{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T05:25:33Z","timestamp":1740115533684,"version":"3.37.3"},"reference-count":0,"publisher":"Socidrogalcohol","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Adicciones"],"abstract":"<jats:p>Los programas de mantenimiento con metadona (PMM) para el tratamiento de la dependencia a opi\u00e1ceos han demostrado elevada eficacia, siendo los m\u00e1s utilizados en la actualidad. La Reducci\u00f3n de Da\u00f1os (REDAN) se refiere a tratamientos y abordajes complementarios en personas con graves dificultades para la abstinencia y conductas de riesgo. El objetivo del presente trabajo es comparar pacientes en PMM que utilizan servicios REDAN (PMM-REDAN) versus pacientes en PMM que no utilizan servicios REDAN (PMM-NO REDAN). Se incluy\u00f3 un total de 143 pacientes en PMM (PMM-REDAN = 42, PMM-NO REDAN = 101) y se realiz\u00f3 un suban\u00e1lisis de los menores de 45 a\u00f1os (n = 116; 38 PMM-REDAN, 78 PMM-NO REDAN). Se hizo una evaluaci\u00f3n de datos socio-demogr\u00e1ficos, EuropASI, SCID-I y SCID-II. Los pacientes PMM-REDAN son m\u00e1s j\u00f3venes, utilizan la v\u00eda parenteral y presentan trastornos de personalidad Cl\u00faster B com\u00f3rbidos a la adicci\u00f3n. Los PMM-NO REDAN consumen m\u00e1s por v\u00eda fumada y tienen dosis bajas de metadona. Los menores de 45 a\u00f1os PMM-REDAN son m\u00e1s j\u00f3venes, tienen mayor prevalencia de enfermedades hep\u00e1ticas, utilizan m\u00e1s la v\u00eda parenteral, tienen un consumo de drogas m\u00e1s grave y menos soporte socio-familiar en las subescalas EUROP-ASI que los menores de 45 a\u00f1os PMM-NO REDAN. En conclusi\u00f3n, los pacientes PMM-REDAN son m\u00e1s j\u00f3venes, reciben dosis mayores de metadona y utilizan v\u00edas de mayor riesgo, hecho que implica un inicio temprano en pr\u00e1cticas de consumo de riesgo, mayor tiempo de exposici\u00f3n a la hero\u00edna, con consecuencias de mayor gravedad de la adicci\u00f3n, mayor comorbilidad infecciosa, m\u00e9dica y psiqui\u00e1trica, siendo un grupo vulnerable y con pron\u00f3stico desfavorable.<\/jats:p>","DOI":"10.20882\/adicciones.897","type":"journal-article","created":{"date-parts":[[2018,2,12]],"date-time":"2018-02-12T11:57:51Z","timestamp":1518436671000},"page":"197-207","source":"Crossref","is-referenced-by-count":3,"title":["Uso de reducci\u00f3n de da\u00f1os y gravedad psicopatol\u00f3gica y m\u00e9dica en pacientes en programa de mantenimiento con metadona"],"prefix":"10.20882","volume":"30","author":[{"given":"Nieves Gudelia","family":"Mart\u00ednez-Luna","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laia","family":"Rodr\u00edguez-Cintas","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abderraman","family":"Esojo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ra\u00fal Felipe","family":"Palma-\u00c1lvarez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mar\u00eda","family":"Robles-Mart\u00ednez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lara","family":"Grau-L\u00f3pez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marta","family":"Perea","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carlos","family":"Roncero","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"8502","published-online":{"date-parts":[[2018,1,15]]},"container-title":["Adicciones"],"original-title":[],"link":[{"URL":"https:\/\/adicciones.es\/index.php\/adicciones\/article\/download\/897\/904","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/adicciones.es\/index.php\/adicciones\/article\/download\/897\/903","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,2,20]],"date-time":"2025-02-20T12:20:10Z","timestamp":1740054010000},"score":1,"resource":{"primary":{"URL":"https:\/\/adicciones.es\/index.php\/adicciones\/article\/view\/897"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,1,15]]},"references-count":0,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2018,7,12]]}},"URL":"https:\/\/doi.org\/10.20882\/adicciones.897","relation":{},"ISSN":["0214-4840"],"issn-type":[{"type":"print","value":"0214-4840"}],"subject":[],"published":{"date-parts":[[2018,1,15]]}}}