Historique
Périodique
Course of substance misuse and daily tobacco use in first-episode psychosis
(Le processus du mesusage de substance et du tabagisme quotidien lors d'une psychose en premier épisode)
Auteur(s) :
WADE, D. ;
HARRIGAN, S. ;
EDWARDS, J. ;
BURGESS, P. M. ;
WHELAN, G. ;
McGORRY, P. D.
Année
2006
Page(s) :
145-150
Langue(s) :
Anglais
Refs biblio. :
12
Domaine :
Alcool / Alcohol ; Drogues illicites / Illicit drugs ; Tabac / Tobacco / e-cigarette
Discipline :
PSY (Psychopathologie / Psychopathology)
Thésaurus géographique
AUSTRALIE
Thésaurus mots-clés
TROUBLE BIPOLAIRE
;
PSYCHOSE
;
TABAC
;
SCHIZOPHRENIE
;
ABUS
;
DEPENDANCE
;
USAGE REGULIER
;
CANNABIS
;
SUIVI DU PATIENT
;
ALCOOL
;
POLYCONSOMMATION
Note générale :
Schizophrenia Research, 2006, 81, (2-3), 145-150
Résumé :
BACKGROUND: Study of the course of substance misuse and daily tobacco use in first-episode psychosis may enhance detection and treatment of these substance-related problems. METHODS: This 15-month follow-up study examined the course of substance misuse and daily tobacco use in 103 individuals treated for first-episode psychosis. RESULTS: Three-quarters (72.6%) of patients with lifetime substance misuse, or half (51.5%) of all patients, continued substance misuse (primarily cannabis) during the 15-month follow-up period. There was a significant reduction in the rate of any substance misuse (70.9% versus 53.4%) but not daily tobacco use (76.7% versus 75.7%) between baseline and 15-month follow-up. Patients who continued substance misuse showed a significant reduction in the severity and frequency of substance use between baseline and follow-up. Patients who continued substance misuse were more likely to be younger, male and single, less likely to have completed secondary school, and more likely to have had more severe cannabis use prior to entry to treatment compared to patients who ceased substance misuse. DISCUSSION: A significant proportion of young patients treated for first-episode psychosis are at risk of mental and physical health problems associated with substance misuse and/or regular tobacco use.
Affiliation :
ORYGEN Youth Health, Parkville, VIC, Australia
Cote :
A02786