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2365 – Cocaine-induced Psychotic Symptoms Prevalence In Cocaine-dependent Patients

Published online by Cambridge University Press:  15 April 2020

C. Roncero
Affiliation:
Outpatient Drug Clinic Vall Hebron, Psychiatry Department, Hospital Vall Hebron-ASPB, Barcelona, Spain Psychiatry Department, Universidad Autónoma de Barcelona, Barcelona, Spain
L. Grau-López
Affiliation:
Outpatient Drug Clinic Vall Hebron, Psychiatry Department, Hospital Vall Hebron-ASPB, Barcelona, Spain
C. Daigre
Affiliation:
Outpatient Drug Clinic Vall Hebron, Psychiatry Department, Hospital Vall Hebron-ASPB, Barcelona, Spain
J. Pérez-Pazos
Affiliation:
Psychiatry Department, Hospital Vall Hebron, Barcelona, Spain
L. Miquel
Affiliation:
Outpatient Drug Clinic Vall Hebron, Psychiatry Department, Hospital Vall Hebron-ASPB, Barcelona, Spain
C. Barral
Affiliation:
Outpatient Drug Clinic Vall Hebron, Psychiatry Department, Hospital Vall Hebron-ASPB, Barcelona, Spain
N. Martínez-Luna
Affiliation:
Outpatient Drug Clinic Vall Hebron, Psychiatry Department, Hospital Vall Hebron-ASPB, Barcelona, Spain
L. Rodriguez-Cintas
Affiliation:
Outpatient Drug Clinic Vall Hebron, Psychiatry Department, Hospital Vall Hebron-ASPB, Barcelona, Spain
E. Ros-Cucurull
Affiliation:
Psychiatry Department, Hospital Vall Hebron, Barcelona, Spain
M. Casas
Affiliation:
Psychiatry Department, Universidad Autónoma de Barcelona, Barcelona, Spain Psychiatry Department, Hospital Vall Hebron, Barcelona, Spain

Abstract

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Introduction

Cocaine consumption can induce transient psychotic symptoms. Cocaine induced psychosis (CIP) is common but not developed in all cases. However, prevalence and clinical features are not well known. In psychiatry settings different studies have reported prevalence ranging between 29%–86.5%.There are few samples including more than 150 patients for studding this topic.

Objectives

The objective of this study is to determinate the CIP prevalence and the most prevalent psychotic symptoms.

Aims

We study presence of psychotic symptoms using a clinical interview for psychotic symptoms in a large sample of 287 cocaine-dependent patients.

We study the presence of psychotic symptoms using a clinical interview for psychotic symptoms in a large sample of cocainedependent patients. Patients suffering from schizophrenia or bipolar disorders were excluded. Finally we included 287 patients in the study. (80.8% men and 35.77 yo).

Methods

A structured interview were systematically conducted. The Structured Clinical Interview for DSM IV Axis I and Axis II disorders were used in order to identify the comorbidity.

Results

Psychotic symptoms were detected in 59.9% of the sample. The most frequent symptoms reported lifetime was suspiciousness 38.6% and paranoid beliefs 27.2% Auditory hallucinations were reported by 23.6%, visual hallucinations by 13.3%, and kinesthetic hallucinations by 7.8%. Motor alterations were not evaluated.

Conclusions

Our dates confirm previous study. CIP prevalence is high. Motor alterations were not evaluated, so symptoms could be underestimated. Identifying this kind of symptoms can be useful in order to minimize risks of psychotic states for the patients or others.

Type
Abstract
Copyright
Copyright © European Psychiatric Association 2012
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