TY - JOUR
KW - Adolescent
KW - Adult
KW - Alcoholism/epidemiology/psychology
KW - Antisocial Personality Disorder/epidemiology/psychology
KW - Attention Deficit Disorder with Hyperactivity/epidemiology/psychology
KW - Brazil/epidemiology
KW - Cocaine-Related Disorders/epidemiology/psychology
KW - Comorbidity
KW - Crack Cocaine
KW - Cross-Sectional Studies
KW - Female
KW - Humans
KW - Interpersonal Relations
KW - Male
KW - Middle Aged
KW - Stress Disorders, Post-Traumatic/epidemiology/psychology
KW - Urban Population/statistics & numerical data
KW - Young Adult
KW - Psychosocial aspects
KW - Substance use-related disorders
AU - M. P. Pachado
AU - J. N. Scherer
AU - L. S. P. Guimarães
AU - L. von Diemen
AU - F. Pechansky
AU - F. H. P. Kessler
AU - R. M. M. de Almeida
A1 - 
AB - Crack cocaine users frequently report difficulties regarding having healthy and rewarding relationships. Factors other than the use of crack cocaine itself may be at play when it comes to being able to develop healthier connections with partners, adult relatives and close friends. To verify which factors, including demographics, substance abuse related factors and psychiatric comorbidities could be markers for a higher severity of problems in interpersonal relationships of crack cocaine users seeking for treatment. This was a cross-sectional study, conducted between April 2011 and November 2012. Participants were 407 crack cocaine users seeking treatment in specialized public facilities of six Brazilian capitals. The relationship of severity of problems in the family/social area and the prevalence of psychiatric disorders, exposure to stressful events, substance use related factors and practice of illicit activities were explored through multivariate analyses. Number of days using crack cocaine in the last 30 days, age of first time using alcohol and feeling its effects, a diagnosis of alcohol abuse, posttraumatic stress disorder, antisocial personality disorder and attention-deficit/hyperactivity disorder were significantly associated with a higher severity of problems in interpersonal relationships with partners, adult relatives and friends. Problems in interpersonal relationships are strongly related to specific psychiatric comorbidities and the frequency of crack cocaine use. Factors identified by this study can make the paths to recovery more challenging. These results support psychosocial interventions that focus in the improvement of interpersonal relationships of crack cocaine users.
AD - Department of Psychology, Universidade Federal do Rio Grande do Sul, 33085261, Rua Ramiro Barcelos, 2600/SALA- Bairro Santa Cecilia, Porto Alegre, Rio Grande do Sul, CEP: 90035-003, Brazil.; Department of Psychiatry and Legal Medicine, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil.; Department of Epidemiology and Statistics, Hospital de Clínicas de Porto Alegre, Porto Alegre, Rio Grande do Sul, Brazil.; Department of Psychiatry and Legal Medicine, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil.; Department of Psychiatry and Legal Medicine, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil.; Department of Psychiatry and Legal Medicine, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil.; Department of Psychology, Universidade Federal do Rio Grande do Sul, 33085261, Rua Ramiro Barcelos, 2600/SALA- Bairro Santa Cecilia, Porto Alegre, Rio Grande do Sul, CEP: 90035-003, Brazil. rosa_almeida@yahoo.com.
BT - The Psychiatric quarterly
C5 - Healthcare Disparities; Opioids & Substance Use
CP - 4
CY - United States
DO - 10.1007/s11126-018-9590-7
IS - 4
JF - The Psychiatric quarterly
LA - eng
M1 - Journal Article
N2 - Crack cocaine users frequently report difficulties regarding having healthy and rewarding relationships. Factors other than the use of crack cocaine itself may be at play when it comes to being able to develop healthier connections with partners, adult relatives and close friends. To verify which factors, including demographics, substance abuse related factors and psychiatric comorbidities could be markers for a higher severity of problems in interpersonal relationships of crack cocaine users seeking for treatment. This was a cross-sectional study, conducted between April 2011 and November 2012. Participants were 407 crack cocaine users seeking treatment in specialized public facilities of six Brazilian capitals. The relationship of severity of problems in the family/social area and the prevalence of psychiatric disorders, exposure to stressful events, substance use related factors and practice of illicit activities were explored through multivariate analyses. Number of days using crack cocaine in the last 30 days, age of first time using alcohol and feeling its effects, a diagnosis of alcohol abuse, posttraumatic stress disorder, antisocial personality disorder and attention-deficit/hyperactivity disorder were significantly associated with a higher severity of problems in interpersonal relationships with partners, adult relatives and friends. Problems in interpersonal relationships are strongly related to specific psychiatric comorbidities and the frequency of crack cocaine use. Factors identified by this study can make the paths to recovery more challenging. These results support psychosocial interventions that focus in the improvement of interpersonal relationships of crack cocaine users.
PP - United States
PY - 2018
SN - 1573-6709; 0033-2720
SP - 923
EP - 936
EP - 
T1 - Markers for Severity of Problems in Interpersonal Relationships of Crack Cocaine Users from a Brazilian Multicenter Study
T2 - The Psychiatric quarterly
TI - Markers for Severity of Problems in Interpersonal Relationships of Crack Cocaine Users from a Brazilian Multicenter Study
U1 - Healthcare Disparities; Opioids & Substance Use
U2 - 30019298
U3 - 10.1007/s11126-018-9590-7
VL - 89
VO - 1573-6709; 0033-2720
Y1 - 2018
Y2 - Dec
ER -