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The interaction between co-morbid substance use and psychosis: An exploratory study of service users' beliefs and attitudes.

By David Cochrane


Literature review. A systematic review of the literature on the interaction between substance use and psychosis was conducted focusing on the areas of: symptoms and course of illness; engagement with services; violence, suicide and criminal behaviour; and treatment approaches. \ud Research report. A qualitative study was carried out to explore the beliefs and attitudes of clients regarding their use of illicit substance and/or alcohol and how they felt this interacted with their psychotic experiences. Eight participants were recruited for interview and Grounded Theory techniques of data collection and analysis were employed. A core category concerning participants' `Emotionally Charged Relationship with Substances' emerged from analysis that is suggested to have characteristics similar to interpersonal relationships. Constituent categories of Escaping; Limiting Factors; Making sense of psychosis and Substance Use; and Identity and Substance Use, were identified and explored. A theoretical model was constructed to represent how these constituent categories interplayed to determine the nature of participants' dynamic emotional relationship with substances. Implications for clinical practice with this client group and future research in this area are discussed.\ud Critical appraisal. An in-depth account of the Principal Investigators reflections on the whole research experience. Aspects of personal and professional development arising from the process of planning, conducting and writing up the study are explored

Publisher: University of Leicester
Year: 2007
OAI identifier:

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  9. (1999). Early onset psychotic disorders: diagnostic stability and clinical characteristics. doi
  10. (1995). expectations and motives for substance use in schizophrenia. doi
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  12. (2001). Genetic liability, illicit drug use, life stress and psychotic symptoms: preliminary fmdings from the Edinburgh study of people at high risk for schizophrenia. Social Psychiatry & Psychiatric Epidemiology, doi
  13. (1975). Helplessness: On Depression, Development, and Death. Freeman,
  14. (2002). Motivations that maintain substance use among individuals with psychotic disorders. doi
  15. (2001). Patterns and predictors of hospitalisation in first-episode psychosis. doi
  16. (2006). Patterns and predictors of substance use disorders and daily tobacco use in firstepisode psychosis. Australian and New Zealand doi
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  18. (2007). Peer Standing and Substance Use in Early-Adolescent Grade-Level Networks: doi
  19. (1990). Positive and negative symptoms: historical and conceptual aspects. doi
  20. (1994). Positive and_ negative syndrome typology in schizophrenic patients with psychoactive substance use disorders. doi
  21. (2006). Predictors of service disengagement in first-admitted adolescents with psychosis. doi
  22. (1990). Prevalence of substance use in schizophrenia: demographic and clinical correlates. Schizophrenia Bulletin. doi
  23. (1999). Preventing Substance Use Problems Among Youth: A Literature Review and Recommendations.
  24. (1994). Qualitative research, In doi
  25. (1993). Quality control in qualitative research. doi
  26. (2006). REC reference number: 061Q2501/220 The Research Ethics Committee reviewed the above application at the meeting held on 03
  27. (2005). Self and narrative in schizophrenia: time to author a new story. doi
  28. (1995). Self reports of the prevalence of the doi
  29. (2004). Social functioning in schizophrenic patients. doi
  30. (2000). Substance misuse, psychiatric disorder and violent and disturbed behaviour. doi
  31. (2003). Substance use and cognition in early psychosis. doi
  32. (2003). Substance use and the course of early psychosis: a 2-year follow-up of first-admitted subjects. doi
  33. (2003). Substance use and the course of early psychosis: a 2-year follow-up of first-admitted subjects. European Psychiatry. doi
  34. (1994). Substance use in psychotic disorders: associations with affective syndromes. doi
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  36. (2005). The impact of substance use disorders on clinical outcome in 643 patients with first-episode psychosis. Acta Psychiatrica Scandinavica. doi

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