期刊
EARLY INTERVENTION IN PSYCHIATRY
卷 3, 期 1, 页码 75-79出版社
WILEY-BLACKWELL PUBLISHING, INC
DOI: 10.1111/j.1751-7893.2008.00100.x
关键词
comorbidity; dual diagnosis; early intervention; schizophrenia; substance-related disorder
类别
资金
- Canadian Institutes of Health Research
Aims: To determine the incidence of concurrent substance misuse among individuals entering first-episode psychosis treatment, and examine whether patients with concurrent substance misuse differ on variables relevant to service planning. Methods: Consecutive patients (n = 376) were assessed using standardized instruments. Results: Twenty-two per cent met abuse or dependence criteria for a single substance, and 8% met criteria for two substances. Most met criteria for marijuana or marijuana and alcohol. The majority of patients with a concurrent disorder were male, and on average they were 3.5 years younger at psychosis onset. Patients with a concurrent disorder experienced worse 'positive' and anxiety symptoms in the month before treatment. Premorbidly they had better social functioning, but worse academic functioning. Conclusions: There are important differences between patients entering first-episode psychosis treatment with and without a concurrent substance misuse. Early intervention efforts might be informed by our accumulating knowledge about the characteristics of patients who have both disorders.
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