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Medications are typically administered to achieve therapeutic effects. Some drugs can modify an individual's mood and perception, frequently resulting in various enjoyable experiences. However, this can result in drug dependency, a condition marked by continuous drug use despite potential negative consequences. Drug dependency primarily falls into two categories: psychological and physical dependence. Psychological dependence occurs when the pleasurable feelings induced by the drug...
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[General Practitioners' Contribution to Dependence Assessment: the OPEMA Programme].

Christophe Moracchini1, Veronica Orleans, Samira Miloudi

  • 1Centre associé au CEIP-Addictovigilance PACA-Corse, Laboratoire de Santé Publique, Faculté de Médecine, Aix-Marseille Université, EA 3279, Marseille, France - CEIP-Addictovigilance PACA Corse, Pharmacologie Clinique, Hôpital de la Timone, CHU de Marseille, Assistance Publique Hôpitaux de Marseille, Marseille, France.

Therapie
|November 1, 2012
PubMed
Summary

The Observation des pharmacodépendances en médecine ambulatoire (OPEMA) programme collected data on 1394 individuals in 2010. Findings reveal significant psychiatric comorbidity and high rates of opiate maintenance treatment and benzodiazepine use among participants.

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Area of Science:

  • Pharmacology
  • Public Health
  • Epidemiology

Background:

  • Substance use disorders represent a significant public health challenge.
  • Existing French pharmacodependence assessment systems primarily focus on specialized centers.
  • There is a need for data from primary care settings to understand the health status of dependent individuals.

Purpose of the Study:

  • To present the OPEMA (Observation des pharmacodépendances en médecine ambulatoire) program.
  • To report the main results from the November 2010 annual survey.
  • To describe the sociodemographic situation, health status, and psychoactive substance consumption of subjects managed in ambulatory care.

Main Methods:

  • The OPEMA program collected data through annual surveys.
  • Data included sociodemographic information, health status, and psychoactive substance use.
  • The 2010 survey included 1394 subjects and 2450 substance consumptions.

Main Results:

  • The mean age of participants was 38.2 years.
  • 56% of subjects had psychiatric comorbidities, and HIV/HVC prevalence was 3% and 20%, respectively.
  • 82% used opiate maintenance treatment, and 29% used benzodiazepines, with 45% having a history of intravenous drug use.

Conclusions:

  • The OPEMA program complements the French pharmacodependence assessment system by including general practitioner data.
  • It provides a more comprehensive understanding of the health status of individuals with substance use disorders.
  • The findings highlight the importance of addressing psychiatric comorbidities and managing medication use in ambulatory care settings.