Psychotic disorders with alcohol and substance abuse in the elderly

2010 ◽  
pp. 201-208
Author(s):  
Greg Whelan
Keyword(s):  
Substance Abuse ◽  
Psychotic Disorders ◽  
The Elderly

scholarly journals The neuropsychiatric burden of neurological diseases in the elderly

2005 ◽  
Vol 17 (3) ◽  
pp. 341-351 ◽  
Author(s):  
JEFFREY L. CUMMINGS
Keyword(s):  
Substance Abuse ◽  
Psychiatric Disorders ◽  
Psychotic Disorders ◽  
Late Onset ◽  
Neurological Diseases ◽  
The Elderly ◽  
Behavioral Disturbances ◽  
High Prevalence ◽  
Substance Abuse Disorders ◽  
History Of

Psychogeriatrics began as an extension of psychiatry, with an emphasis on the unique manifestation of psychiatric disorders in the elderly. Early in the history of psychogeriatrics there was an emphasis on late-onset or late-enduring depression; paraphrenia and late-onset psychotic disorders; the late-life phases of schizophrenia; and anxiety and substance abuse disorders in the elderly. Growing recognition of the increasing frequency of Alzheimer's disease (AD) in the course of aging and the high prevalence of behavioral disturbances in patients with AD led psychogeriatricians to study the diagnosis and management of this disorder.

Substance Abuse in the Elderly: Over-the-Counter and Illegal Drugs

1988 ◽  
Vol 39 (8) ◽  
pp. 822-829
Author(s):  
Robert C. Abrams ◽  
George S. Alexopoulos
Keyword(s):  
Substance Abuse ◽  
The Elderly ◽  
Illegal Drugs ◽  
Over The Counter

Substance Abuse in the Elderly: Alcohol and Prescription Drugs

1987 ◽  
Vol 38 (12) ◽  
pp. 1285-1287 ◽  
Author(s):  
Robert C. Abrams ◽  
George S. Alexopoulos
Keyword(s):  
Substance Abuse ◽  
Prescription Drugs ◽  
The Elderly

Epidemiology of schizophrenia and related disorders

2020 ◽  
pp. 277-292
Author(s):  
Assen Jablensky ◽  
Hannah E Jongsma ◽  
James B Kirkbride ◽  
Peter B Jones
Keyword(s):  
Risk Factors ◽  
Substance Abuse ◽  
Life Events ◽  
Psychotic Disorders ◽  
Vital Role ◽  
Case Definition ◽  
Clinical Aspects ◽  
Global Burden ◽  
Future Directions ◽  
Traumatic Life Events

Epidemiological approaches to understanding the frequency, distribution, and determinants of psychotic disorders, such as schizophrenia, have played a vital role in delineating the aetiology and course of these conditions for almost a century. Despite several milestones, reviewed in this chapter, many methodological and clinical aspects of these disorders continue to provide challenges to studying the epidemiology of psychotic disorders, including issues of case definition, case ascertainment, and study design. After summarizing these challenges, we review the current neuropsychiatric epidemiologic knowledge of the incidence, prevalence, and aetiology of psychotic disorders. Here, we also provide a contemporary overview of the role that genetic, neurodevelopmental, demographic and environmental risk factors, including inflammation, traumatic life events, substance abuse, urban living, and minority status have on risk, course, and outcome of psychotic disorder. We conclude with future directions required to elucidate the interplay of these factors in contributing to the global burden of psychotic disorders.

The Role of Controlled Substance Use in Diversion Outcomes Among Mentally Ill Offenders: A Pilot Study

2017 ◽  
Vol 62 (9) ◽  
pp. 2709-2725
Author(s):  
Jennifer K. Boland ◽  
Barry Rosenfeld
Keyword(s):  
New York ◽  
Substance Abuse ◽  
Substance Use ◽  
Psychotic Disorders ◽  
Mentally Ill Offenders ◽  
Program Participation ◽  
Diversion Programs ◽  
Diversion Program ◽  
Drug History

Diversion programs offer opportunities to offenders with substance abuse or mental illness to attend treatment as an alternative to incarceration. The present study identified variables associated with drug relapse and recidivism and the moderating role of substance use on recidivism in a diversion sample. Data were collected from 80 clients with psychotic disorders from a diversion program in New York City. Outcomes were examined after 6 and 12 months of program participation. Individuals who used controlled substances other than alcohol or cannabis were more likely to have a positive toxicology result than those who used alcohol or cannabis only or those with no alcohol/drug history. Individuals with schizoaffective disorder were more likely to be rearrested than individuals with other diagnoses, as were those with a violent offense (e.g., assault, robbery). Positive toxicology results were unrelated to rearrest and did not moderate recidivism, suggesting substance abuse may be only indirectly related to rearrest among diverted offenders.

