Comorbidity of psychotic disorder and substance use disorder in a psychiatry inpatient unit: A retrospective study

Objective: Comorbidity of psychotic disorder and substance use disorder is common. Studies demonstrate that this comorbidity constitutes a major mental health problem. The aim of this study is to investigate sociodemographic and clinical differences between illicit drug users and non-users in h...

Full description

Bibliographic Details
Main Authors: Ebru Aldemir, Umut Baklaci, Ali Saffet Gonül
Format: Article
Language:English
Published: ANP Publishing 2018-06-01
Series:Klinik Psikiyatri Dergisi
Subjects:
Online Access:https://www.journalagent.com/kpd/pdfs/KPD-29491-RESEARCH_ARTICLE-ALDEMIR.pdf
_version_ 1797924265190752256
author Ebru Aldemir
Umut Baklaci
Ali Saffet Gonül
author_facet Ebru Aldemir
Umut Baklaci
Ali Saffet Gonül
author_sort Ebru Aldemir
collection DOAJ
description Objective: Comorbidity of psychotic disorder and substance use disorder is common. Studies demonstrate that this comorbidity constitutes a major mental health problem. The aim of this study is to investigate sociodemographic and clinical differences between illicit drug users and non-users in hospitalised male patients diagnosed with psychotic disorder. Method: This was a retrospective study evaluating files of 237 inpatients treated between January 2013 and December 2016 in Ege University Department of Psychiatry Male Inpatient Unit with diagnosis of Schizophrenia Spectrum and Other Psychotic Disorders according to DSM-5. Results: Of 237 participants, 16% had a lifetime use of an illicit drug. Participants with substance use disorder had a smaller mean age and shorter duration of education than participants without substance use disorder. Of all the participants with a history of substance use, 76.3% had a history of substance use in the first episode of psychosis. The most preferred substance in 72.4% of the participants with substance use during the first psychotic episode and in 68.4% of all the participants with substance use was cannabis. Treatment compliance was worse in the participants with substance use. Discussion: Our findings show that, when psychotic disorder is comorbid with substance use disorder, age of onset of psychotic symptoms decreases, duration of education shortens and treatment compliance deteriorates. These results should be supported by longitudinal studies using quantitative analysis methods.
first_indexed 2024-04-10T14:59:58Z
format Article
id doaj.art-8071df9a8ed14109aee531b6f439b52e
institution Directory Open Access Journal
issn 1302-0099
2146-7153
language English
last_indexed 2024-04-10T14:59:58Z
publishDate 2018-06-01
publisher ANP Publishing
record_format Article
series Klinik Psikiyatri Dergisi
spelling doaj.art-8071df9a8ed14109aee531b6f439b52e2023-02-15T16:07:10ZengANP PublishingKlinik Psikiyatri Dergisi1302-00992146-71532018-06-0121214815310.5505/kpd.2018.29491Comorbidity of psychotic disorder and substance use disorder in a psychiatry inpatient unit: A retrospective studyEbru Aldemir0Umut Baklaci1Ali Saffet Gonül2M.D.M.D.Prof.Objective: Comorbidity of psychotic disorder and substance use disorder is common. Studies demonstrate that this comorbidity constitutes a major mental health problem. The aim of this study is to investigate sociodemographic and clinical differences between illicit drug users and non-users in hospitalised male patients diagnosed with psychotic disorder. Method: This was a retrospective study evaluating files of 237 inpatients treated between January 2013 and December 2016 in Ege University Department of Psychiatry Male Inpatient Unit with diagnosis of Schizophrenia Spectrum and Other Psychotic Disorders according to DSM-5. Results: Of 237 participants, 16% had a lifetime use of an illicit drug. Participants with substance use disorder had a smaller mean age and shorter duration of education than participants without substance use disorder. Of all the participants with a history of substance use, 76.3% had a history of substance use in the first episode of psychosis. The most preferred substance in 72.4% of the participants with substance use during the first psychotic episode and in 68.4% of all the participants with substance use was cannabis. Treatment compliance was worse in the participants with substance use. Discussion: Our findings show that, when psychotic disorder is comorbid with substance use disorder, age of onset of psychotic symptoms decreases, duration of education shortens and treatment compliance deteriorates. These results should be supported by longitudinal studies using quantitative analysis methods.https://www.journalagent.com/kpd/pdfs/KPD-29491-RESEARCH_ARTICLE-ALDEMIR.pdfComorbidityinpatientspsychotic disordersubstance use
spellingShingle Ebru Aldemir
Umut Baklaci
Ali Saffet Gonül
Comorbidity of psychotic disorder and substance use disorder in a psychiatry inpatient unit: A retrospective study
Klinik Psikiyatri Dergisi
Comorbidity
inpatients
psychotic disorder
substance use
title Comorbidity of psychotic disorder and substance use disorder in a psychiatry inpatient unit: A retrospective study
title_full Comorbidity of psychotic disorder and substance use disorder in a psychiatry inpatient unit: A retrospective study
title_fullStr Comorbidity of psychotic disorder and substance use disorder in a psychiatry inpatient unit: A retrospective study
title_full_unstemmed Comorbidity of psychotic disorder and substance use disorder in a psychiatry inpatient unit: A retrospective study
title_short Comorbidity of psychotic disorder and substance use disorder in a psychiatry inpatient unit: A retrospective study
title_sort comorbidity of psychotic disorder and substance use disorder in a psychiatry inpatient unit a retrospective study
topic Comorbidity
inpatients
psychotic disorder
substance use
url https://www.journalagent.com/kpd/pdfs/KPD-29491-RESEARCH_ARTICLE-ALDEMIR.pdf
work_keys_str_mv AT ebrualdemir comorbidityofpsychoticdisorderandsubstanceusedisorderinapsychiatryinpatientunitaretrospectivestudy
AT umutbaklaci comorbidityofpsychoticdisorderandsubstanceusedisorderinapsychiatryinpatientunitaretrospectivestudy
AT alisaffetgonul comorbidityofpsychoticdisorderandsubstanceusedisorderinapsychiatryinpatientunitaretrospectivestudy