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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Wisdom, Jennifer P. Manuel, Jennifer I. Drake, Robert E. |
| Description | Country affiliation: United States Author Affiliation: Wisdom JP ( Division of Mental Health Services and Policy Research, New York State Psychiatric Institute, 1051 Riverside Drive, Box 100, New York, NY 10032, USA. jwisdom@nyspi.columbia.edu) |
| Abstract | OBJECTIVE: People experiencing a first episode of psychosis frequently have co-occurring substance use disorders, usually involving alcohol and cannabis, which put them at risk for prolonged psychosis, psychotic relapse, and other adverse outcomes. Yet few studies of first-episode psychosis have addressed the course of substance use disorders and the response to specialized substance abuse treatments. METHODS: The authors searched MEDLINE, PsycINFO, and other medical databases for English-language articles published between 1990 and 2009. Included studies addressed two research questions. First, do some clients become abstinent after a first episode of psychosis without specialized substance abuse treatments? Second, for clients who continue to use substances after a first episode of psychosis, does the addition of specialized substance abuse treatment enhance outcomes? RESULTS: Nine studies without specialized substance abuse treatment and five with specialized substance abuse treatment assessed the course of substance use (primarily cannabis and alcohol) after a first episode of psychosis. Many clients (approximately half) became abstinent or significantly reduced their alcohol and drug use after a first episode of psychosis. The few available studies of specialized substance abuse treatments did not find better rates of abstinence or reduction. CONCLUSIONS: Experience, education, treatment, or other factors led many clients to curtail their substance use disorders after a first episode of psychosis. Specialized interventions for others need to be developed and tested. |
| File Format | HTM / HTML |
| ISSN | 10752730 |
| e-ISSN | 15579700 |
| DOI | 10.1176/appi.ps.62.9.1007 |
| Journal | Psychiatric Services |
| Issue Number | 9 |
| Volume Number | 62 |
| Language | English |
| Publisher | American Psychiatric Association |
| Publisher Date | 2011-09-01 |
| Publisher Place | United States |
| Access Restriction | Open |
| Subject Keyword | Discipline Psychiatry Psychotic Disorders Substance-related Disorders Therapy Physiopathology Psychology Research Support, N.i.h., Extramural |
| Content Type | Text |
| Resource Type | Article |
| Subject | Psychiatry and Mental Health |
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