| Titre : | A brief motivational intervention for substance misuse in recent-onset psychosis |
| Titre traduit : | (Intervention brève chez un usager de drogue jeune présentant une psychose) |
| Auteurs : | D. J. KAVANAGH ; R. YOUNG ; A. WHITE ; J. B. SAUNDERS ; WALLIS J. ; SHOCKLEY N. ; L. JENNER ; A. CLAIR |
| Type de document : | Périodique |
| Année de publication : | 2004 |
| Format : | 151-155 / tabl. |
| Note générale : |
Drug and Alcohol Review, 2004, 23, (2), 151-155 |
| Langues: | Anglais |
| Mots-clés : |
Thésaurus mots-clés TABAC ; TROUBLE BIPOLAIRE ; INTERVENTION BREVE ; ALCOOL ; AMPHETAMINES ; CANNABIS ; ABUS ; COMORBIDITE ; PSYCHOSE ; MOTIVATION ; ENTRETIEN ; PRISE EN CHARGE |
| 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.) |
| Note de contenu : | tabl. |
| Domaine : | Drogues illicites / Illicit drugs |
| Refs biblio. : | 17 |
| Affiliation : |
Dept. Psychiatr., Univ. Queensland, K floor, Mental Health Ctr., Royal Brisbane Hosp., Herston 4029 Qld ; davidk@psychiatry.uq.edu.au Australie. Australia. |
| Numéro Toxibase : | 804804 |
| Centre Emetteur : | 08 CAS Strasbourg |
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