Past studies have found inconsistent evidence that substance use disorders are related to earlier onset of schizophrenia or more severe symptoms.
This study examines prevalence and severity of current substance use disorders and onset of psychotic illness in a multi-facility sample.
Data are from the Suffolk County Mental Health Project, an epidemiological study of first admission psychosis.
The SCID and instruments measuring symptomatology, personality and background characteristics were administered.
Respondents were stratified into three groups :
(a) no life-time substance diagnosis ;
(b) in remission or reporting current mild use at admission ;
and (c) current moderate-severe substance abuse at admission.
Using the SCID severity rating, 17.4% of males and 6.2% of the females had moderate or severe current substance abuse, while 41.5% of males and 68.2% of females had no lifetime substance diagnosis.
In almost all cases categorized as moderate-severe, the substance diagnosis predated onset of psychosis.
Females categorized as moderate-severe had an earlier age of onset of psychosis than did females in the other groups.
There were only slight differences in symptom severity among the groups but more marked antisocial behaviour in the moderate-severe group. (...)
Mots-clés Pascal : Toxicomanie, Alcoolisme, Facteur risque, Psychose, Trouble comportement social, Prévalence, Epidémiologie, Santé mentale, Etats Unis, Amérique du Nord, Amérique, Sexe, Homme
Mots-clés Pascal anglais : Drug addiction, Alcoholism, Risk factor, Psychosis, Social behavior disorder, Prevalence, Epidemiology, Mental health, United States, North America, America, Sex, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0043871
Code Inist : 002B18C05D. Création : 31/05/1999.