Eficacia de la Terapia Psicoeducativa Motivacional Breve Dual (TPMB-D) en pacientes hospitalizados con trastorno por uso de sustancias y patología dual

El Hospital Provincial de Castellon adapto la Terapia Psicoeducativa Motivacional Breve (efectiva en pacientes con trastorno por uso de sustancias (TUS) en Unidad de Desintoxicacion Hospitalaria) para pacientes con patologia dual (PD)(TPMB-D). Este estudio experimental doble ciego uso dos grupos aleatorios para evaluar la eficacia de la TPMB-D comparada con terapia ocupacional (TO) en pacientes hospitalizados con TUS y con PD. Completaron el estudio 163 pacientes, de los que el 68.7% presentaban PD y el 31,3% TUS. Se evaluaron pre y postest su nivel de conocimientos sobre adicciones y PD (cuestionario ad hoc) y su motivacion para el cambio (cuestionario SOCRATES 8D de Miller y Tonigan), y la satisfaccion con la terapia recibida (Treatment Perceptions Questionnaire de Marsden et al.) se evaluo postest. La TPMB-D aumenta la motivacion para el cambio y los conocimientos sobre adicciones y PD mas que la TO, generando tambien niveles mas altos de satisfaccion. The Provincial Hospital of Castellon has adapted Brief Motivational Psychoeducational Therapy (effective in substance use disorder (SUD) patients in the Hospital's Detoxification Unit) for Dual Diagnosis (DD) patients (D-BMPT). This double-blind experimental study used two randomized groups with the objective of assessing the efficacy of D-BMPT compared to occupational therapy (OT) in patients hospitalized with SUD and with DD. One hundred and sixty three patients completed the study, of which 68.7% presented with DD and 31.3% with SUD. Their level of knowledge about drug addictions and DD (ad hoc questionnaire) and their motivation for change (Miller and Tonigan's SOCRATES 8D questionnaire) were evaluated pre- and post-treatment, and their satisfaction with the therapy received (Marsden et al.'s Treatment Perceptions Questionnaire) was evaluated post-treatment. D-BMPT increases motivation for change and the knowledge about drug addictions and DD more than OT, also generates higher levels of satisfaction.