Also, the structure of the event provides the crowd with theatrical plays, dance, circus and maracatu performances, workshops, films, creative economy fair, camping area, parking lot and food court, among other things, in a thousand-meter farm where the Engenho Central building is found.
The program also includes a band contest, which will award a prize aiming at the dissemination of music productions. The event organization will choose an art expression project involving music that stands out for its originality, considering music style and aesthetics.
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Other evaluation criteria are interaction with audience and mobilization capacity. Submission of contest entry is accepted until July 8. For additional information, click here. Our results showed the psychiatric dimension of the ASI-6 as a predictor of physical and psychological domains of quality of life, which highlight the importance of a greater attention to the psychiatric comorbidities in treatment for drug abuse and dependence.
Chronic drug users have a high prevalence of psychiatric disorders, which can be independent of drug use or its consequence [ 49 ], and may compromise their clinical and social evolution [ 50 ]. Thus, diagnostic, therapeutic, and prognostic criteria of comorbidities must be highlighted, which has been done in studies mainly in Europe and the United States [ 51 ]. Health professionals who deal with the issue of abuse and drug addiction, such as the professionals of CAPSad, must be prepared to assess and intervene competently with comorbid disorders, which are common in the substance abuse area.
Their training should be not only in theoretical knowledge but also in the development of skills and attitudes [ 52 ], that can promote both the health and changes in the behavior and lifestyle of the drug user. Mood disorders and anxiety disorders are the most frequent among drug users [ 50 , 54 ]. In Brazil, there are few studies investigating the prevalence of psychiatric comorbidities among drug users.
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A study in CAPSad found a high prevalence of comorbidities, and the most observed diagnoses were major depressive episodes with The evaluation by MINI in this study agrees with these previous studies identifying a high prevalence of mood and anxiety comorbidities. Previous studies indicate that most of the crack users are male, young, without a partner, have a low socio-economic status, low level of education, and are unemployed [ 56 — 58 ]. Marijuana users seeking treatment in Brazil tend to be male, with an average age of 32, with no partner, and have some degree of education and occupation [ 59 ].
Recent studies in CAPSad have shown a different profile of illicit drugs users — for example, a higher average age [ 26 ], higher education [ 60 ], or higher socio-economic status [ 24 , 60 ] — similar to our findings. The high prevalence of marijuana found in this research is in line with the fact that it is the most widely used illicit drug worldwide [ 1 ].
The earlier someone begins using marijuana and the longer use, the more harmful the consequences can be [ 61 ]. This study observed that, after marijuana, inhaled cocaine and crack cocaine were the most commonly used illicit drugs, confirming the high prevalence of these substances in Brazil [ 1 ].
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A multicenter study revealed an increase in the prevalence of crack use in Brazil and highlighted the severity of psychosocial problems and psychiatric symptoms in crack users [ 62 ]. Other study showed that Changes in the profile of populations with substance abuse reveal an increased use of multiple drugs rather than the use of only one substance [ 48 , 57 ], which may lead to a greater severity of dependence [ 48 ]. This new reality was also observed in our sample.
The low percentage of inhalants, as well as stimulants and hallucinogens, may be justified by external factors, such as the ease of obtaining other drugs, such as crack cocaine, which is easy to market in Brazil [ 1 , 56 ]. Even with the limitations of sample size and its heterogeneity of substance use at the moment of the interview, this study makes important contributions, showing the need to know the different aspects that should be highlighted in the treatment of substance use disorders.
Treatment that does not prioritize user needs, which can be revealed in subjective assessments of quality of life, commonly has high dropout rates [ 37 ]. The fact that the quantity and frequency of substance use are not the most salient factors to determine the quality of life in this population implies the need for treatment and services that focus on areas other than sobriety or reduction of use [ 7 , 46 ], such as user recovery.
The recovery may include physical and mental health, social functioning, safe environment, comfort, and availability of resources. Another aspect to be highlighted is the perception that there is a need for capacity-building for professionals from different areas that are involved in the treatment so that there can be an improvement in both diagnostic evaluation and therapeutic interventions, reinforcing the integrality in the care of CAPSad users.
In conclusion, this study revealed the inverse correlation between the severity of dependence on illicit drugs and the quality of life of users. These findings highlight the importance of assessing the quality of life of illicit drug users in treatment, and of understanding how it may be related to the various aspects of their lives. This understanding can facilitate an assessment of the problem, the development of approach strategies and therapeutic intervention, and more appropriate public policies for substance use disorders. PDF 36 kb. PDF kb. The authors declare that there was no funding for this research.
DRD performed statistical analysis and participated in the data interpretation, drafting article and critical revision of the article. All authors read and approved the final manuscript. All the participants accepted to participate in this research by signing the Informed Consent. Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Electronic supplementary material.
Maria Alves Barbosa, Email: moc. Danilo Rocha Dias, Email: rb. Camila Cardoso Caixeta, Email: rb.
Celmo Celeno Porto, Email: moc. National Center for Biotechnology Information , U. Health Qual Life Outcomes. Published online Nov Author information Article notes Copyright and License information Disclaimer. Corresponding author. Received Jan 10; Accepted Nov 2. Abstract Background Quality of life must be one of the main purposes for the treatment of drug users, requiring a better understanding of the association between the quality of life and the severity of dependency.
Methods This cross-sectional study included 60 participants — illicit drug users — treated at a psychosocial care center for alcohol and drugs.
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Electronic supplementary material The online version of this article Keywords: Quality of life, Substance use disorders, Addiction severity, Illicit drugs, Psychiatric comorbidity. Background The worldwide prevalence of illicit drug use was estimated at 5. Sample The sampling process was non-probabilistic. Procedures The data collection was carried out by the main researcher SRC and trained assistant researchers who were supervised and had their procedures calibrated before the application of the instruments.
Results A total of 72 illicit drug users being treated at the unit agreed to participate after receiving the invitation. Open in a separate window. Discussion The findings of this research revealed that quality of life decreases as the severity of dependence increases, corroborating with results of other studies that associated a poor quality of life with the severity of dependence [ 26 , 30 , 40 , 41 ].
Conclusion In conclusion, this study revealed the inverse correlation between the severity of dependence on illicit drugs and the quality of life of users. Acknowledgements Not applicable. Funding The authors declare that there was no funding for this research. Consent for publication Not applicable. Competing interests The authors declare that they have no competing interests. Footnotes Electronic supplementary material The online version of this article References 1. World Drug Report Accessed 18 Aug Accessed 15 Sept Fleck MPA. Problemas conceituais em qualidade de vida.
In: Fleck MPA, editor. Porto Alegre: Artmed; Quality of life in individuals with anxiety disorders. Am J Psychiatry. Measuring the impact of psychoactive substance on health-related quality of life: an update. Curr Drug Abuse Rev. Prospective patterns and correlates of quality of life among women in substance abuse treatment. Drug Alcohol Depend. Improvement of quality of life following 6 months of methadone maintenance therapy in Malaysia. Subst Abuse Treat Prev Policy. BMC Psychiatry. Dhawan A, Chopra A.
Does buprenorphine maintenance improve the quality of life of opioid users? Indian J Med Res. Engaging in job-related activities is associated with reductions in employment problems and improvements in quality of life in substance abusing patients.
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