{"id":116452,"date":"2018-03-11T10:45:35","date_gmt":"2018-03-11T10:45:35","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/consumo-de-drogas-y-su-relacion-con-el-trastorno-por-deficit-de-atencion-con-hiperactividad-un-estudio-prospectivo-1981-2003\/"},"modified":"2018-03-11T10:45:35","modified_gmt":"2018-03-11T10:45:35","slug":"consumo-de-drogas-y-su-relacion-con-el-trastorno-por-deficit-de-atencion-con-hiperactividad-un-estudio-prospectivo-1981-2003","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/psicologia\/consumo-de-drogas-y-su-relacion-con-el-trastorno-por-deficit-de-atencion-con-hiperactividad-un-estudio-prospectivo-1981-2003\/","title":{"rendered":"Consumo de drogas y su relaci\u00f3n con el trastorno por d\u00e9ficit de atenci\u00f3n con hiperactividad. un estudio prospectivo:  1981-2003"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Ana Ines Ros Soler <\/strong><\/h2>\n<p>Consumo de drogas y su relaci\u00f3n con el trastorno por d\u00e9ficit de atenci\u00f3n con hiperactividad. Un estudio prospectivo: 1981-2013  resumen  el trastorno por d\u00e9ficit de atenci\u00f3n con hiperactividad (tdah) en la infancia, en su libre evoluci\u00f3n, es un factor de riesgo hacia el desarrollo del trastorno por uso de sustancias (tus) en la vida adulta.  objetivos: conocer la probabilidad del tus y de otros trastornos psiqui\u00e1tricos y neurol\u00f3gicos en la edad adulta entre los ni\u00f1os con tdah que recibieron tratamiento especializado. Nos hemos planteado, adem\u00e1s, conocer cu\u00e1l es la respuesta cl\u00ednica a largo plazo de estos ni\u00f1os en funci\u00f3n de las comorbilidades asociadas al tdah que presentaron en la infancia. metodolog\u00eda: se utilizaron las historias cl\u00ednicas de los pacientes de salud mental infanto-juvenil de la regi\u00f3n de murcia abiertas entre los a\u00f1os 1981 y 1999. Tras filtrar y depurar los datos de los 2258 pacientes existentes en los libros de registro, obtuvimos una muestra de 371 sujetos, que distribuimos en dos grupos: el grupo tdah lo componen 124 sujetos diagnosticados de tdah, con una edad media de 7,2 a\u00f1os, siendo 111 varones (89,5%) y 13 mujeres (10,5%). El grupo control qued\u00f3 formado por 247 sujetos con una edad media de 8,8 a\u00f1os y similar porcentaje entre sexos, cuyo procedimiento de selecci\u00f3n se llev\u00f3 a cabo siguiendo el orden de apertura de historia cl\u00ednica inmediatamente posterior a cada uno de los tdah, escogiendo a los dos siguientes, del mismo sexo, con diagn\u00f3stico distinto a tdah. En los a\u00f1os 2003 y 2013 realizamos una b\u00fasqueda de esos mismos sujetos entre los servicios de drogodependencias (cad), salud mental (csm) y neurolog\u00eda del servicio p\u00fablico de salud para comprobar cu\u00e1ntos de ellos demandaron asistencia especializada en la edad adulta. La edad media de la muestra del grupo tdah en 2013 es de 31 a\u00f1os, con un rango entre 19 y 47. resultados y conclusiones: entre los sujetos con tdah que recibieron tratamiento especializado en su infancia el 19,7% desarrollaron alguna psicopatolog\u00eda en la edad adulta: el 11,1% de ellos ha acudido a los csm; el 7,7% ha recibido asistencia especializada en neurolog\u00eda y el 5,1% constan como pacientes del cad. Por tanto, el tratamiento precoz del tdah act\u00faa como factor de protecci\u00f3n hacia el desarrollo del tus a largo plazo, aproxim\u00e1ndose a la preValencia encontrada en poblaci\u00f3n general.  el tdah en la infancia se presenta con otros trastornos com\u00f3rbidos en el 84% de los casos y el n\u00famero de estas patolog\u00edas asociadas son un indicador de la gravedad del cuadro y empeoran el pron\u00f3stico de estos ni\u00f1os a largo plazo. los sujetos con tdah acuden a los servicios de urgencias hospitalarias con mayor frecuencia que los otros pacientes psiqui\u00e1tricos. Entre las mujeres estas diferencias se acent\u00faan: el 77% de las tdah frente al 32% de las controles. Las mujeres tdah recurren a estos dispositivos asistenciales m\u00e1s n\u00famero de veces (una media de 10,5 veces por persona) que los varones tdah (media de 3,2 veces cada uno).  los sujetos que en su infancia sufrieron trastornos psiqui\u00e1tricos de cualquier tipo desarrollaron un trastorno de personalidad en la edad adulta como principal patolog\u00eda psiqui\u00e1trica en la mayor\u00eda de los casos.  este trabajo nos hace reflexionar sobre nuestra actitud como profesionales de la salud mental ante los posibles cuadros psicopatol\u00f3gicos (como el tdah) que puedan permanecer ocultos bajo los s\u00edntomas agudos y limitantes de otros trastornos. No hemos encontrado diagn\u00f3sticos de tdah entre los pacientes adultos, a pesar de haberlos tenido en la infancia. Probablemente sin un exhaustivo diagn\u00f3stico la respuesta terap\u00e9utica no sea la esperada.  