Differenze di genere nella Doppia Diagnosi. Evidenze dallo studio Psychiatric and Addictive Dual Disorders in Italy (PADDI).

摘要

Aim: to investigate gender differences concerning psychiatric diagnosis, patterns of substance use, medical comorbidity and legal issues in a population of subjects with dual diagnosis (DD) in Italy. Materials and methods: cross-sectional study on 2384 DD patients (males: 1804, females: 580) cared in Italian Mental Health Care Trusts in 2005. Results: the most frequent comorbid psychiatric diagnosis was a personality disorder one (both in male and female subjects 37.5% and 43.1% respectively). Cannabis, heroin, cocaine were more frequently used by males. Furthermore, 14.1% of men and 3.8% of women had faced legal issues (p<0.01). In relation to medical problems, 42.2% of males and 29.7% of females had suffered from hepatitis (p<0.01). Conclusions: The study showed several differences between male and female DD subjects as regards psychiatric diagnosis, patterns of substance use, medical comorbidity and legal issues.