Psychosis and substance abuse.
Autor(a) principal: | |
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Data de Publicação: | 2008 |
Outros Autores: | |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/883 |
Resumo: | The objective of this retrospective study covering a period of 4 years (2001-2004), is to characterize and chart the clinical profiles of acute patients in the psychiatric inpatients ward of Hospital S. Francisco Xavier diagnosed with psychosis and substance abuse. During this period, 422 patients diagnosed with nonaffective psychosis (292, 295, 297 and 298, according to ICD9) were admitted. An analysis of the clinical profiles of these inpatients shows that a high percentage (42%) have psychotic pathologies and an history of substance abuse. These are predominantly young males. Schizophrenic patients with an history of substance abuse reached 40%. A particularly relevant finding in view of the fact that substance abuse leads to worse prognostics. Cannabinoids are by far the most widely abused substance, followed by alcohol. There are also 7.2% psychosis due to drug use in which the drug of choice was cannabis. In the light of current scientific knowledge, this is very relevant fact since the use of cannabinoids appears to be a risk factor for the onset of schizophrenia. It was observed that, often, due importance is not given to this association since few nodrug assays are carried out and when they are, they don't cover all drugs. Therefore, this study should alert medical staff to the high prevalence of substance abuse amongst psychotic patients, and to the necessity for a proactive stance in the detection of substance abuse in order to facilitate the development of better therapeutic projects which take into consideration this comorbidity and seek to promote psychoeducation of patients. |
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Psychosis and substance abuse.Psicose e consumo de substâncias.The objective of this retrospective study covering a period of 4 years (2001-2004), is to characterize and chart the clinical profiles of acute patients in the psychiatric inpatients ward of Hospital S. Francisco Xavier diagnosed with psychosis and substance abuse. During this period, 422 patients diagnosed with nonaffective psychosis (292, 295, 297 and 298, according to ICD9) were admitted. An analysis of the clinical profiles of these inpatients shows that a high percentage (42%) have psychotic pathologies and an history of substance abuse. These are predominantly young males. Schizophrenic patients with an history of substance abuse reached 40%. A particularly relevant finding in view of the fact that substance abuse leads to worse prognostics. Cannabinoids are by far the most widely abused substance, followed by alcohol. There are also 7.2% psychosis due to drug use in which the drug of choice was cannabis. In the light of current scientific knowledge, this is very relevant fact since the use of cannabinoids appears to be a risk factor for the onset of schizophrenia. It was observed that, often, due importance is not given to this association since few nodrug assays are carried out and when they are, they don't cover all drugs. Therefore, this study should alert medical staff to the high prevalence of substance abuse amongst psychotic patients, and to the necessity for a proactive stance in the detection of substance abuse in order to facilitate the development of better therapeutic projects which take into consideration this comorbidity and seek to promote psychoeducation of patients.The objective of this retrospective study covering a period of 4 years (2001-2004), is to characterize and chart the clinical profiles of acute patients in the psychiatric inpatients ward of Hospital S. Francisco Xavier diagnosed with psychosis and substance abuse. During this period, 422 patients diagnosed with nonaffective psychosis (292, 295, 297 and 298, according to ICD9) were admitted. An analysis of the clinical profiles of these inpatients shows that a high percentage (42%) have psychotic pathologies and an history of substance abuse. These are predominantly young males. Schizophrenic patients with an history of substance abuse reached 40%. A particularly relevant finding in view of the fact that substance abuse leads to worse prognostics. Cannabinoids are by far the most widely abused substance, followed by alcohol. There are also 7.2% psychosis due to drug use in which the drug of choice was cannabis. In the light of current scientific knowledge, this is very relevant fact since the use of cannabinoids appears to be a risk factor for the onset of schizophrenia. It was observed that, often, due importance is not given to this association since few nodrug assays are carried out and when they are, they don't cover all drugs. Therefore, this study should alert medical staff to the high prevalence of substance abuse amongst psychotic patients, and to the necessity for a proactive stance in the detection of substance abuse in order to facilitate the development of better therapeutic projects which take into consideration this comorbidity and seek to promote psychoeducation of patients.Ordem dos Médicos2008-01-24info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/883oai:ojs.www.actamedicaportuguesa.com:article/883Acta Médica Portuguesa; Vol. 20 No. 5 (2007): September-October; 413-22Acta Médica Portuguesa; Vol. 20 N.