Dual pathology

2006 ◽  
pp. 129-135
Keyword(s):  
2016 ◽  
Vol 127 (9) ◽  
pp. e319
Author(s):  
Areli Rosario Suarez-Roman ◽  
Enoe Cruz-Martinez ◽  
Yokary Amor Mellado-Ortiz ◽  
Ernesto Ramirez-Navarrete ◽  
Paul Shkurovich-Bialik

2013 ◽  
Vol 6 (4) ◽  
pp. 339-350 ◽  
Author(s):  
Francisco Arias ◽  
Nestor Szerman ◽  
Pablo Vega ◽  
Beatriz Mesias ◽  
Ignacio Basurte ◽  
...  

2018 ◽  
Vol 40 (3) ◽  
pp. 495-502
Author(s):  
Jafar Mehvari Habibabadi ◽  
Shervin Badihian ◽  
Nasim Tabrizi ◽  
Navid Manouchehri ◽  
Mohammad Zare ◽  
...  

2010 ◽  
Vol 10 (2) ◽  
Author(s):  
César Mateu ◽  
Ana Benito ◽  
Josep Pena-Garijo ◽  
José Ferrer ◽  
Juan Barea ◽  
...  

Introducción: Los sujetos dependientes de sustancias presentan algunos rasgos de personalidad comunes, pero no se ha podido demostrar que la presencia de estas características determine la adicción. Se pretende analizar la actividad cerebral en un grupo de pacientes con dependencia de opiáceos más Trastorno Límite de Personalidad (TLP) o Trastorno de Personalidad No Especificado (TPNE).Método: Se comparó una muestra de 25 sujetos con patología dual con 17 sujetos sanos. Se obtuvieron imágenes SPECT utilizando como trazador radioactivo el Tc99m-ECD por vía intravenosa. Los datos se analizaron con el paquete de software Entegra.Resultados: Al comparar el grupo de adictos con TPNE con el grupo de control, se apreciaron diferencias estadísticamente significativas en el número de cuentas registradas en el tálamo ( =9043,26; p<0,029) lo que evidencia una menor actividad talámica en estos sujetos respecto a aquellos que no presentaban patología. No se observaron diferencias estadísticamente significativas en el resto de comparaciones.Conclusión: Los pacientes con adicción a opiáceos y TPNE presentan un patrón de hipoactividad talámica comparados con un grupo de sujetos normales. Este hecho nos puede ayudar en el entendimiento de la etiología de estos trastornos, al menos en el subgrupo de pacientes con patología dual. AbstractIntroduction: Patients with substance abuse show some common personality characteristics but it has not been possible to demonstrate that the presence of these characteristics determines their addiction. In the present investigation we tried to analyze cerebral activity in a group of patients with dependency on opiates and Borderline Personality Disorder (BPD) or Personality Disorder Not Otherwise Specified (PDNOS).Method: Cross-sectional study of an observational type with descriptive and analytical components in a sample of 25 subjects with dual pathology in comparision with 17 healthy subjects. SPECT images were acquired using 99mTC-ECD (Tcm-Ethyl Cysteinate Die-thylester) by intravenous route as a radioactive tracer. Data were analyzed with the software package Entegra.Results: When we compared subjects with PDNOS to the control group, statistically significant differences in the number of counts registered in the thalamus were noticeable ( =9043.26; p<0.029), which demonstrates less thalamic activity in PDNOS subjects with respect to healthy subjects. Statistically significant differences in the rest of comparisons between groups were not observed.93 Trastornos de personalidad y adicción a opiáceos: un estudio descriptivo Health and Addictions / Salud y Drogas 2010, Vol. 10, nº 2, pp. 91-110Conclusion: Pacients with PDNOS and adiction show a thalamic hypoactivity pattern. This conclusion could help us in the understanding of the pathogenesis of this disorder and its differentiation from the other PD, like BPD, at least in patients with dual pathology. 


Author(s):  
Rose Anne Kenny ◽  
Conal Cunningham

The prevalence of syncope rises with age and is challenging because of atypical presentation, overlap with falls, and poor recall of events. Cardiac causes and multiple comorbidities are more common, and related morbidity and mortality are higher than in younger patients. Hence, a high index of suspicion for cardiovascular causes of falls and dual pathology will increase successful diagnosis and intervention. Age-related neurohumoral and physiological changes plus chronic diseases and medications often contribute to syncope. Orthostatic hypotension, carotid sinus syndrome, vasovagal syncope, postprandial syncope, sinus node disease, atrioventricular block, and ventricular tachycardia are other common causes. Management is often based on removing or reducing the predisposing or precipitating factors through medication adjustments, behavioural strategies, and more invasive cardiac interventions if indicated. It is often not possible to identify a single cause of syncope in older persons, hence apragmatic management of each diagnosis is recommended.


2015 ◽  
Vol 17 ◽  
pp. 39-41 ◽  
Author(s):  
Thomas Whitehead-Clarke ◽  
Umesh Parampalli ◽  
Rakesh Bhardwaj

Channels ◽  
2012 ◽  
Vol 6 (1) ◽  
pp. 18-25 ◽  
Author(s):  
Mohamed Ouardouz ◽  
Lionel Carmant
Keyword(s):  

2017 ◽  
Vol 41 (S1) ◽  
pp. S136-S136
Author(s):  
M.G. García Jiménez

IntroductionDual pathology is a term applied to those subjects suffering simultaneously from addiction and other mental disorder. Group psychotherapy can be used in people who have both diagnoses with good results in improvement of addiction and disease stabilization.ObjectivesThe purpose of this study is to analyse to efficacy of a group of psychotherapy for patients with alcohol addiction and other mental disorder, and analyse the presence of personality disorder in this group and how it affects its evolution.MethodsThe study was conducted on a sample of 16 patients diagnosed with alcohol abuse or dependence with psychiatric co-morbidity who attended a therapy group for 6 months from January16 to June16. The study was conducted in ambulatory care (outpatient), being an open and heterogeneous group.ResultsMain diagnosis was unspecified personality disorder and mood disorder (25%) followed by borderline personality disorder and mood disorder (18.75%), attention deficit disorder and hyperactivity (18.75%), mood disorder (12.5%), substance use disorder without other psychiatric co-morbidity (12.5%), narcissistic personality disorder (6.25%) and impulse control disorder (6.25%). Regarding progress in the stages of change, results were as follows: 31.5% of patients progressed to the stage of preparation for action, 25% alternating periods of abstinence from alcohol with brief relapse, 25% advanced to the stage of action, 18.5% managed to stay alcohol withdrawn.ConclusionsIn our sample, we can conclude that a therapeutic group including patients at different stages of change and diagnoses is positive. At the end, improvement in mood and anxiety was observed.Disclosure of interestThe author has not supplied his/her declaration of competing interest.


2019 ◽  
Vol 18 (1) ◽  
pp. 53-57
Author(s):  
Ramon E. Lopera Lopera ◽  
Andrea Rincón Hurtado ◽  
Veronica Vargas Gonzalez ◽  
Juan F. Arbeláez ◽  
Guillermo A. Castaño Pérez ◽  
...  

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