Historique
Article de Périodique
Substance use in young adults with schizophrenic disorders (1989)
(Usage de drogues chez les jeunes adultes schizophrènes)
Auteur(s) :
TEST M. A. ;
WALLISCH L. S. ;
ALLNESS, D. J. ;
RIPP K.
Année
1989
Page(s) :
465-476
Langue(s) :
Anglais
Refs biblio. :
26
Domaine :
Alcool / Alcohol ; Drogues illicites / Illicit drugs
Discipline :
PSY (Psychopathologie / Psychopathology)
Thésaurus mots-clés
POLYCONSOMMATION
;
SCHIZOPHRENIE
;
CONSOMMATION
;
TRAITEMENT
;
JEUNE ADULTE
;
ETUDE CLINIQUE
;
EFFET RECHERCHE
Thésaurus géographique
ETATS-UNIS
Résumé :
FRANÇAIS :
Les auteurs étudient l'utilisation de substances toxiques parmi les jeunes adultes schizophrènes. Ceux-ci utilisent ces substances plusieurs fois par semaine depuis longtemps et de façon importante. ils les utilisent pour diminuer leur anxiété, leur ennui, leurs difficultés de contact. Une polyintoxication existe. Les auteurs insistent sur la nécessité de programmes communautaires pour soutenir ces patients et éviter l'usage de toxiques.
ENGLISH:
Use of nonprescribed mood altering substances is pervasive and problematic in young adults with serious mental illnesses in community care. Fifty-eight percent of young adult clients with clearly defined schizophrenia or schizophrenia-related disorders participating in a long-term community treatment study were rated by staff or themselves as using alcohol, cannabis, or other street drugs several times a week or more. We interviewed in depth a random sample of these “significant users” to obtain their perspective on their frequencies, patterns, histories, contributing factors to, and effects of substance use and their related treatment experiences. Results revealed these clients' substance use to be of long duration and deeply entrenched, with current use often involving multiple sub stances including both street drugs and substances of “everyday life” (e.g., caffeine, nicotine). Clients reported compelling reasons for use including anxiety reduction, relief of boredom, and a means for social contact. Staff and clients clearly view substance use quite differently, with the latter focusing at least as much on consequences of symptom relief as symptom exacerbation. Treatment implications are discussed.
Les auteurs étudient l'utilisation de substances toxiques parmi les jeunes adultes schizophrènes. Ceux-ci utilisent ces substances plusieurs fois par semaine depuis longtemps et de façon importante. ils les utilisent pour diminuer leur anxiété, leur ennui, leurs difficultés de contact. Une polyintoxication existe. Les auteurs insistent sur la nécessité de programmes communautaires pour soutenir ces patients et éviter l'usage de toxiques.
ENGLISH:
Use of nonprescribed mood altering substances is pervasive and problematic in young adults with serious mental illnesses in community care. Fifty-eight percent of young adult clients with clearly defined schizophrenia or schizophrenia-related disorders participating in a long-term community treatment study were rated by staff or themselves as using alcohol, cannabis, or other street drugs several times a week or more. We interviewed in depth a random sample of these “significant users” to obtain their perspective on their frequencies, patterns, histories, contributing factors to, and effects of substance use and their related treatment experiences. Results revealed these clients' substance use to be of long duration and deeply entrenched, with current use often involving multiple sub stances including both street drugs and substances of “everyday life” (e.g., caffeine, nicotine). Clients reported compelling reasons for use including anxiety reduction, relief of boredom, and a means for social contact. Staff and clients clearly view substance use quite differently, with the latter focusing at least as much on consequences of symptom relief as symptom exacerbation. Treatment implications are discussed.
Affiliation :
School of Social Work, University of Wisconsin-Madison, USA