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Comparative Studies | Psychiatry | India | Volume 12 Issue 5, May 2023

Substance Use in Psychotic Individuals-Case Control Study

Dr. Clinton Castelino | Dr. Supriya Hegde Aroor

Abstract: Introduction: Substance use disorder is a burdensome condition which often coexists in patients with psychiatric disorders, but are often undetected (1, 2). Addiction and psychosis both have a dopamine dysregulation-related etiology and involves experiences of dissociation from the real world (1). Patients with psychotic disorders are considerably likely and have higher rates of substance abuse when compared to other psychiatric disorders or the general population. Objective: To determine the type and severity of substance use in psychotic patients and also to compare them with controls. Method: A case control study was conducted among 33 cases and controls. All the participants were screened using Mini International Neuropsychiatric Interview (M. I. N. I) scale and WHO Alcohol, Smoking and Substance Involvement Screening Test (ASSIST). Chi square test/ Fishers exact test was used to compare study variables among cases and controls. P value <0.05 was considered to be statistically significant. Results: Among the cases 13.6% were alcohol dependent, 18.2% were substance dependent and 16.7% were substance abusers. Among controls 7.6% were substance abusers and only 1.5% were alcohol abusers. Among the cases 3% need intensive treatment for tobacco, cannabis and 6.1% for Alcohol. Almost 19.6% need brief intervention for tobacco followed by alcohol (6.1%), sedatives (3.1%), cocaine and Amphetamine (1.5%) Conclusion: Substance dependence and abuse was observed in psychotic patients indicating the importance of timely intervention, in understanding what started first and to take necessary steps in preventing the illness and the use of substances.

Keywords: Substance use disorders, psychotic individuals

Edition: Volume 12 Issue 5, May 2023,

Pages: 2195 - 2199