Prevalence and patterns of substance misuse in schizophrenia

Condren, Rita; O’Connor, John J.; Browne, Roy

doi:10.1192/pb.25.1.17

Cited by 19 publications

(16 citation statements)

References 17 publications

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“…Prevalence of substance use disorders in our sample was 63.6% which is similar to that reported in other recent studies [34–36]. Nicotine was the commonest substance abused which is supported by other studies [37].…”

Section: Discussionsupporting

confidence: 92%

Impact of Substance Use Disorder on Presentation and Short-Term Course of Schizophrenia

Chakraborty¹,

Chatterjee²

2014

Psychiatry Journal

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The aim of the present study was to compare a cohort of schizophrenia patients with substance use disorder (SUD) with a similar cohort of schizophrenia patients without SUD with regard to sociodemographic variables, clinical variables, psychopathology, anxiety symptoms, depressive symptoms, treatment outcome, and side effect profile of drugs. A total of 143 consecutive inpatients with ICD-10 DCR diagnosis of schizophrenia were included after obtaining informed consent. Patients were evaluated by a semistructured data sheet and Maudsley Addiction Profile. They were then rated by Positive and Negative Symptoms Scale, Calgary Depression Scale, Hamilton Anxiety Rating Scale, and Brief Psychiatric Rating Scale at presentation, three weeks, and six weeks. At three weeks and six weeks, they were also evaluated by UKU Side Effect Rating Scale. Substance abuse was detected in 63.6% schizophrenia patients. Nicotine was the commonest substance followed by cannabis and alcohol. Substance users had longer untreated illness and more depressive symptoms at presentation and six-week follow-up. Dual diagnosis patients had difficulty in abstraction at three and six weeks but not at presentation. Schizophrenia patients with SUD had more depressive symptoms. SUD appeared to mask abstraction difficulties at presentation. Schizophrenia patients with SUD should be carefully assessed for presence of depression.

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Section: Discussionsupporting

confidence: 92%

Impact of Substance Use Disorder on Presentation and Short-Term Course of Schizophrenia

Chakraborty¹,

Chatterjee²

2014

Psychiatry Journal

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“…(2000) reports a history of substance abuse among 39% of inpatients with a diagnosis of schizophrenia. Similarly, Condren et al . (2001) reports a prevalence rate of 45% for illicit substances and 33% for alcohol among outpatients.…”

Section: Introductionmentioning

confidence: 66%

“…Only in the last decade has the prevalence of substance abuse among mentally ill individuals been reported through the research findings (Kamali et al . 2000, Condren et al . 2001, MacGabhann et al .…”

Section: Introductionmentioning

confidence: 99%

A multi‐method evaluation of a training course on dual diagnosis

Rani

Byrne

2011

Psychiatric Ment Health Nurs

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A training course on dual diagnosis was developed within the Irish forensic mental health service, to bridge the gap in the lack of training on dual diagnosis in Ireland. The course was designed for service providers within mental health and addiction services. Twenty participants involving nursing, social work, police and social welfare disciplines attended the first training course. A mixed methodology research design was adapted to describe participants' evaluation of the training course. Data were collected using multiple methods: pre- and post-test, daily evaluation and focus group interviews. Quantitative data were analysed using the spss Version 16.0 and qualitative data were analysed thematically. Findings from the pre- and post-test suggest an increase in participants' knowledge of dual diagnosis and an increase in confidence in conducting groups. Daily evaluation indicates that the course content largely met participants' needs. Finally, three themes emerged from the focus group interview: increased confidence, the training course/teaching methods and personal/organizational challenges. This study implies that service providers within mental health and addiction services benefit from inter-professional, needs and skills based courses incorporating a variety of teaching methods. The way forward for future dual diagnosis training course developments would be working in partnership with service users and carers.

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“…The mental illness and addictive disorders are among most burdensome disorders (Global Burden of Disease study)[ 1 ] and often coexist but go undetected. [ 2 3 ] Substance use disorder (SUD) in people with mental illness is associated with poor treatment compliance, course and outcome, higher homelessness, more unemployment, criminal offences, suicide, and poorer overall functioning whereas a reduction in substance use is associated with a reduction in subsequent admissions and symptoms. [ 4 5 ]…”

Section: Introductionmentioning

confidence: 99%