Psychopathology in Substance Use Disorder Patients with and without Substance-Induced Psychosis

Autor: Élie Rizkallah, Andràs Tikàsz, Stéphane Potvin, Simon Zhornitsky, Jean-Pierre Chiasson
Rok vydání: 2015
Předmět:
Zdroj: Journal of Addiction, Vol 2015 (2015)
Journal of Addiction
ISSN: 2090-7850
2090-7834
DOI: 10.1155/2015/843762
Popis: Background. Substance-induced psychotic disorder (SIPD) is a diagnosis constructed to distinguish substance-induced psychotic states from primary psychotic disorders. A number of studies have compared SIPD persons with primary psychotic patients, but there is little data on what differentiates substance use disorder (SUD) individuals with and without SIPD. Here, we compared psychopathology, sociodemographic variables, and substance use characteristics between SUD patients with and without SIPD.Methods. A retrospective chart review was conducted on newly admitted patients at a rehabilitation centre between 2007 and 2012.Results. Of the 379 patients included in the study, 5% were diagnosed with SIPDn=19and 95% were diagnosed with SUDs without SIPDn=360. More SIPD patients reported using cannabis and psychostimulants, and fewer SIPD patients reported using alcohol than SUDs patients without SIPD. SIPD patients scored higher on the “schizophrenia nuclear symptoms” dimension of the SCL-90R psychoticism scale and exhibited more ClusterB personality traits than SUD patients without SIPD.Discussion. These data are consistent with previous studies suggesting that psychopathology, substance type, and sociodemographic variables play important role in the development of SIPD. More importantly, the results highlight the need for paying greater attention to the types of self-reported psychotic symptoms during the assessment of psychotomimetic effects associated with psychoactive substances.
Databáze: OpenAIRE
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