Abuse Pattern, Perpetuating Factors And Co-Morbidity Issues Among Substance Users And Patients with Psychosis
Journal Title: Stanley Medical Journal - Year 2016, Vol 3, Issue 3
Abstract
Context: Substance Abuse is a common comorbidity with psychotic illnesses. Although several theories exist to explain this link, individual reasons for use may differ. Aims: The aim of this study was to evaluate abuse, perpetuating factors and comorbidity issues among substance users and patients with psychotic illness. Settings and Design: The study was done in the Psychiatry Department, Govt. Stanley Medical College Hospital, Chennai using a cross-sectional study design. Methods and Material: Patients were divided into two groups viz (1) Psychotic illness with substance use and (2) substance use individuals without psychosis. Individuals are diagnosed with Psychotic disorders using ICD-10 Diagnostic Criteria. They were analyzed by semi structured proforma, Inventory of Drug Taking Situations, (IDTS) and Global assessment of functioning(GAF) and comparative analysis between these groups was done. Statistical analysis used: the student-t test was used for continuous variables and Pearson’s chi- square test was used for categorical variables. Results: There were significant differences between the two groups for the pattern and perpetuating factors for substance use and there was family history of substance use more with substance use disorders and less with psychotic patients. The causes of maintenance of substance use were internal factors in psychotic patients and external factors for substance use disorder patients Conclusions: In psychotic patients with substance use identifying the internal factors would definitely help in compliance , treatment and prognosis of these patients.
Authors and Affiliations
Natarajan P, Venkatesh Madhan Kumar, Asokan T. V, Chandralekha G. S
Keywords
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