Risky use and misuse of alcohol, drugs and cigarettes detected by screening questionnaires in a clinical psychosis unit

被引:20
作者
Cruce, Gunilla
Nordstrom, Lars G.
Ojehagen, Agneta
机构
[1] Univ Lund Hosp, Lund Psychiat & Vardal Inst, Dept Clin Sci, SE-22185 Lund, Sweden
[2] Univ Lund Hosp, Med Ctr, Dept Psychiat, SE-22185 Lund, Sweden
关键词
misuse; prevention; psychosis; risky substance use; screening questionnaires;
D O I
10.1080/08039480701226062
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
The use of screening instruments has been proposed to facilitate identification of risky substance use and misuse. This study aims to investigate the use of a screening procedure to identify hazardous or harmful use of alcohol, drug-related problems and riskful use of cigarettes in a clinical psychosis setting. The use of alcohol, drugs and cigarettes was examined by three self-reporting instruments: Alcohol Use Disorders Identification Test (AUDIT), Drug Use Disorders Identification Test (DUDIT) and Fagerstrom Test for Nicotine Dependence (FTND). Two hundred and forty-one out of 374 patients (64%) took part in the investigation. Eighteen per cent had a hazardous or harmful alcohol use, 9% drug-related problems and 49% were smokers. Multivariate analyses showed that women, as well as smokers had an increasing risk of having drug-related problems. The use of screening questionnaires increases the awareness that risky use of alcohol, drugs and cigarettes is common among persons with psychosis. Many persons with psychosis used alcohol, drugs and cigarettes in a risky way. It is important to identify these problems to make proper interventions due to the negative medical and social consequences of this use. Such identification may be facilitated by use of screening instruments.
引用
收藏
页码:92 / 99
页数:8
相关论文
共 44 条
[1]   Schizophrenia, sensory gating, and nicotinic receptors [J].
Adler, LE ;
Olincy, A ;
Waldo, M ;
Harris, JG ;
Griffith, J ;
Stevens, K ;
Flach, K ;
Nagamoto, H ;
Bickford, P ;
Leonard, S ;
Freedman, R .
SCHIZOPHRENIA BULLETIN, 1998, 24 (02) :189-202
[2]  
[Anonymous], 2004, KLIN PSIKOFARMAKOLOJ
[3]  
Babor T.F., 2001, Primary Care, V2nd
[4]   Substance misuse in psychiatric inpatients: comparison of a screening questionnaire survey with case notes [J].
Barnaby, B ;
Drummond, C ;
McCloud, A ;
Burns, T ;
Orrm, N .
BRITISH MEDICAL JOURNAL, 2003, 327 (7418) :783-784
[5]   Low prevalence of smoking in patients with autism spectrum disorders [J].
Bejerot, S ;
Nylander, L .
PSYCHIATRY RESEARCH, 2003, 119 (1-2) :177-182
[6]   Alcohol use among Swedes and a psychometric evaluation of the Alcohol Use Disorders Identification Test [J].
Bergman, H ;
Källmén, H .
ALCOHOL AND ALCOHOLISM, 2002, 37 (03) :245-251
[7]  
Bergman Hans, 2003, Lakartidningen, V100, P1028
[8]   Evaluation of the Drug Use Disorders Identification Test (DUDIT) in criminal justice and detoxification settings and in a Swedish population sample [J].
Berman, AH ;
Bergman, H ;
Palmstierna, T ;
Schlyter, F .
EUROPEAN ADDICTION RESEARCH, 2005, 11 (01) :22-31
[9]   Substance abuse in schizophrenia:: a review of the literature and a study of correlates in Sweden [J].
Cantor-Graae, E ;
Nordström, LG ;
McNeil, TF .
SCHIZOPHRENIA RESEARCH, 2001, 48 (01) :69-82
[10]   An examination of the utility of the AUDIT in people with schizophrenia [J].
Dawe, S ;
Seinen, A ;
Kavanagh, D .
JOURNAL OF STUDIES ON ALCOHOL, 2000, 61 (05) :744-750