Primary and substance-induced psychotic disorders in methamphetamine users

This study investigates the rates of primary psychotic disorders (PPD) and substance-induced psychotic disorders (SIPDs) in methamphetamine (MA) users accessing needle and syringe programs (NSPs). The aim was to determine if there are systematic differences in the characteristics of MA users with PP...

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Main Authors: Hides, L., Dawe, S., McKetin, Rebecca, Kavanagh, D., Young, R., Teesson, M., Saunders, J.
Format: Journal Article
Published: Elsevier Ireland Ltd 2015
Online Access:http://hdl.handle.net/20.500.11937/57005
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author Hides, L.
Dawe, S.
McKetin, Rebecca
Kavanagh, D.
Young, R.
Teesson, M.
Saunders, J.
author_facet Hides, L.
Dawe, S.
McKetin, Rebecca
Kavanagh, D.
Young, R.
Teesson, M.
Saunders, J.
author_sort Hides, L.
building Curtin Institutional Repository
collection Online Access
description This study investigates the rates of primary psychotic disorders (PPD) and substance-induced psychotic disorders (SIPDs) in methamphetamine (MA) users accessing needle and syringe programs (NSPs). The aim was to determine if there are systematic differences in the characteristics of MA users with PPDs and SIPDs compared to those with no psychotic disorder. Participants were 198 MA users reporting use in the previous month. Diagnosis was determined using the Psychiatric Research Interview for DSM-IV Substance and Mental Disorders (PRISM-IV). Current psychiatric symptoms and substance use were also measured. Just over half (n=101) of participants met DSM-IV criteria for a lifetime psychotic disorder, including 81 (80%) with a SIPD and 20 (20%) with a PPD. Those with a younger age of onset of weekly MA use were at increased risk of a lifetime SIPD. A current psychotic disorder was found in 62 (39%), comprising 49 SIPDs (79%) and 13 PPDs (21%). MA users with a current PPD were more likely to have received psychiatric treatment in the past month than those with a current SIPD, despite a similar level of psychotic symptom severity. A high proportion of MA users accessing NSPs have psychotic disorders, the majority of which are substance-induced.
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spelling curtin-20.500.11937-570052018-01-08T04:41:41Z Primary and substance-induced psychotic disorders in methamphetamine users Hides, L. Dawe, S. McKetin, Rebecca Kavanagh, D. Young, R. Teesson, M. Saunders, J. This study investigates the rates of primary psychotic disorders (PPD) and substance-induced psychotic disorders (SIPDs) in methamphetamine (MA) users accessing needle and syringe programs (NSPs). The aim was to determine if there are systematic differences in the characteristics of MA users with PPDs and SIPDs compared to those with no psychotic disorder. Participants were 198 MA users reporting use in the previous month. Diagnosis was determined using the Psychiatric Research Interview for DSM-IV Substance and Mental Disorders (PRISM-IV). Current psychiatric symptoms and substance use were also measured. Just over half (n=101) of participants met DSM-IV criteria for a lifetime psychotic disorder, including 81 (80%) with a SIPD and 20 (20%) with a PPD. Those with a younger age of onset of weekly MA use were at increased risk of a lifetime SIPD. A current psychotic disorder was found in 62 (39%), comprising 49 SIPDs (79%) and 13 PPDs (21%). MA users with a current PPD were more likely to have received psychiatric treatment in the past month than those with a current SIPD, despite a similar level of psychotic symptom severity. A high proportion of MA users accessing NSPs have psychotic disorders, the majority of which are substance-induced. 2015 Journal Article http://hdl.handle.net/20.500.11937/57005 10.1016/j.psychres.2014.11.077 Elsevier Ireland Ltd restricted
spellingShingle Hides, L.
Dawe, S.
McKetin, Rebecca
Kavanagh, D.
Young, R.
Teesson, M.
Saunders, J.
Primary and substance-induced psychotic disorders in methamphetamine users
title Primary and substance-induced psychotic disorders in methamphetamine users
title_full Primary and substance-induced psychotic disorders in methamphetamine users
title_fullStr Primary and substance-induced psychotic disorders in methamphetamine users
title_full_unstemmed Primary and substance-induced psychotic disorders in methamphetamine users
title_short Primary and substance-induced psychotic disorders in methamphetamine users
title_sort primary and substance-induced psychotic disorders in methamphetamine users
url http://hdl.handle.net/20.500.11937/57005