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Comorbid non-alcohol substance misuse among people with schizophrenia: Epidemiological study in central London

Few epidemiological studies have assessed the extent and nature of comorbid non-alcohol substance misuse in people with schizophrenia in the community in the UK. To study the extent and nature of comorbid non-alcohol substance misuse in people with schizophrenia in central London. Subjects were iden...

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Published in:British journal of psychiatry 2001-12, Vol.179 (6), p.509-513
Main Authors: DUKE, PETER J, PANTELIS, CHRISTOS, McPHILLIPS, MICHAEL A, BARNES, THOMAS R. E
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description Few epidemiological studies have assessed the extent and nature of comorbid non-alcohol substance misuse in people with schizophrenia in the community in the UK. To study the extent and nature of comorbid non-alcohol substance misuse in people with schizophrenia in central London. Subjects were identified in an epidemiological census survey of South Westminster. Standardised assessment of each subject included demographic data, ratings of mental state and movement disorder and questioning about drug and alcohol misuse. Individuals with schizophrenia or related psychoses were identified (n=352) and 57 (16%) reported a lifetime history of non-alcohol substance misuse. Age and gender were the main variables relevant to the extent and pattern of misuse. Self-reported non-alcohol substance misuse showed no significant relationship with a range of outcome measures. The high proportion of subjects reporting non-alcohol substance misuse is comparable with figures from the USA. The reports of lifetime misuse most commonly referred to cannabis, psychostimulants, LSD, opiates and anticholinergics. Misuse was concentrated in those younger than 36 years and was reported more often by males.
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Self-reported non-alcohol substance misuse showed no significant relationship with a range of outcome measures. The high proportion of subjects reporting non-alcohol substance misuse is comparable with figures from the USA. The reports of lifetime misuse most commonly referred to cannabis, psychostimulants, LSD, opiates and anticholinergics. 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Standardised assessment of each subject included demographic data, ratings of mental state and movement disorder and questioning about drug and alcohol misuse. Individuals with schizophrenia or related psychoses were identified (n=352) and 57 (16%) reported a lifetime history of non-alcohol substance misuse. Age and gender were the main variables relevant to the extent and pattern of misuse. Self-reported non-alcohol substance misuse showed no significant relationship with a range of outcome measures. The high proportion of subjects reporting non-alcohol substance misuse is comparable with figures from the USA. The reports of lifetime misuse most commonly referred to cannabis, psychostimulants, LSD, opiates and anticholinergics. Misuse was concentrated in those younger than 36 years and was reported more often by males.</abstract><cop>England</cop><pub>RCP</pub><pmid>11731353</pmid><doi>10.1192/bjp.179.6.509</doi><tpages>5</tpages></addata></record>
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subjects Adolescent
Adult
Age
Age Factors
Age of Onset
Aged
Alcohol
Alcohol abuse
Alcoholism - epidemiology
Amphetamines
Anticholinergics
Cannabis
Censuses
Cocaine
Comorbidity
Drug use
Epidemiology
Female
Humans
Interview, Psychological
Interviews
London - epidemiology
LSD
Lysergic acid diethylamide
Lysergide
Male
Males
Marijuana
Men
Mental disorders
Mental states
Middle Aged
Minority & ethnic groups
Movement Disorders - epidemiology
Opiates
Opioids
Prognosis
Psychiatry
Psychosis
Questionnaires
Risk Factors
Schizophrenia
Schizophrenia - diagnosis
Schizophrenia - epidemiology
Sex Factors
Substance abuse
Substance-Related Disorders - epidemiology
Surveys and Questionnaires
Urban Health
title Comorbid non-alcohol substance misuse among people with schizophrenia: Epidemiological study in central London
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