Methamphetamine-induced psychosis: Clinical features, treatment modalities and outcomes
South African Journal of Psychiatry
Field | Value | |
Title | Methamphetamine-induced psychosis: Clinical features, treatment modalities and outcomes | |
Creator | Thomas, Eileen Lategan, Helena Verster, Chris Kidd, Martin Weich, Lize | |
Description | Objective: To investigate the clinical features, prescribing patterns and outcomes of psychiatric inpatients admitted with methamphetamine-induced psychosis.Method: A cross-sectional, descriptive pilot study was conducted between March 2014 and August 2014 at three South African Mental Health Care Act designated hospitals prior to admission to a psychiatric hospital. Patients with methamphetamine-related psychotic symptoms according to the DSM-5 criteria were eligible. Structured face-to-face interviews were conducted and the Brief Psychiatric Rating Scale was employed as a measure of current psychopathology.Results: Fifty-six participants were included. Positive psychotic symptoms (e.g. hallucinations) were more prominent than negative symptoms (e.g. affective blunting). Almost half the participants (43%) had previous episodes of methamphetamine-induced psychosis. Within this group, all had defaulted on the prescribed treatment prior to admission. Only 29% of the participants had received prior formal substance-use rehabilitation as treatment for their disorder. High rates of comorbid cannabis and alcohol use (51%) were recorded. Most of the participants required transfer to specialist psychiatric hospitals. The amounts of methamphetamine used were not a predictor of the persistence of psychosis; however, the pattern of use was.Conclusion: Clinical features correspond with other international findings. The currently employed model of sequential, non-integrated psychiatric and substance use treatment in this setting appears ineffective. | |
Publisher | AOSIS | |
Date | 2016-09-29 | |
Identifier | 10.4102/sajpsychiatry.v22i1.980 | |
Source | South African Journal of Psychiatry; Vol 22, No 1 (2016); 6 pages 2078-6786 1608-9685 | |
Language | eng | |
Relation |
The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:
https://sajp.org.za/index.php/sajp/article/view/980/709
https://sajp.org.za/index.php/sajp/article/view/980/710
https://sajp.org.za/index.php/sajp/article/view/980/711
https://sajp.org.za/index.php/sajp/article/view/980/704
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