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P0210 - Toxic abuse and therapeutic non-fulfilment of psychotic disorders

Published online by Cambridge University Press:  16 April 2020

C. Salazar
Affiliation:
Psychiatrist DPT, University Clinical Hospital, Valladolid, Spain
M.D. Ortega
Affiliation:
Psychiatrist DPT, University Clinical Hospital, Valladolid, Spain
C. Martinez
Affiliation:
Psychiatrist DPT, University Clinical Hospital, Valladolid, Spain
M.R. Gomez
Affiliation:
Psychiatrist DPT, University Clinical Hospital, Valladolid, Spain
L. León
Affiliation:
Psychiatrist DPT, Psychiatrist Hospital Dr. Villacian, Valladolid, Spain

Abstract

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Introduction:

A higher prevalence of toxic substances consumption is considered to be under schizophrenia states.These patients are also considered to have a higher possibility than general population of developing different disorders due to the use of substances being the risk above 3 regarding alcohol,5 for cannabis, 6 for opiates, and 13 for cocaine.Two hypotheses were used for explaining this comorbidity: for alleviating its symptomatology and the adverse effects of the antipsychotic treatment, and on the other hand, the use of toxic substances as causal and predisposing effect of psychotic episodes in patients with personal vulnerability.

Objectives:

Sociodemographic description of patients diagnosed as having psychotic disorders with abuse of toxic substances. Establishment of connections between the toxic substance consumption and development of his/her mental disorder.

Methodology: Open retrospective study of two years in which patients diagnosed as having schizophrenia admitted into the University Hospital in Valladolid, Spain: consumers/no consumers.Scales (SAPS, SANS).Hospital Reports(sociodemographic and clinical data).

Results:

Preliminary results show the prevalence of the schizophrenic patients with toxic abuse.Predominance of young males that had their first admissions into hospital at very early ages and a higher frequency of hospital readmissions. Likewise in this group positive symptomatology shows a higher predominance and a higher connection with affective disorders. These patients show a better premorbid adaptation, a higher frequency of violent and impulsive behaviours, treatment guidelines with higher doses and higher frequency of resistance to treatment.The order consumption of toxics is tobacco, alcohol, cannabis, cocaine, stimulants, and opiates.However it is not rare to find consumption of multiple drugs.

Type
Poster Session I: Schizophrenia and Psychosis
Copyright
Copyright © European Psychiatric Association 2008
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