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Higher severity of cocaine addiction is associated with tactile and somatic hallucinations

Published online by Cambridge University Press:  23 March 2020

C. Roncero ,
L. Grau-López ,
R.F. Palma-Álvarez ,
L. Rodriguez-Cintas ,
E. Ros-Cucurull ,
A. Esojo  and
C. Daigre
C. Roncero*
Affiliation:
Addiction and Dual Diagnosis Unit, Psychiatry Department, University Hospital Vall Hebron – ASPB, CIBERSAM, Passieg Vall d’Hebron, 119-129, 08035BarcelonaSpain Department of Psychiatry and Legal Medicine, Universitat Autónoma Barcelona, 08193Barcelona, Bellaterra, Spain
L. Grau-López
Affiliation:
Addiction and Dual Diagnosis Unit, Psychiatry Department, University Hospital Vall Hebron – ASPB, CIBERSAM, Passieg Vall d’Hebron, 119-129, 08035BarcelonaSpain Department of Psychiatry and Legal Medicine, Universitat Autónoma Barcelona, 08193Barcelona, Bellaterra, Spain
R.F. Palma-Álvarez
Affiliation:
Addiction and Dual Diagnosis Unit, Psychiatry Department, University Hospital Vall Hebron – ASPB, CIBERSAM, Passieg Vall d’Hebron, 119-129, 08035BarcelonaSpain
L. Rodriguez-Cintas
Affiliation:
Addiction and Dual Diagnosis Unit, Psychiatry Department, University Hospital Vall Hebron – ASPB, CIBERSAM, Passieg Vall d’Hebron, 119-129, 08035BarcelonaSpain Department of Psychiatry and Legal Medicine, Universitat Autónoma Barcelona, 08193Barcelona, Bellaterra, Spain
E. Ros-Cucurull
Affiliation:
Addiction and Dual Diagnosis Unit, Psychiatry Department, University Hospital Vall Hebron – ASPB, CIBERSAM, Passieg Vall d’Hebron, 119-129, 08035BarcelonaSpain Department of Psychiatry and Legal Medicine, Universitat Autónoma Barcelona, 08193Barcelona, Bellaterra, Spain
A. Esojo
Affiliation:
Addiction and Dual Diagnosis Unit, Psychiatry Department, University Hospital Vall Hebron – ASPB, CIBERSAM, Passieg Vall d’Hebron, 119-129, 08035BarcelonaSpain
C. Daigre
Affiliation:
Addiction and Dual Diagnosis Unit, Psychiatry Department, University Hospital Vall Hebron – ASPB, CIBERSAM, Passieg Vall d’Hebron, 119-129, 08035BarcelonaSpain
*
*Corresponding author. Addiction and Dual Diagnosis Unit, Psychiatry Department, University Hospital Vall Hebron – ASPB, CIBERSAM, Passieg Vall d?Hebron, 119-129, 08035 Barcelona, Spain. Tel.: +34 934 893 880. E-mail address:croncero@vhebron.net (C. Roncero).
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Abstract

Background

The aim of this study is to describe the features of cocaine-dependent patients who have had cocaine-induced tactile/somatic hallucinations (CITSH), and to analyze the association with addiction-related variables and psychiatric comorbidity, comparing patients with CITSH, patients with cocaine psychotic symptoms (CIP) and no CITSH, and patients without any psychotic symptom.

Method

A cross-sectional study was conducted in 767 cocaine-dependent patients in an outpatient treatment center for addictions. The following data were obtained: sociodemographic characteristics, CIP information, addiction-related variables and psychiatric comorbidity. A bivariate and multivariate analysis was performed.

Results

Of the whole sample, 6.6% reported CITSH at some point of their lives, 48.4% had suffered some CIP other than CITSH, and 45% had not experienced any psychotic symptom. According to multivariate analysis, risk of overdose increases by 12.1 (OR) times the probability of having had CITSH compared patients with CIP-no-CITSH. Other variables associated to patients with CITSH were: age of drug use onset, presence of episodes of overdose, prevalence of psychotic disorder induced by cocaine. In general, in all variables studied, patients with CITSH presented worse clinical features (addiction variables and psychiatric comorbidity) than patients with CIP without CITSH and non-CIP group.

Conclusion

CITSH are usually associated with other psychotic symptoms induced by cocaine. The patients who experienced CITSH are more severe cases compared both with patients with CIP without CITSH and patients without CIP. Increased risk of overdose is an important issue in this type of patients.

Keywords

Cocaine-induced psychosisCocainePsychosisHallucinationsTactile/somatic hallucinationsAddiction
Type
Original article
Information
European Psychiatry , Volume 42 , May 2017 , pp. 63 - 69
Copyright
Copyright © European Psychiatric Association 2017

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