Trends in Psychiatry and Psychotherapy
https://trends.org.br/article/doi/10.1590/2237-6089-2013-0042
Trends in Psychiatry and Psychotherapy
Original Article

Panic disorder and psychoactive substance use in primary care

Transtorno do pânico e uso de substâncias psicoativas na atenção primária

Andressa Jacondino Pires; Camila Corrêa Casanova; Luciana de Avila Quevedo; Karen Jansen; Ricardo Azevedo da Silva

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Abstract

Objective: To identify the association between panic disorder and licit and illicit substance use in the population provided with primary care in the southern Brazil.Methods: This is a cross-sectional study with patients from three primary care centers. We used the Alcohol, Smoking and Substance Involvement Screening Test (ASSIST) to evaluate substance use and the Mini International Neuropsychiatric Interview (MINI) to diagnose panic disorder.Results: A total of 1,081 subjects were evaluated. The prevalence of panic disorder was 5.6%. Panic disorder was associated with using marijuana (p = 0.001), tobacco (p = 0.001), cocaine (p < 0.001), and other illicit substances (p < 0.001).Conclusion: A significant association is noticed between panic disorder and licit and illicit substance use, thus, it is interesting to rethink the approach to treatment/intervention in patients with dual diagnosis.

Keywords

Panic disorder, substance-related disorders, anxiety disorders

Resumo

Objetivo: Identificar a associação entre transtorno do pânico e uso de substâncias lícitas e ilícitas na população atendida na atenção primária no sul do Brasil.Métodos: Este é um estudo transversal com pacientes de três centros de cuidados primários. Foi usado o Teste de Triagem do Envolvimento com Álcool, Tabaco e Outras Substâncias (ASSIST) para avaliar o uso de substâncias e a Mini International Neuropsychiatric Interview (MINI) para diagnosticar o transtorno do pânico.Resultados: Um total de 1.081 pacientes foram avaliados. A prevalência de transtorno do pânico foi de 5,6%. O transtorno do pânico foi associado com o uso de maconha (p = 0,001), tabaco (p = 0,001), cocaína (p < 0,001) e outras substâncias ilícitas (p < 0,001).Conclusão: Foi observada uma associação significativa entre transtorno do pânico e uso de substâncias lícitas e ilícitas. Por este motivo, é interessante repensar a abordagem de tratamento/ intervenção em pacientes com duplo diagnóstico.

Palavras-chave

Transtorno do pânico, distúrbios relacionados a substâncias, transtornos de ansiedade

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