Abstract

YOLANDA, Torres de Galvis; POSADA VILLA, José; BARENO SILVA, José  and  BERBESI FERNANDEZ, Dedsy Yajaira. Substance Use Disorders in Colombia: Prevalence and Comorbidity with other Mental Disorders. rev.colomb.psiquiatr. [online]. 2010, vol.39, suppl.1, pp.14s-35s. ISSN 0034-7450.

Introduction: Little is known about the prevalence of drug use, abuse and dependence and its comorbility with DSM-IV mental disorders in the general population in Colombia. Objective: To estimate the lifetime and 12-month prevalence of comorbidities such as anxiety, mood, impulse control, and substance disorders in the Colombia National Comorbidity Survey. Method: Nationally representative face-to-face household survey conducted using a fully structured diagnostic interview, the World Health Organization World Mental Health Survey Initiative version of the Composite International Diagnostic Interview with 3,896 respondents 18 to 54 years old. Results: the lifetime and 12-month prevalence of substance use disorders were 0.7% and 2.4%, respectively. An important contribution of this study is the assessment of the associations between substance use disorders and other psychiatric disorders studied. In the anxiety disorders group, posttraumatic stress had the strongest association with substance use disorders. Among mood disorders, bipolar I disorder had the highest association. Among the disorders of impulse, the strongest association found was with conduct disorder. Conclusion: There is a strong association between substance use disorders and other psychiatric disorders such as posttraumatic stress disorder, bipolar I disorder, and conduct disorder. These results have great clinical and public health relevance.

Keywords : Comorbility; cross-sectional studies; odds ratio; substance-related disorders..

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