{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,5]],"date-time":"2025-10-05T04:14:08Z","timestamp":1759637648624,"version":"3.37.3"},"reference-count":0,"publisher":"Socidrogalcohol","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Adicciones"],"abstract":"<jats:p>Objetivo: Analizar las diferencias de sexo en los criterios diagn\u00f3sticos del DSM-5 de los pacientes que solicitan un tratamiento para el trastorno por uso de alcohol (TUA) por primera vez. M\u00e9todos: Pacientes incluidos entre enero 2014 y marzo 2016 en el estudio multic\u00e9ntrico CohRTA de la Red de Trastornos Adictivos. El diagn\u00f3stico del TUA se realiz\u00f3 mediante el DSM-5. Adem\u00e1s, se recogieron datos sociodemogr\u00e1ficos, sobre el consumo de alcohol y otras sustancias, variables cl\u00ednicas y una anal\u00edtica general. Resultados: se incluyeron 313 pacientes (74,8% hombres); la edad al inicio del primer tratamiento fue de 48,8 a\u00f1os (desviaci\u00f3n est\u00e1ndar (DE): 9,9 a\u00f1os), la edad al inicio del consumo de alcohol de 15,9 a\u00f1os (DE: 3,3 a\u00f1os) y la de inicio del consumo regular de 25,6 a\u00f1os (DE: 9,6 a\u00f1os). Un 69,3% de los pacientes eran fumadores y un 61% ten\u00edan antecedentes familiares de TUA. Un 7,7% eran consumidores de coca\u00edna y un 18,2% de cannabis. Las mujeres iniciaron el consumo regular de alcohol m\u00e1s tarde que los hombres (p&lt;,001) y usaban benzodiacepinas con mayor frecuencia (p=,013). Seg\u00fan el DSM-5, el 89,5% de los pacientes presentaban un TUA grave (\u22656 criterios). En el an\u00e1lisis ajustado (regresi\u00f3n log\u00edstica), los hombres ten\u00edan mayor probabilidad de presentar el criterio diagn\u00f3stico relacionado con el incumplimiento de los deberes fundamentales en el trabajo o en el hogar (OR=1,92, IC95%: 1,06-3,48) y el criterio diagn\u00f3stico de consumir alcohol en situaciones de riesgo f\u00edsico (OR=3,00, IC95%: 1,65-5,46). Discusi\u00f3n: El DSM-5 detecta diferencias de sexo en pacientes que solicitan el primer tratamiento del TUA. El deterioro social y el consumo de alcohol de riesgo son significativamente m\u00e1s frecuentes en hombres.<\/jats:p>","DOI":"10.20882\/adicciones.1177","type":"journal-article","created":{"date-parts":[[2019,4,10]],"date-time":"2019-04-10T12:53:16Z","timestamp":1554900796000},"page":"136-144","source":"Crossref","is-referenced-by-count":6,"title":["DSM-5 en pacientes que solicitan el primer tratamiento del trastorno por uso de alcohol. Diferencias de sexo en el estudio multic\u00e9ntrico CohRTA"],"prefix":"10.20882","volume":"32","author":[{"given":"Arantza","family":"Sanvisens","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paola","family":"Zuluaga","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gabriel","family":"Rubio","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antoni","family":"Short","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antoni","family":"Gual","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francisco Javier","family":"\u00c1lvarez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marta","family":"Torrens","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fernando","family":"Rodr\u00edguez de Fonseca","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roberto","family":"Muga Bustamante","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Estudio CohRTA","family":"Estudio CohRTA","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"8502","published-online":{"date-parts":[[2019,4,8]]},"container-title":["Adicciones"],"original-title":[],"link":[{"URL":"https:\/\/adicciones.es\/index.php\/adicciones\/article\/download\/1177\/1048","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/adicciones.es\/index.php\/adicciones\/article\/download\/1177\/1047","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,2,20]],"date-time":"2025-02-20T12:11:36Z","timestamp":1740053496000},"score":1,"resource":{"primary":{"URL":"https:\/\/adicciones.es\/index.php\/adicciones\/article\/view\/1177"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,4,8]]},"references-count":0,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2020,4,27]]}},"URL":"https:\/\/doi.org\/10.20882\/adicciones.1177","relation":{},"ISSN":["0214-4840"],"issn-type":[{"type":"print","value":"0214-4840"}],"subject":[],"published":{"date-parts":[[2019,4,8]]}}}