º 5 (2007): Setembro-Outubro; 413-221646-07580870-399Xreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/883https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/883/557Direitos de Autor (c) 2008 Acta Médica Portuguesa - Ordem dos Médicosinfo:eu-repo/semantics/openAccessCarreiro, Susana VazBorrego, Mário2022-12-20T10:57:06Zoai:ojs.www.actamedicaportuguesa.com:article/883Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:16:49.663523Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Psychosis and substance abuse. Psicose e consumo de substâncias. |
title |
Psychosis and substance abuse. |
spellingShingle |
Psychosis and substance abuse. Carreiro, Susana Vaz |
title_short |
Psychosis and substance abuse. |
title_full |
Psychosis and substance abuse. |
title_fullStr |
Psychosis and substance abuse. |
title_full_unstemmed |
Psychosis and substance abuse. |
title_sort |
Psychosis and substance abuse. |
author |
Carreiro, Susana Vaz |
author_facet |
Carreiro, Susana Vaz Borrego, Mário |
author_role |
author |
author2 |
Borrego, Mário |
author2_role |
author |
dc.contributor.author.fl_str_mv |
Carreiro, Susana Vaz Borrego, Mário |
description |
The objective of this retrospective study covering a period of 4 years (2001-2004), is to characterize and chart the clinical profiles of acute patients in the psychiatric inpatients ward of Hospital S. Francisco Xavier diagnosed with psychosis and substance abuse. During this period, 422 patients diagnosed with nonaffective psychosis (292, 295, 297 and 298, according to ICD9) were admitted. An analysis of the clinical profiles of these inpatients shows that a high percentage (42%) have psychotic pathologies and an history of substance abuse. These are predominantly young males. Schizophrenic patients with an history of substance abuse reached 40%. A particularly relevant finding in view of the fact that substance abuse leads to worse prognostics. Cannabinoids are by far the most widely abused substance, followed by alcohol. There are also 7.2% psychosis due to drug use in which the drug of choice was cannabis. In the light of current scientific knowledge, this is very relevant fact since the use of cannabinoids appears to be a risk factor for the onset of schizophrenia. It was observed that, often, due importance is not given to this association since few nodrug assays are carried out and when they are, they don't cover all drugs. Therefore, this study should alert medical staff to the high prevalence of substance abuse amongst psychotic patients, and to the necessity for a proactive stance in the detection of substance abuse in order to facilitate the development of better therapeutic projects which take into consideration this comorbidity and seek to promote psychoeducation of patients. |
publishDate |
2008 |
dc.date.none.fl_str_mv |
2008-01-24 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/883 oai:ojs.www.actamedicaportuguesa.com:article/883 |
url |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/883 |
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oai:ojs.www.actamedicaportuguesa.com:article/883 |
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por |
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por |
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https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/883 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/883/557 |
dc.rights.driver.fl_str_mv |
Direitos de Autor (c) 2008 Acta Médica Portuguesa - Ordem dos Médicos info:eu-repo/semantics/openAccess |
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Direitos de Autor (c) 2008 Acta Médica Portuguesa - Ordem dos Médicos |
eu_rights_str_mv |
openAccess |
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application/pdf |
dc.publisher.none.fl_str_mv |
Ordem dos Médicos |
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Ordem dos Médicos |
dc.source.none.fl_str_mv |
Acta Médica Portuguesa; Vol. 20 No. 5 (2007): September-October; 413-22 Acta Médica Portuguesa; Vol. 20 N.º 5 (2007): Setembro-Outubro; 413-22 1646-0758 0870-399X reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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