engleski

Substance abuse in patients hospitalized with first-episode psychosis

The aim of the paper is to determine the prevalence of substance abuse in patients with first-episode psychosis urgently admitted to hospital treatment. The aim is also to examine the influence of substance abuse on the clinical picture of the disease and recovery. Both gender patients, aged 18-35 yrs, were included in the study. They were admitted to hospital treatment with the diagnosis of acute and transient psychosis in the period from 2004 and 2007. We compared a group of patients with substance abuse, according to ICD-10, with a group without the abuse taking into consideration socio-demographic data, psychiatric heredity, earlier mental disorders, treatment attendance circumstances, clinical picture of the disease and the obtained remission. Alcohol and cannabinoid abuse as well as combinations of several addiction substances were represented most. The results show a statistically significant difference in the prevalence of psychoactive substance abuse regarding the patients' gender, and a statistically significant difference in the suicidality and aggression in patients with first-episode psychosis. There was no statistically significant difference between patients with and without substance abuse considering their marital status, parenthood, employment, professional qualifications, psychiatric heredity, earlier mental disorders, prevailing symptoms in the clinical picture, treatment attendance circumstances and the quality of recovery. The results of the study suggest a high prevalence of psychoactive substance abuse in patients with first-episode psychosis as well as the existence of differences in the clinical picture of the patients with the abuse in comparison with those without substance abuse.

Abuse ; Addiction ; First-episode psychosis ; Prevalence ; Substances

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