Predictors of substance use reduction in an epidemiological first-episode psychosis cohort

Rebgetz, Shane; Conus, Philippe; Hides, Leanne; Kavanagh, David J.; Cotton, Sue; Schimmelmann, Benno G.; McGorry, Patrick D.; Lambert, Martin (2014). Predictors of substance use reduction in an epidemiological first-episode psychosis cohort. Early intervention in psychiatry, 8(4), pp. 358-365. Carlton (Aus.): Blackwell Publishing Asia 10.1111/eip.12067

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Aim To assess the predictors of a significant decrease or cessation of substance use (SU) in a treated epidemiological cohort of first-episode psychosis (FEP) patients. Method Participants were FEP patients of the Early Psychosis Prevention and Intervention Centre in Australia. Patients' medical files were reviewed using a standardized file audit. Data on 432 patients with FEP and baseline co-morbid substance use disorder (SUD) were available for analysis. Predictors of reduction/cessation of SU at follow up were examined using logistic regression analyses. Results In univariate analyses, a reduction/cessation of SU was predicted by baseline measures reflecting higher education, employment, accommodation with others, cannabis use disorder (CUD) only (rather than poly-SUDs), better global functioning and better premorbid social and occupational functioning, later age at onset of psychosis, and a diagnosis of non-affective psychosis. In multivariate analysis, CUD alone and better premorbid social and occupational functioning remained significant predictors. Conclusions Addressing SUDs and social and occupational goals in people with FEP may offer opportunities to prevent SUDs becoming more severe or entrenched. Further longitudinal research on recovery from SU and FEP is needed to disentangle directions of influence and identify key targets for intervention.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > University Psychiatric Services > University Hospital of Child and Adolescent Psychiatry and Psychotherapy

UniBE Contributor:

Schimmelmann, Benno Karl Edgar

ISSN:

1751-7885

Publisher:

Blackwell Publishing Asia

Language:

English

Submitter:

Myriam Pyrlik

Date Deposited:

04 Oct 2013 14:42

Last Modified:

23 Oct 2014 01:30

Publisher DOI:

10.1111/eip.12067

PubMed ID:

23879875

URI:

https://boris.unibe.ch/id/eprint/17369 (FactScience: 225132)

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