los programas de detecci\u00f3n precoz y tratamiento del tdah suponen una mejora en la calidad de vida de los sujetos que lo padecen, frenando la problem\u00e1tica ps\u00edquica y social. Esto conlleva, adem\u00e1s, un menor gasto sanitario en el sistema p\u00fablico de salud. palabras clave: trastorno por d\u00e9ficit de atenci\u00f3n con hiperactividad, tdah, tus, drogodependencias, factor de riesgo, factor de protecci\u00f3n.    drug abuse related to the attention deficit hyperactivity disorder. A prospective study: 1981-2013  abstract  attention deficit hyperactivity disorder (adhd) during childhood is, in its free evolution, a risk factor for the development of substance use disorder (sud) during adulthood.  objectives: our aim is to establish the probability of sud and other psychiatric and neurological disorders during adulthood among children with adhd who received specialised treatment. We would also determine the long-term clinical effects of those children depending on the comorbidities related to adhd during their childhood.  metodology: we used clinical records from patients of salud mental infanto-juvenil centre in murcia, spain, opened between 1981 and 1999. We obtained a sample of 371 subjects after sorting data from 2258 patients registered in the books. We distributed them in two groups: the adhd group was composed of 124 subjects who were diagnosed with adhd, with a mean age of 7.2 years, 111 were males (89.5%) and 13 were women (10.5%); the control group included 247 subjects with a mean age of 8.8 years and a similar gender percentage. The selection process of the latter group was based on the opening order of the clinical records immediately after each one of the adhd, choosing the following two of the same gender but with a different diagnosis from adhd. A research of patients with the same characteristics in substance abuse treatment centres, mental health centres and public health neurology services was performed in 2003 and 2013 in order to determine the number of subjects who asked for specialised assistance during their adulthood. The mean age of the adhd group sample in 2013 was 31 years, with a range from 19 to 47.   results and conclusions: among subjects with adhd who received specialised treatment during their childhood, 19.7% developed a psychopathology during their adulthood: 11.1% used mental health centres, 7.7% received neurological specialised assistance, and 5.1% were patients of substance abuse treatment centres. Thus, an early treatment of adhd acts as a protection factor for long-term development of sud, getting closer to the prevalence found in general population.  in 84% of the cases, adhd in children appears along with other comorbid disorders. The number of associated pathologies is an indicator of the severity of the condition, and they worsen the long-term prognosis of those children.  subjects with adhd use hospital emergency services more frequently than other psychiatric patients. That difference increases among women: 77% in the adhd group and 32% in the control group. Adhd women use those services more frequently (a mean of 10.5 times per patient) than adhd men (a mean of 3.2 times per patient).  in most cases, subjects who suffered from any psychiatric disorder during their childhood developed a personality disorder during their adulthood as a main psychiatric pathology. as mental health professionals, this study invites us to think about our attitude towards possible psychopathology conditions (like adhd) that could remain hidden due to acute and limiting symptoms of other disorders.  We did not find adhd diagnoses among adult patients although having had them during their childhood. The therapeutic effects might not be the expected ones without an exhaustive diagnosis.   early detention programs and adhd treatment lead to an improvement in the quality of life of subjects who suffer from it, curbing psychical and social problems. This also implies lesser medical expenses in the public health system.   key words: attention deficit hyperactivity disorder, adhd, sud, drug abuse, risk factor, protection factor.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Consumo de drogas y su relaci\u00f3n con el trastorno por d\u00e9ficit de atenci\u00f3n con hiperactividad. un estudio prospectivo:  1981-2003<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Consumo de drogas y su relaci\u00f3n con el trastorno por d\u00e9ficit de atenci\u00f3n con hiperactividad. un estudio prospectivo:  1981-2003 <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Ana Ines Ros Soler <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Murcia<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 13\/10\/2014<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3>Direcci\u00f3n y tribunal<\/h3>\n<ul>\n<li><strong>Director de la tesis<\/strong>\n<ul>\n<li>Joaquin Nieto Munuera<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Juan  jose Lopez garcia <\/li>\n<li>miquel Casas brugue (vocal)<\/li>\n<li>felipe Ortu\u00f1o s\u00e1nchez-pedre\u00f1o (vocal)<\/li>\n<li>julio belarmino Bobes garcia (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Ana Ines Ros Soler Consumo de drogas y su relaci\u00f3n con el trastorno por d\u00e9ficit de atenci\u00f3n [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center 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