Historique
Périodique
A brief motivational intervention for substance misuse in recent-onset psychosis
(Intervention brève chez un usager de drogue jeune présentant une psychose)
Auteur(s) :
KAVANAGH, D. J. ;
YOUNG, R. ;
WHITE, A. ;
SAUNDERS, J. B. ;
WALLIS J. ;
SHOCKLEY N. ;
JENNER, L. ;
CLAIR, A.
Année
2004
Page(s) :
151-155
Langue(s) :
Anglais
Refs biblio. :
17
Domaine :
Drogues illicites / Illicit drugs
Thésaurus mots-clés
TABAC
;
TROUBLE BIPOLAIRE
;
INTERVENTION BREVE
;
ALCOOL
;
AMPHETAMINE
;
CANNABIS
;
ABUS
;
COMORBIDITE
;
PSYCHOSE
;
MOTIVATION
;
ENTRETIEN
;
PRISE EN CHARGE
Note générale :
Drug and Alcohol Review, 2004, 23, (2), 151-155
Note de contenu :
tabl.
Résumé :
ENGLISH :
Substance misuse is common in early psychosis, and impacts negatively on outcomes. Little is known about effective interventions for this population. We report a pilot study of brief intervention for substance misuse in early psychosis (Start Over and Survive : SOS), comparing it with Standard Care (SC). Twenty-five in-patients aged 18-35 years with early psychosis and current misuse of non-opioid drugs were allocated randomly to conditions. Substance use and related problems were assessed at baseline, 6 weeks and 3, 6 and 12 months. Final assessments were blind to condition. All 13 SOS participants who proceeded to motivational interviewing reported less substance use at 6 months, compared with 58% (7/12) in SC alone. Effects were well maintained to 12 months. However, more SOS participants lived with a relative or partner, and this also was associated with better outcomes. Engagement remained challenging : 39% (16/41) declined participation and 38% (5/13) in SOS only received rapport building. Further research will increase sample size, and address both engagement and potential confounds. (Review's abstract.)
Affiliation :
Dept. Psychiatr., Univ. Queensland, K floor, Mental Health Ctr., Royal Brisbane Hosp., Herston 4029 Qld ; davidk@psychiatry.uq.edu.au
Australie. Australia.
Australie. Australia.