Avtor/Urednik		Lovrečič, Mercedes
Naslov		Problematika nevropsihofarmakoterapije zasvojenih s heroinom s pridruženo duševno motnjo
Tip		monografija
Kraj izdaje		Ljubljana
Založnik		Univerza v Ljubljani, Medicinska fakulteta
Leto izdaje		2006
Obseg		str. 98
Jezik		slo
Abstrakt		There is a high proportion of heroin addicts with concomitant comorbid and mental disorder. Comorbid mental disorder could be more or less clinically evident, could more or less disable patient's functioning and could be present as a chronic or acute form. The heroin addiction itself has mental, physical and social consequences therefore diagnostics of comorbid mental disorders is more complicated. The aim of the research was to focus on problems on neuropsychopharmacotherapy of heroin addicts with comorbid disorder from different perspectives. In the first study, the presence of comorbid mental disorder of heroin addicts in the outpatient programme for addiction treatment was examined. In order fo obtain scientific prove for clinical guidelines and best treatment practice, the assessment of unreported double frequencies in outpatients specific, drug addiction and psychiatric, services and reasons for seeking help with special emphasis on psychopharmacotherapy were the objects of the second study. In the third study the review of literature was perfomed, both results of our studies were added and the optimal pharmacotherapy of heroin addicts with comorbid mental disorders was discussed. The results of the first study revealed that addict's depressive disorder was the most frequent diagnose in our sample of heroin and the second one anxiety disorder. The second study showed the problem of unreported double frequencies. The analysis of psychopharmacotherapy of heroin addicts with comorbid mental disorder was done. Patients with withdrawal symptoms received antipsychotics and benzodiazepines. Patients with depressive symptoms who were not on methadone treatment received antidepressants and benzodiazepines. The last study is a good starting point for improvement of clinical practice as it points to the problematic part of diagnostie, therapy and cooperation between different services. (Abstract truncated at 2000 characters)
Deskriptorji		MENTAL DISORDERS HEROIN DEPENDENCE COMORBIDITY DIAGNOSIS, DUAL (PSYCHIATRY) METHADONE DEPRESSIVE DISORDER ANXIETY DISORDERS ANTIPSYCHOTIC AGENTS ANTIDEPRESSIVE AGENTS