Prevalence of Substance Use among Psychotic Patients and Determining Its Strongest Predictor

Autor: Seyedeh Bentolhoda Mousavi, Peter Higgs, Negar Piri, Ensieh Sadri, Matina Pourghasem, Sanaz Jafarzadeh Fakhari, Mehdi Noroozi, Mojtaba Miladinia, Elaheh Ahounbar, Asaad Sharhani
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Iranian Journal of Psychiatry, Vol 16, Iss 2 (2021)
Druh dokumentu: article
ISSN: 1735-4587
2008-2215
DOI: 10.18502/ijps.v16i2.5812
Popis: Objective: Although comorbidity of psychotic disorders and substance use can lead to increase in mortality, less is known about the outbreak and predictors. Psychotic patients tend to be overlooked during assessment; hence, the possibility of an undertreated or missed condition such as increasing substance use. This investigation aimed to measure the prevalence of substance use in psychotic patients and to survey the powerful predictors. Method: In a 1-year cross-sectional study, 311 psychotic patients were assessed using the Structured Interview Based on DSM-5 for diagnostic confirmation as well as questions surveying prevalence and possible predictors of substance use. Results: Prevalence of substance use among psychotic patients was 37.9%. Several variables were identified as factors associated with drug abuse among the psychotic patients. These included male gender, younger age, being currently homeless, a history of imprisonment, and having family history of drug use. The strongest predictors of substance use, however, were family history of drug use, male gender, and being currently homelessness. Conclusion: Policymakers should note the importance of substance use among psychotic patients. Developing active screening strategies and comprehensive preventive plans, especially in the high-risk population, is suggested.
Databáze: Directory of Open Access Journals