Substance use disorder and the early course of illness in schizophrenia and affective psychosis.

Abstract:

:The relationship between a history of substance use disorder and the early course of psychotic illness was examined in 96 subjects with schizophrenia and 106 subjects with affective psychosis followed in the Suffolk County Mental Health Project, a longitudinal study of first-admission psychosis. Subjects received a structured diagnostic interview and clinical ratings at baseline assessment and again 6 months later. The 6-month assessment included information about treatment received during the interval. A lifetime history of substance use disorder was associated with worse clinical functioning at 6 months for schizophrenia subjects, but not for those with affective psychosis. There were no significant associations of substance use disorder with type of treatment during the interval or with self-reported compliance with medication. Schizophrenia subjects were more likely than subjects with affective psychosis to report cannabis use during the interval and to meet criteria for cannabis use disorder.

journal_name

Schizophr Bull

journal_title

Schizophrenia bulletin

authors

Kovasznay B,Fleischer J,Tanenberg-Karant M,Jandorf L,Miller AD,Bromet E

doi

10.1093/schbul/23.2.195

subject

Has Abstract

pub_date

1997-01-01 00:00:00

pages

195-201

issue

2

eissn

0586-7614

issn

1745-1701

journal_volume

23

pub_type

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