PSYC 441 Lecture Notes - Lecture 17: Substance Abuse, Psychosis, Schizophrenia

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Social problems in sz: violence and victimization, suicide, substance misuse, homelessness, unemployment, mortality. Substance use and abuse: people with sz have a higher rate of, current use: 27-68%: most commonly used and abused, etoh and cannabis: Evidence for genetic and environmental risk factors: study (hambrecht & hafner, 1996), procedure: 232 people at first episode with sz or psychotic disorder: results: Etoh abuse seen in 24% (2x rate of controls). Drug abuse seen in 14% (2x rate of controls): i. Etoh and drug abuse is most common in men: discussion: People with drug abuse (cannabis) had earlier symptom onset and 1st admission: i. Early onset causes the early use of cannabis. People with alcohol abuse had first sign and negative symptom earlier. Combined drug and alcohol abuse doesn"t change the pattern: why does abuse occur, most common self-reported reason for abuse: Drugs of abuse that affect the da system.

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