Impulsivity in early psychosis: A complex link with violent behaviour and a target for intervention

2018 ◽  
Vol 49 ◽  
pp. 30-36 ◽  
Author(s):  
V. Moulin ◽  
P. Golay ◽  
J. Palix ◽  
P.S. Baumann ◽  
M-M. Gholamrezaeec ◽  
...  
Keyword(s):  
Substance Abuse ◽  
Early Intervention ◽  
Psychotic Disorders ◽  
Interaction Analysis ◽  
Early Psychosis ◽  
First Episode ◽  
Positive Symptoms ◽  
Violent Behaviour ◽  
Increased Risk ◽  
Early Intervention In Psychosis

AbstractBackgroundViolent behaviour (VB) occurs in first episode of schizophrenia and can have devastating impact both on victims and patients themselves. A better knowledge of the underlying mechanisms of VB may pave the way to preventive treatments.Objectives1) To explore the nature of the link between impulsivity and VB in early psychosis (EP) patients; 2) To explore the interactions between impulsivity and substance abuse, insight, and positive symptoms, the main dynamic risk factors of VB described to date.Design and methodsPost hoc analysis of data acquired in the frame of a 36-months EP cohort study. A total of 265 EP patients, aged 18 to 35, treated at TIPP (Treatment and early Intervention in Psychosis Program), at the Department of Psychiatry in Lausanne, Switzerland, were included in the study. Logistic regression analyzes were performed as well as mediation analysis and interaction analysisResultsOur data suggest that impulsivity is a predictor of VB when analyzed independently and as part of a multi-factorial model. Impulsivity continues to differentiate violent patients from non-violent ones at the end of the program. In addition, the relationship between impulsivity and VB is not mediated by substance abuse. Finally, the effect of impulsivity on the probability of VB is potentiated by the interaction of different levels of insight and positive symptoms.ConclusionsEarly intervention strategies in psychotic disorders should include evaluation of impulsivity considering it is linked to increased risk of VB and may respond to treatment.

Treating chronically psychotic patients in nursing homes

2016 ◽  
Vol 33 (S1) ◽  
pp. S37-S37 ◽  
Author(s):  
J. Gauillard
Keyword(s):  
Nursing Home ◽  
Psychotic Disorders ◽  
Psychiatric Symptoms ◽  
Psychiatric Hospitals ◽  
The Elderly ◽  
Sheltered Housing ◽  
Psychiatric Disease ◽  
Public Health Issue ◽  
Old Patients ◽  
Alzheimer Dementia

The increase of aging patients with schizophrenia becomes a public health issue. The exponential demography of the elderly, the improvement of cares associated with better physical follow-up directly impact the number of old patients with chronic psychiatric disease. Deinstitutionalization associated with a dramatic enhancement of ambulatory and community cares has led to a reduction of beds in psychiatric hospitals. When dependency occurs, due to physical comorbid illness or a worsening of the negative symptoms, psychiatric teams should find appropriate housing and no longer the psychiatric hospital. Nursing home and sheltered housing for the elderly dependent persons become a solution, but geriatric staffs are not always prepared to receive resident with schizophrenia and other psychotic disorders. They often are at a loss when faced with the expression of psychiatric symptoms or with the specificity of caring for often-younger patients whose behavior is different from older people with neurodegenerative disorders.How psychiatric teams could long-term assist the sheltered housing and nursing home and bring a psychiatric know-how within staffs often reluctant to deal with psychotic patients who could burden caregivers. How could they be trained to cope with complex cognitive functions impairments of schizophrenia, far from cognitive impairments of Alzheimer dementia? How to change the representation of psychiatric illness, which often leads to a double stigmatization (old age and madness)? Improving the quality of life of aging patients with severe chronic mental illness in homes for seniors is a great challenge for psychiatric teams in collaboration with geriatric caregivers.Disclosure of interestThe author has not supplied his declaration of competing interest.

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