Substance use and duration of untreated psychosis in KwaZulu-Natal, South Africa

South African Journal of Psychiatry

Field Value
Title Substance use and duration of untreated psychosis in KwaZulu-Natal, South Africa
Creator Davis, Glen P. Tomita, Andrew Baumgartner, Joy Noel Mtshemla, Sisanda Nene, Siphumelele King, Howard Susser, Ezra Burns, Jonathan K.
Subject Psychiatry Substance Use; Psychosis; KwaZulu-Natal Substance Abuse, Psychosis, Epidemiology
Description Background: Substance use and psychiatric disorders cause significant burden of disease in low- and middle-income countries. Co-morbid psychopathology and longer duration of untreated psychosis (DUP) can negatively affect treatment outcomes.Objectives: The study assessed substance use amongst adults with severe mental illness receiving services at a regional psychiatric hospital in KwaZulu-Natal (South Africa). We describe the prevalence and correlates of lifetime substance use and examine the association between substance use and DUP.Methods: A cross-sectional survey recruited adults diagnosed with severe mental illness and assessed lifetime and past 3-month substance use using the World Health Organization Alcohol, Smoking and Substance Involvement Screening Test. Regression analyses were conducted to determine associations between lifetime substance use (other than alcohol and tobacco) and DUP as measured by the World Health Organization Encounter Form.Results: Amongst 87 participants, alcohol (81.6%), tobacco (75.6%) and cannabis (49.4%) were the most common substances reported for lifetime use. Risk of health-related problems (health, social, financial, legal and relationship) of cannabis use was associated with younger age, single marital status and lower education. Adjusted regression analyses indicated that use of amphetamines and methaqualone is associated with longer DUP.Conclusions: Substance use is prevalent amongst psychiatric patients in KwaZulu-Natal and may contribute to longer DUP. Mental health services in this region should address co-morbid substance use and psychiatric disorders.Keywords: Substance Use; Psychosis; KwaZulu-Natal
Publisher AOSIS
Contributor U.S. Fogarty International Center U.S. Office of AIDS Research U.S. National Institute of Mental Health U.S. National Institute on Drug Abuse South African Medical Research Council
Date 2016-05-20
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — Cross Sectional Survey
Format text/html application/epub+zip application/xml application/pdf
Identifier 10.4102/sajpsychiatry.v22i1.852
Source South African Journal of Psychiatry; Vol 22, No 1 (2016); 7 pages 2078-6786 1608-9685
Language eng
Coverage KwaZulu-Natal, South Africa July 2012 - October 2013 Adults Diagnosed with Severe Mental Ilness at Town Hill Hospital (N=87)
Rights Copyright (c) 2016 Glen P. Davis, Andrew Tomita, Joy Noel Baumgartner, Sisanda Mtshemla, Siphumelele Nene, Howard King, Ezra Susser, Jonathan K. Burns