Journal
PSYCHIATRY RESEARCH
Volume 242, Issue -, Pages 94-100Publisher
ELSEVIER IRELAND LTD
DOI: 10.1016/j.psychres.2016.05.043
Keywords
Psychosis; Substance use; Substance-induced; Schizophrenia; Cocaine
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Funding
- Plan Nacional Sobre Drogas (PNSD) [INT/2012/2002, 049/2009]
- FIPSE [3035/99, 36,253/01]
- Fondo de Investigacion Sanitaria (FIS) [98/0176, 00/0777, 00/810, G03/005]
- Red de TrastornosAdictivos UE-FEDER [RD12/0028/0009, RD12/0028/0017 y RD12/0028/0001]
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The main goal of this study it is explore the psychopathological differences between IPD and SIPD in a sample of 125 adults with a lifetime diagnosis of cocaine disorder recruited from treatment setting and through street contacts. A secondary analysis of six cross-sectional studies was conducted between 2000 and 2010. SIPD and IPD were diagnosed using the Psychiatric Research Interview for Substance and Mental Disorders (PRISM). 38 subjects (30.4%) were diagnosed with lifetime IPD and 87 (69.6%) with lifetime SIPD. A binomial logistic regression analysis using SIPD as the reference group showed that only previous prison admissions (OR 2.59; 95% CI 1.05, 6.36) and visual hallucinations (OR 5.21; 95% CI 1.54, 17.65) remained significant variables in the group with lifetime SIPD. In the group with lifetime IPD, grandiose delusions (OR 0.19; 95% CI 0.06, 0.60) and disorganized speech (OR 0.16; 95% CI 0.04, 0.61) remained significant. Model predicts the diagnosis of lifetime SIPD with a sensitivity of 80.3% and a specificity of 78.2%. This clinical profile of lifetime SIPD could help distinguish between IPD and SIPD among adults with lifetime diagnosis of cocaine disorder. (C) 2016 Elsevier Ireland Ltd. All rights reserved.
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