Separate Treatments Best For Comorbid Psychosis, Addiction
the Psychiatry Advisor take:
Patients with psychosis and addiction disorder may respond moderately better to disorder-specific treatment, according to research published in Deutsches Ärzteblatt International.
Addiction is a common problem for those with psychosis. Nearly one out of every two patients with schizophrenia develops an addiction disorder during their lifetime. The disorder often becomes chronic, and patients often have a poorer prognosis.
To determine whether disorder-specific treatment could improve patients’ motivation to remain abstinent and reduce their substance misuse, Euphrosyne Gouzoulis-Mayfrank, MD, from the University of Cologne, Germany, and colleagues studied 100 patients with psychosis and addiction who volunteered to be admitted to inpatient treatment for their disorders.
While all of the patients received standard treatment such as individual therapeutic sessions, therapy for their psychosis, and cognitive training, some patients also received disorder-specific group treatments that focused on psychoeducation and their motivation to remain abstinent from their addictions. They were then offered additional outpatient cognitive behavioral therapy.
After a year of treatment, the researchers found that patients who received disorder-specific treatment had a slightly stronger motivation to remain abstinent from their addiction and that their substance usage was slightly lower compared with the group who only received conventional treatment.
The authors stressed that this disorder-specific treatment will only yield moderate improvements in patients with psychosis and addiction disorder. Because the study had a limited number of participants, the researchers recommended verifying the results in larger studies and identifying subgroups that may be better responders to treatment.
Patients with psychosis and addiction disorders responded moderately better to disorder-specific treatment.
People with psychosis often develop an addiction disorder: almost one in two patients with schizophrenia are affected once during their lifetime. Patients with a dual diagnosis mostly have a poorer prognosis, and their disorder often becomes chronic.
Euphrosyne Gouzoulis-Mayfrank and colleagues investigated in a randomized controlled study in the current issue of Deutsches Ärzteblatt International (Dtsch Arztebl Int 2015; 112: 683-91) whether disorder-specific treatment can improve patients' motivation to remain abstinent and reduce their substance misuse. They applied an evaluated therapeutic program that would be easy to implement in standard care.
Sign Up for Free e-newsletters
Psychiatry Advisor Articles
- Childhood-Onset Bipolar Disorder Associated With Impaired Family Functioning
- Valproate Use in Women Who Could Become Pregnant: The Argument for Informed Consent
- Sertraline Effective for Treating Depression in Vascular Cognitive Impairment
- Hospitalization Rates in Schizophrenia—Lurasidone vs Quetiapine
- Ketamine-Induced Dissociative Symptoms Predict Antidepressant Response
- Video Games and Exercise as Alternative Therapies for ADHD
- How Parents Can Enhance Autism Treatment: Use of Intervention Strategies at Home
- Electroconvulsive Therapy Effective in Children With Autism
- Comorbid Autism Spectrum Disorder and OCD: Challenges in Diagnosis and Treatment
- The Cutting Edge of Schizophrenia Research: VR as Treatment for Psychosis
- Consensus Statement: Managing Bipolar Disorder During and After Pregnancy
- Verbal Memory Linked to Temporal Lobe Thickness in First-Degree Relatives of Those With Schizophrenia
- Associations Between Maternal Depression, Support, and Cognitive Development in Offspring
- Medical Marijuana Users More Likely to Use Prescription Drugs for Medical, Nonmedical Purposes
- Effects of the 2 Types of Anorexia Nervosa on Bone Metabolism