Predictors of substance use reduction in an epidemiological first-episode psychosis cohort.

Détails

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Etat: Serval
Version: de l'auteur
ID Serval
serval:BIB_EF761555D90F
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Predictors of substance use reduction in an epidemiological first-episode psychosis cohort.
Périodique
Early Intervention In Psychiatry
Auteur(s)
Rebgetz S., Conus P., Hides L., Kavanagh D.J., Cotton S., Schimmelmann B.G., McGorry P.D., Lambert M.
ISSN
1751-7893 (Electronic)
ISSN-L
1751-7885
Statut éditorial
Publié
Date de publication
2014
Peer-reviewed
Oui
Volume
8
Numéro
4
Pages
358-365
Langue
anglais
Notes
Publication types: Journal ArticlePublication Status: ppublish
Résumé
AIM: To assess the predictors of a significant decrease or cessation of substance use (SU) in a treated epidemiological cohort of first-episode psychosis (FEP) patients.
METHOD: Participants were FEP patients of the Early Psychosis Prevention and Intervention Centre in Australia. Patients' medical files were reviewed using a standardized file audit. Data on 432 patients with FEP and baseline co-morbid substance use disorder (SUD) were available for analysis. Predictors of reduction/cessation of SU at follow up were examined using logistic regression analyses.
RESULTS: In univariate analyses, a reduction/cessation of SU was predicted by baseline measures reflecting higher education, employment, accommodation with others, cannabis use disorder (CUD) only (rather than poly-SUDs), better global functioning and better premorbid social and occupational functioning, later age at onset of psychosis, and a diagnosis of non-affective psychosis. In multivariate analysis, CUD alone and better premorbid social and occupational functioning remained significant predictors.
CONCLUSIONS: Addressing SUDs and social and occupational goals in people with FEP may offer opportunities to prevent SUDs becoming more severe or entrenched. Further longitudinal research on recovery from SU and FEP is needed to disentangle directions of influence and identify key targets for intervention.
Pubmed
Web of science
Création de la notice
10/12/2013 12:44
Dernière modification de la notice
03/03/2018 22:34
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