Differences in the symptom profile of methamphetamine-related psychosis and primary psychotic disorders

We examined the lifetime experience of hallucinations and delusions associa ted with transient methamphetamine-related psychosis (MAP), persistent MAP and primary psychosis among a cohort of dependent methamphetamine users. Participants were classified as having (a) no current psychotic symptoms, (n...

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Main Authors: McKetin, Rebecca, Baker, A., Dawe, S., Voce, A., Lubman, D.
Format: Journal Article
Published: Elsevier Ireland Ltd 2017
Online Access:http://hdl.handle.net/20.500.11937/56585
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author McKetin, Rebecca
Baker, A.
Dawe, S.
Voce, A.
Lubman, D.
author_facet McKetin, Rebecca
Baker, A.
Dawe, S.
Voce, A.
Lubman, D.
author_sort McKetin, Rebecca
building Curtin Institutional Repository
collection Online Access
description We examined the lifetime experience of hallucinations and delusions associa ted with transient methamphetamine-related psychosis (MAP), persistent MAP and primary psychosis among a cohort of dependent methamphetamine users. Participants were classified as having (a) no current psychotic symptoms, (n=110); (b) psychotic symptoms only when using methamphetamine (transient MAP, n=85); (c) psychotic symptoms both when using methamphetamine and when abstaining from methamphetamine (persistent MAP, n=37), or (d) meeting DSM-IV criteria for lifetime schizophrenia or mania (primary psychosis, n=52). Current psychotic symptoms were classified as a score of 4 or more on any of the Brief Psychiatric Rating Scale items of suspiciousness, hallucinations or unusual thought content in the past month. Lifetime psychotic diagnoses and symptoms were assessed using the Composite International Diagnostic Interview. Transient MAP was associated with persecutory delusions and tactile hallucinations (compared to the no symptom group). Persistent MAP was additionally associated with delusions of reference, thought interference and complex auditory, visual, olfactory and tactile hallucinations, while primary psychosis was also associated with delusions of thought projection, erotomania and passivity. The presence of non-persecutory delusions and hallucinations across various modalities is a marker for persistent MAP or primary psychosis in people who use methamphetamine.
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spelling curtin-20.500.11937-565852018-01-05T07:42:43Z Differences in the symptom profile of methamphetamine-related psychosis and primary psychotic disorders McKetin, Rebecca Baker, A. Dawe, S. Voce, A. Lubman, D. We examined the lifetime experience of hallucinations and delusions associa ted with transient methamphetamine-related psychosis (MAP), persistent MAP and primary psychosis among a cohort of dependent methamphetamine users. Participants were classified as having (a) no current psychotic symptoms, (n=110); (b) psychotic symptoms only when using methamphetamine (transient MAP, n=85); (c) psychotic symptoms both when using methamphetamine and when abstaining from methamphetamine (persistent MAP, n=37), or (d) meeting DSM-IV criteria for lifetime schizophrenia or mania (primary psychosis, n=52). Current psychotic symptoms were classified as a score of 4 or more on any of the Brief Psychiatric Rating Scale items of suspiciousness, hallucinations or unusual thought content in the past month. Lifetime psychotic diagnoses and symptoms were assessed using the Composite International Diagnostic Interview. Transient MAP was associated with persecutory delusions and tactile hallucinations (compared to the no symptom group). Persistent MAP was additionally associated with delusions of reference, thought interference and complex auditory, visual, olfactory and tactile hallucinations, while primary psychosis was also associated with delusions of thought projection, erotomania and passivity. The presence of non-persecutory delusions and hallucinations across various modalities is a marker for persistent MAP or primary psychosis in people who use methamphetamine. 2017 Journal Article http://hdl.handle.net/20.500.11937/56585 10.1016/j.psychres.2017.02.028 Elsevier Ireland Ltd restricted
spellingShingle McKetin, Rebecca
Baker, A.
Dawe, S.
Voce, A.
Lubman, D.
Differences in the symptom profile of methamphetamine-related psychosis and primary psychotic disorders
title Differences in the symptom profile of methamphetamine-related psychosis and primary psychotic disorders
title_full Differences in the symptom profile of methamphetamine-related psychosis and primary psychotic disorders
title_fullStr Differences in the symptom profile of methamphetamine-related psychosis and primary psychotic disorders
title_full_unstemmed Differences in the symptom profile of methamphetamine-related psychosis and primary psychotic disorders
title_short Differences in the symptom profile of methamphetamine-related psychosis and primary psychotic disorders
title_sort differences in the symptom profile of methamphetamine-related psychosis and primary psychotic disorders
url http://hdl.handle.net/20.500.11937/56585