Chez les sujets psychotiques, l'abus de substances psychoactives est-il associé à l'adaptation sociale?
Méthode:
Cinquante-cinq hommes psychotiques provenant d'un centre de détention ou d'un hôpital psychiatrique ont été évalués à l'aide de l'Échelle d'adaptation sociale (EAS-II) et d'une version française de la Phillips Rating Scale of Premorbid Adjustment in Schizophrenia (l'échelle d'évaluation de l'adaptation prémorbide de la schizophrénie de Phillips).
Résultats:
Chez les sujets psychotiques, l'abus de substances psychoactives est associé à certains indices d'adaptation sociale et d'adaptation sexuelle prémorbide.
Conclusion:
Des différences sont observées dans certains aspects du fonctionnement social, mais il est difficile de porter un jugement global sur l'adaptation sociale.
IntagliataJBakerF. A comparative analysis of the young adult chronic patient in New York State's community support system. Hospital and Community Psychiatry1984; 35: 45–50.
2.
SchwartzSRGoldfingerS. The new chronic patient: Clinical characteristics of an emerging subgroup. Hosp Community Psychiatry1981; 32: 470–4.
3.
WellerMPIWellerBGA. Crime and mental illness. Med Sci Law1988; 28: 38–46.
4.
PepperBKirshnerMCRyglewiczH. The young adult chronic patient: Overview of a population. Hosp Community Psychiatry1981; 32: 463–9.
5.
LambHR. Young Adult Chronic Patients: The new drifters. Hospital and Community Psychiatry1982; 33: 465–8.
6.
ArndtSTyrrellGFlaumMAndreasenNC. Comorbidity of substance abuse and schizophrenia: The role of pre-morbid adjustment. Psychol Med1992; 22: 379–88.
7.
DixonLHaasGWeidenPJSweeneyJFrancesA. Drug abuse in schizophrenic patients: Clinical correlates and reasons for use. Am J Psychiatry1991; 148: 224–30.
8.
KhantzianE J. The self-medication hypothesis of addictive disorders: Focus on heroin and cocaine dependence. Am J Psychiatry1985; 142: 1259–64.
9.
KhantzianE JKhantzianN J. Cocaine addiction: Is there a psychological predisposition?Psychatric Annals1984; 14: 753–9.
10.
RitzierBAStraussJSVanordAKokesRF. Prognostic implications of various drinking patterns in psychiatric patients. Am J Psychiatry1977; 134: 546–9.
11.
TestMAWallischLSAllnessDJRippK. Substance abuse in young adults with schizophrenic disorders. Schizophr Bull1989; 15: 465–76.
12.
EndicottJSpitzerRLFleissJLCohenJ. The Global Assessment Scale: A procedure for measuring overall severity of psychiatric disturbance. Arch Gen Psychiatry1976;33:766–71.
13.
RidgelyMSGoldmanHHTalbotJA. Chronic mentally ill young adults with substance abuse problems: A review of revelant litterature and creation of a research agenda. Baltimore: University of Maryland school of Medecine, Mental Health Policies Studies1986.
14.
CôtéGLesageAChawkyNLoyerM. Clinical specificity of prison inmates with severe mental disorders: A case-control study. Br J Psychiatry1997; 170: 571–7.
15.
SpitzerRLWilliamsJBWGibbonMFirstMB. Introduction manual for the Structured Clinical Interview for DSM-III-R (SCID). New York: Biometrics Research Department, New York State Psychiatric Institute1989.
16.
SchoolerNHogartyGWeissmanMM. Social Adjustment Scale II (SAS II). In HargreavesWAAttkissonCCSorensonJE, Eds. Resource materials for community mental health program evaluators: US Department of Health, Education and Welfare; 1979, pp. 290–330.
17.
CyrMToupinJLesageA. L'évaluation des problèmes psychosociaux chez des personnes ayant des problèmes psychiatriques graves. Montréal: Département de Psychologie, Université de Montréal1992.
18.
HarrisJGJr. An abbreviated form of the Phillips rating scale of premorbid adjustment in schizophrenics. J Abnorm Psychol1975; 84: 129–37.
