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Masferrer L.,Institute dAssistencia Sanitaria IAS | Masferrer L.,University of Girona | Garre-Olmo J.,Girona Biomedical Research Institute | Caparros B.,University of Girona
Journal of Substance Use | Year: 2016

Background: Drug-dependent people are one of the most vulnerable populations to death by suicide. This study aims to explore the occurrence and related factors for risk of suicide in a sample of 196 bereaved substance-dependent patients.Methods: Sociodemographic characteristics, bereavement and drug-related variables and symptoms of complicated grief (CG) were examined in a sample of 196 bereaved drug-dependent patients abstemious at least during the last month. A multiple linear regression analysis was adjusted to identify predictors of risk of suicide.Results: 61.2% of patients reported risk of suicide. Those participants with risk of suicide were separated or widowed, without work, reported family antecedents of suicide attempts as well as personal suicide attempts and symptoms of CG.Conclusion: Results indicate that the occurrence of the risk of suicide among drug-dependent people is very high and some risk factors are identified. Clinicians should pay particular attention to the bereaved drug-dependent patients with risk factors in order to identify people more vulnerable to present suicide risk. © 2016 Taylor & Francis Group, LLC. Source

Keller D.,Institute dAssistencia Sanitaria IAS | De Gracia M.,University Gerona | Cladellas R.,Autonomous University of Barcelona
Actas Espanolas de Psiquiatria | Year: 2011

Introduction. The main goal of this work was to identify subgroups of patients with fibromyalgia (FM) by means of a frequently used clinical tool, the Fibromyalgia Impact Questionnaire (FIQ). Methodology. A total of 66 women diagnosed with FM participated in the study. Two subgroups of patients were identified by analysis of a hierarchical cluster of selected items from the FIQ (pain, fatigue, morning tiredness, stiffness, anxiety and depressive symptoms). Results. The type I FM-group had very high levels of fatigue, morning tiredness and anxiety, and high levels of joint stiffness, pain and depressive symptoms, while the type II FM-group had predominantly moderate levels of fatigue and morning tiredness, with moderate low levels of pain and stiffness along with a low level of depression and anxiety. Conclusions. Type I FM-group also had lower healthrelated quality of life, especially through emotional reactions and social isolation as well as more psyehopathologieal affections than presented by type II FM-group. Source

Masferrer L.,Institute dAssistencia Sanitaria IAS | Masferrer L.,University of Girona | Garre-Olmo J.,Girona Biomedical Research Institute | Caparros B.,University of Girona
Heroin Addiction and Related Clinical Problems | Year: 2015

Background: People with substance use disorders frequently present life stories marked by suffering and loss. Few studies have assessed the role of bereavement of a significant person in the drug dependent population. Aim: This study explored the loss of a significant person among 196 bereaved drug dependent patients before and after the age when they consider that their drug consumption increased. Methods: Socio-demographic characteristics, bereavement and drug related variables were examined. Perceived relationship between the significant loss and drug consumption was also assessed. Complicated grief symptomatology was measured by the Spanish version of the Inventory of Complicated Grief (ICG). Results: 83.2% of all participants stated that, after suffering the loss, they increased drug consumption. 12.3% of the patients who first increased drug consumption and after suffered the loss of a significant person reported a relapse after the loss. However, 54% of the participants who first experienced the loss and after increased their drug consumption did not perceive any relationship between the loss and their own drug consumption. The most frequent losses were the parents (father and mother), sibling being the third most significant loss. 34.2% of patients reported symptoms of complicated grief. Conclusions: Results show a relationship between the loss and the important increase of substance consumption. This study suggests the importance of including the process of grief psychotherapy within the treatment of drug dishabituation for those cases which presented symptoms of complicated grief. © Icro Maremmani. Source

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