Coping strategies related to treatment in substance use disorder patients with and without comorbid depression. (May 2017)

• Record Type: Journal Article
• Authors: Adan, Ana; Antúnez, Juan Manuel; Navarro, José Francisco
• Is Part Of: Psychiatry research. Volume 251(2017)
• Page Start: 325
• Page End: 332
• Publication Date: 2017-05
• Subjects: Coping strategies -- Dual diagnosis -- Major depressive disorder -- Substance use disorder -- Treatment modality; Psychiatry -- Periodicals; Psychiatry -- periodicals; Psychiatrie -- Périodiques; 616.89
• DOI: 10.1016/j.psychres.2017.02.035
• Languages: English
• ISSNs: 0165-1781

Abstract

Abstract: Coping strategies exert an important influence in the development and course of both substance use disorder (SUD) and major depressive disorder (MDD) and its treatment outcomes. We examined the coping strategies related to treatment in SUD and SUD-MDD patients and their associations with clinical characteristics. Forty SUD and 40 SUD-MDD males, each group composed by 20 therapeutic community and 20 ambulatory treatment patients, were assessed through the Coping Strategies Inventory and clinical characteristics questionnaires. SUD-MDD patients scored higher in Disengagement strategies such as Social Withdrawal and lower in Engagement ones such as Problem Solving, Cognitive Restructuring and Social Support, as well as in self-perceived capacity for coping. No differences for treatment were found. SUD and, specially, SUD-MDD patients scored higher than norms in maladaptive strategies. Time of abstinence, age of onset and severity of SUD were related to maladaptive coping. SUD and SUD-MDD patients are prone to employ Disengagement coping strategies and SUD-MDD patients coping repertory is more maladaptive than the SUD ones. Likewise, clinical characteristics associated to maladaptive coping might differ by diagnosis and modality of treatment in male patients. These findings could be considered for the treatment design and to improve the recovery and prevent relapses. Highlights: Coping strategies in substance use disorder with and without depression were examined. Both groups showed a higher tendency to maladaptive coping as compared to norms. Patients with comorbid depression exhibited a higher coping impairment. Maladaptive coping was related to depression symptoms and SUD characteristics. Coping strategies should be considered during the treatment to improve the recovery.