Co-Addictions and dual pathologies: concepts and debates

This study was interested in exploring the nature of the interaction between the two psychiatric and addiction components in the same individual from a clinical perspective. The general objective of this study was to determine the polyconsumption of psychoactive substances in psychiatric patients. Does psychiatric pathology fuel addictions to psychoactive substances? Does addiction to psychoactive substances fuel psychiatric pathology? The study described and based on the screening of psychiatric patients with possibly associated addictive disorders. These patients were chosen as adults (24-54 years old) within the CHUFès (MOROCCO). We report five clinical cases with dual pathology; psychiatric disorder and Poly-addictions. Each patient who has been diagnosed by psychiatrist - addictologists. The assessment consists primarily of clinical observation and several semi-structured interviews. We also used the M.I.N.I. (DSM-IV) for screening. On the other hand, we used the addictive pathology test (DSM-V). We have also used various measurement and verification tools and instruments, such as the CAST test for the evaluation of the degree of addiction in the context of cannabis consumption, and the test (Fagerström) for the evaluation of the problematic tobacco use, and finally we used the AUDIT test, for the detection of problematic alcohol use. This study led us to see these psychiatric people consuming products, the results of this most prominent comorbidity in them in relation to their mechanisms, addiction becomes like the product of the interaction between psychological precursors and addictive processes. . This duality is poorly understood but in reality frequent, would lead to pathological multiple consumption of the product. The importance of paying particular attention to the issue of dual diagnosis, the two components, for the deployment of their appropriate care.

Author(s): Jaouad SAIDI

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