Stimulant Psychosis: Symptom Profile and Acute Clinical Course

Nineteen patients seen at a psychiatric emergency service with amphetamine- or cocaine-induced psychotic disorder were assessed with structured interviews, chart review, and blood and urine testing. All had a predominance of positive symptoms from the Positive and Negative Syndrome Scale (PANSS). Ho...

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Bibliographic Details
Published in:The American journal on addictions 2000, Vol.9 (1), p.28-37
Main Author: Batki, Debra Harris, Steven L.
Format: Article
Language:English
Subjects:
Adult
Amphetamine - adverse effects
Central Nervous System Stimulants - adverse effects
Cocaine - adverse effects
Female
Hospitalization
Humans
Male
Middle Aged
Psychiatric Status Rating Scales
Psychoses, Substance-Induced - psychology
Vasoconstrictor Agents - adverse effects
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Summary:Nineteen patients seen at a psychiatric emergency service with amphetamine- or cocaine-induced psychotic disorder were assessed with structured interviews, chart review, and blood and urine testing. All had a predominance of positive symptoms from the Positive and Negative Syndrome Scale (PANSS). However, some subjects had substantial Negative Scale scores (26%), bizarre delusions (95%), and Schneiderian hallucinations (63%), mimicking a broad range of schizophrenic symptoms. Several PANSS scores were correlated with treatment intensity: Positive score with seclusion hours, General Psychopathology and Negative scores with hospitalization length, and General Psychopathology score with neuroleptic dose. Presenting symptoms may help in treatment planning.
ISSN:1055-0496
1521-0391
DOI:10.1080/10550490050172209