Brazilian Journal of Anesthesiology
https://app.periodikos.com.br/journal/rba/article/doi/10.1590/S0034-70942012000300008
Brazilian Journal of Anesthesiology
Miscellaneous

Perfil clínico e demográfico de anestesiologistas usuários de álcool e outras drogas atendidos em um serviço pioneiro no Brasil

Clinical and demographic profile of anesthesiologists using alcohol and other drugs under treatment in a pioneering program in Brazil

Hamer Nastasy Palhares Alves; Denise Leite Vieira; Ronaldo Ramos Laranjeira; Joaquim Edson Vieira; Luiz Antônio Nogueira Martins

http://dx.doi.org/10.1590/S0034-70942012000300008 Braz J Anesthesiol, vol.62, n3, p.360-364, 2012
PDF Português
PDF English
Downloads: 1
Views: 1027

Resumo

JUSTIFICATIVA E OBJETIVOS: Anestesiologistas são os mais representados em serviços de atendimento a médicos com transtornos por uso de substâncias psicoativas. O objetivo deste trabalho é apresentar um estudo descritivo sobre o perfil clínico e sociodemográfico de uma amostra de anestesiologistas dependentes químicos atendidos em um serviço de referência, bem como elencar comorbidades psiquiátricas, drogas frequentemente utilizadas e repercussões psicossociais e profissionais do consumo. MÉTODO: Realizou-se estudo transversal, prospectivo, tendo sido aplicadas entrevistas estruturadas para diagnóstico de transtornos mentais e transtornos por uso de substâncias psicoativas, com base na Classificação Internacional de Doenças - Versão 10 - e questionário sócio-ocupacional, aplicados por dois pesquisadores treinados. RESULTADOS: Cinquenta e sete anestesiologistas foram entrevistados, em sua maioria do sexo masculino (77,2%), idade média de 36,1 anos (DP = 8,5). Observou-se uma alta prevalência de uso de opioides (59,6%), benzodiazepínicos (35,1%) e álcool (35,1%). Usuários de opioides procuraram tratamento mais precocemente comparado aos não usuários desta substância e, geralmente, sob influência da pressão de colegas ou do conselho regional de medicina. O uso de drogas como automedicação foi elevado dentro deste subgrupo. CONCLUSÕES: Anestesiologistas podem apresentar um perfil distinto de risco de uso de opioides. O padrão de início de consumo, associado aos anos de residência médica ou aos primeiros anos da prática médica, reforça a hipótese de dependência de opioides como problema ocupacional entre anestesiologistas.

Palavras-chave

anestesiologista, doenças, ocupacionais

Abstract

BACKGROUND AND OBJECTIVES: Anesthesiologists are the majority in impaired-physician programs that assist physicians who abuse psychoactive substances. The aim of this paper is to show a descriptive study about the clinical and sociodemographic profile of a sample of chemically dependent anesthesiologists treated in a reference program. In addition, the objective is to cite the psychiatric comorbities, the most frequently used drugs and the psychosocial and professional repercussions of substance abuse. METHOD: A cross-sectional and prospective study was conducted, and a socio-occupational questionnaire and a structured interview were carried out to diagnose mental and psychoactive substance use disorders, according to the International Classification of Diseases (the ICD-10). The questionnaire and the structured interview were carried out by two skilled researchers. RESULTS: Fifty-seven anesthesiologists were interviewed. Most of them were male (77.2%), and the mean age was 36.1 years (SD = 8.5%). A high prevalence of abuse of opioid (59.6%), benzodiazepine (3.1%) and alcohol (35.1%) was observed. Opioid users sought treatment earlier than other substance users and usually they were under pressure from their colleagues and the Regional Council of Medicine. The incidence of drug abuse for self-medication was high in this subgroup. CONCLUSIONS: Anesthesiologists may present a different profile concerning the risks of opioid use. Opioid abuse usually begins during medical residency or during the first years of clinical practice, which supports the hypothesis that addiction to opioids is an occupational issue among anesthesiologists.

Keywords

anesthesiology, occupational diseases, opioid-related disorders, mental health

References

Murray CJ, Lopez AD. Global mortality, disability, and the contribution of risk factors: Global Burden of Disease Study. Lancet. 1997;349:1436-1442.

Brewster JM. Prevalence of alcohol and other drug problems among physicians. JAMA. 1986;255:1913-1920.

Newbury-Birch D, Walshaw D, Kamali F. Drink and drugs: from medical students to doctors. Drug Alcohol Depend. 2001;64:265-270.

Baldisseri MR. Impaired healthcare professional. Crit Care Med. 2007;35:S106-116.

Spiegelman WG, Saunders L, Mazze RI. Addiction and anesthesiology. Anesthesiology. 1984;60:335-341.

Palhares-Alves HN, Laranjeira RR, Nogueira-Martins LA. A pioneering experience in Brazil: the creation of a support network for alcohol and drug dependent physicians. A preliminary report. Rev Bras Psiquiatr. 2007;29(3):258-261.

Alves HN, Surjan JC, Nogueira-Martins LA. Perfil clínico e demográfico de médicos com dependência química. Rev Assoc Med Bras. 2005;51(3):139-143.

Alexander BH, Checkoway H, Nagahama SI. Cause-specific mortality risks of anaesthesiologists. Anesthesiology. 2000;93:922-930.

Talbott GD, Gallegos KV, Wilson PO. The medical association of georgias impaired physicians program: Review of the first 1000 physicians: analysis of specialty. JAMA. 1987;257:2927-2930.

Kintz P, Villain M, Dumestre V. Evidence of addiction by anesthesiologists as documented by hair analysis. Forensic Sci Int. 2005;153(1):81-84.

Booth JV, Grossman D, Moore J. Substance abuse among physicians: a survey of academic anesthesiology programs. Anesth Analg. 2002;95:1024-1030.

Janca A, Hiller W. ICD-10 checklists: a tool for clinicians use of the ICD-10 classification of mental and behavioral disorders. Compr Psychiatry. 1996;37:180-187.

Katsavdakis KA, Gabbard GO, Athey GI. Profiles of impaired health professionals. Bull Menninger Clin. 2004;68:60-72.

Regier DA, Farmer ME, Rae DS. Comorbidity of mental disorders with alcohol and other drug abuse: Results from the Epidemiologic Catchment Area (ECA) Study. JAMA. 1990;264:2511-2518.

Kenna GA, Wood MD. In search of pharmacological optimism: Investigating beliefs about effects of drugs: A pilot study. Addict Res Theor. 2008;16(4):383-399.

Gold MS, Melker RJ, Dennis DM. Fentanyl abuse and dependence: further evidence for second hand exposure hypothesis. J Addict Dis. 2006;25:15-21.

Merlo LJ, Goldberger BA, Kolodner D. Fentanyl and propofol exposure in the operating room: sensitization hypotheses and further data. J Addict Dis. 2008;27(3):67-76.

5dd2e2560e88254e21c63493 rba Articles
Links & Downloads
2352-2291 (Electronic) 0104-0014 (Printed)
Braz J Anesthesiol ©2024 All rights reserved.

Braz J Anesthesiol

Share this page
Page Sections