Please use this identifier to cite or link to this item:
http://hdl.handle.net/2445/119425
Title: | Risk factors for cocaine-induced psychosis in cocaine-dependent patients |
Author: | Roncero, Carlos Daigre, Constanza Gonzalvo, Begoña Valero, Sergi Castells, Xavier Grau-López, Lara Eiroá Orosa, Francisco José Casas, Miquel |
Keywords: | Drogoaddicció Cocaïna Psicosi Trastorns de la personalitat antisocial Drug addiction Cocaine Psychoses Antisocial personality disorders |
Issue Date: | 2013 |
Publisher: | Elsevier Masson SAS |
Abstract: | Cocaine consumption can induce transient psychotic symptoms, expressed as paranoia or hallucinations. Cocaine induced psychosis (CIP) is common but not developed in all cases. This is the first European study on the relationship between CIP, consumption pattern variables and personality disorders. We evaluated 173 cocaine-dependent patients over 18 years; mostly males, whose average age was 33.6 years (SD=7.8). Patients attending an outpatient addictions department were enrolled in the study and subsequently systematically evaluated using SCID I and SCID II interviews for comorbid disorders, a clinical interview for psychotic symptoms and EuropASI for severity of addiction. A high proportion of cocaine dependent patients reported psychotic symptoms under the influence of cocaine (53.8%), the most frequently reported being paranoid beliefs and suspiciousness (43.9%). A logistic regression analysis was performed, finding that a model consisting of amount of cocaine consumption, presence of an antisocial personality disorder and cannabis dependence history had 66.2% sensitivity 75.8% specificity predicting the presence of CIP. In our conclusions, we discuss the relevance of evaluating CIP in all cocaine dependent-patients, and particularly in those fulfilling the clinical profile derived from our results. These findings could be useful for a clinical approach to the risks of psychotic states in cocaine-dependent patients. |
Note: | Versió postprint del document publicat a: https://doi.org/10.1016/j.eurpsy.2011.06.012 |
It is part of: | European Psychiatry, 2013, vol. 28, num. 3, p. 141-146 |
URI: | http://hdl.handle.net/2445/119425 |
Related resource: | https://doi.org/10.1016/j.eurpsy.2011.06.012 |
ISSN: | 0924-9338 |
Appears in Collections: | Articles publicats en revistes (Psicologia Clínica i Psicobiologia) |
Files in This Item:
File | Description | Size | Format | |
---|---|---|---|---|
669348.pdf | 410.3 kB | Adobe PDF | View/Open |
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.