Cannabis abuse at first episode psychosis (FEP): Data from mental health centres in modena and Bologna, Italy
Abstract
Data di Pubblicazione:
2009
Citazione:
Cannabis abuse at first episode psychosis (FEP): Data from mental health centres in modena and Bologna, Italy / I., T., E., R., D., P., A., C., A., P., V., B., Ferrari, S., L., P., R., D.L., Rigatelli, M., D., B.. - In: EUROPEAN PSYCHIATRY. - ISSN 0924-9338. - ELETTRONICO. - 24, supp. 1:(2009), pp. S145-S145. (17th Congress of the European Psychiatric Association Lisbon January 2009).
Abstract:
Aims: To evaluate the clinical and functional effects of cannabis abuse in patients at First Episode Psychosis (FEP) referring to
Community Mental Health Centre (CMHC) “Bologna Ovest” and in patients admitted with a diagnosis of psychosis at the Modena Emergency Psychiatry Ward (EPW).
Method: All FEP patients, aged 18-35, referring to CMCH “Bologna Ovest” in a 6-years period were evaluated and followed-up at 3 and 12 months. Of the 1559 psychiatric admissions at the Modena EPW in a 3-year period, those with a positive history for substance abuse were selected.
Results: Among the 88 Bologna Ovest FEPs, 32% were cannabis abusers (FEP-c). In Bologna, FEP-c were more frequently
natives (23.39% vs 31.13%; c sq=5.1; p=0.02) single (26.38% vs 0,0% c sq=7.3, p=0.007) and unemployed (13.50% vs 18.32%, c
sq=2.4, p=0.1). Non FEP-c did not use any other drug (0.0% vs 26.1%, c sq=77.5; p< 0.001). A trend towards higher prevalence of hospital admission at follow-up was found for FEP-c (4.20% vs 2.4%, c sq=3.8, p=0.07). 22.0% of patients admitted at the Modena EPW had a positive history for substance abuse: of these, 7% were diagnosed with paranoid schizophrenia, which significantly correlated with the use of cannabinoids (alone or in association).
Discussion: Our results enlighten that cannabis use is frequent among psychotic patients admitted to hospital and worsens clinical course of FEP patients, consistently with previous evidence (Hambrecht & Hafner, 1996; Hafner et al., 2004).
Community Mental Health Centre (CMHC) “Bologna Ovest” and in patients admitted with a diagnosis of psychosis at the Modena Emergency Psychiatry Ward (EPW).
Method: All FEP patients, aged 18-35, referring to CMCH “Bologna Ovest” in a 6-years period were evaluated and followed-up at 3 and 12 months. Of the 1559 psychiatric admissions at the Modena EPW in a 3-year period, those with a positive history for substance abuse were selected.
Results: Among the 88 Bologna Ovest FEPs, 32% were cannabis abusers (FEP-c). In Bologna, FEP-c were more frequently
natives (23.39% vs 31.13%; c sq=5.1; p=0.02) single (26.38% vs 0,0% c sq=7.3, p=0.007) and unemployed (13.50% vs 18.32%, c
sq=2.4, p=0.1). Non FEP-c did not use any other drug (0.0% vs 26.1%, c sq=77.5; p< 0.001). A trend towards higher prevalence of hospital admission at follow-up was found for FEP-c (4.20% vs 2.4%, c sq=3.8, p=0.07). 22.0% of patients admitted at the Modena EPW had a positive history for substance abuse: of these, 7% were diagnosed with paranoid schizophrenia, which significantly correlated with the use of cannabinoids (alone or in association).
Discussion: Our results enlighten that cannabis use is frequent among psychotic patients admitted to hospital and worsens clinical course of FEP patients, consistently with previous evidence (Hambrecht & Hafner, 1996; Hafner et al., 2004).
Tipologia CRIS:
Abstract in Rivista
Keywords:
Cannabis abuse; Psychosis
Elenco autori:
I., Tarricone; E., Rossi; D., Pecile; A., Castellani; A., Paparelli; V., Bandieri; Ferrari, Silvia; L., Pingani; R., Di Lorenzo; Rigatelli, Marco; D., Berardi
Link alla scheda completa:
Titolo del libro:
17th EPA Congress
Pubblicato in: