainPsychiatry Service, University of Salamanca Health Care Complex, Paseo de San Vicente 58-182, 37007 Salamanca, SpainInstitute of Biomedicine, University of Salamanca, Paseo de San Vicente, 58-182, 37007 Salamanca, SpainPsychiatry Service, University of Salamanca Health Care Complex, Paseo de San Vicente 58-182, 37007 Salamanca, SpainPsychiatry Service, University of Salamanca Health Care Complex, Paseo de San Vicente 58-182, 37007 Salamanca, SpainInstitute of Biomedicine, University of Salamanca, Paseo de San Vicente, 58-182, 37007 Salamanca, SpainPsychiatry Unit, School of Medicine, University of Salamanca, Campus Miguel de Unamuno C/ Alfonso X El Sabio s/n, 37007 Salamanca, SpainPsychiatry Service, University of Salamanca Health Care Complex, Paseo de San Vicente 58-182, 37007 Salamanca, SpainBackground: Sleep disorders are often associated with drug use. Nearly 70% of patients admitted for detoxification report sleep problems. Dual disorder (DD) is the comorbidity between mental disorders in general and disorders related to psychoactive substance use. The association between substance use and sleep disorders (SD) appears to be bidirectional. Our objective is to analyze the association between sleep disturbance history and drug use pattern (alcohol, cannabis, opioids, and cocaine). Methods: Analysis of data in the first interview at the Addictions Unit of the Department of Psychiatry at the University of Salamanca Health Care Complex between October 2017 and January 2020. The sample consists of 398 patients. We studied the association between different variables: origin of patients (Inpatient Dual Diagnosis Detoxification Unit (IDDDU) vs. Outpatient Drug Clinic (ODC), presence of affective disorder, psychotic disorder, type of drug used, and treatment. Results: Of patients with DD, 62% had more delayed sleep induction, sleep fragmentation, early awakening, and nightmares. Outpatients had more difficulty falling asleep because, in many cases, they had not previously sought any medical assistance. On the other hand, 67% of the patients with insomnia presented depression. Conclusions: There is evidence of a harmful association between DD and SD.https://www.mdpi.com/2077-0383/9/9/2862dual disorders (DD)insomniasleep disorders (SD)benzodiazepine use disorder (BUD) |
| spellingShingle | Carlos Roncero Llanyra García-Ullán Alberto Bullón Diego Remón-Gallo Begoña Vicente-Hernández Ana Álvarez Amaya Caldero Andrea Flores Lourdes Aguilar The Relevance of Dual Diagnoses among Drug-Dependent Patients with Sleep Disorders Journal of Clinical Medicine dual disorders (DD) insomnia sleep disorders (SD) benzodiazepine use disorder (BUD) |
| title | The Relevance of Dual Diagnoses among Drug-Dependent Patients with Sleep Disorders |
| title_full | The Relevance of Dual Diagnoses among Drug-Dependent Patients with Sleep Disorders |
| title_fullStr | The Relevance of Dual Diagnoses among Drug-Dependent Patients with Sleep Disorders |
| title_full_unstemmed | The Relevance of Dual Diagnoses among Drug-Dependent Patients with Sleep Disorders |
| title_short | The Relevance of Dual Diagnoses among Drug-Dependent Patients with Sleep Disorders |
| title_sort | relevance of dual diagnoses among drug dependent patients with sleep disorders |
| topic | dual disorders (DD) insomnia sleep disorders (SD) benzodiazepine use disorder (BUD) |
| url | https://www.mdpi.com/2077-0383/9/9/2862 |
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