Title |
A brief motivational intervention for substance misuse in recent‐onset psychosis
|
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Published in |
Drug & Alcohol Review, May 2009
|
DOI | 10.1080/09595230410001704127 |
Pubmed ID | |
Authors |
DAVID J. KAVANAGH, ROSS YOUNG, ANGELA WHITE, JOHN B. SAUNDERS, JEFF WALLIS, NATALIE SHOCKLEY, LINDA JENNER, ANNE CLAIR |
Abstract |
Substance misuse is common in early psychosis, and impacts negatively on outcomes. Little is known about effective interventions for this population. We report a pilot study of brief intervention for substance misuse in early psychosis (Start Over and Survive: SOS), comparing it with Standard Care (SC). Twenty-five in-patients aged 18-35 years with early psychosis and current misuse of non-opioid drugs were allocated randomly to conditions. Substance use and related problems were assessed at baseline, 6 weeks and 3, 6 and 12 months. Final assessments were blind to condition. All 13 SOS participants who proceeded to motivational interviewing reported less substance use at 6 months, compared with 58% (7/12) in SC alone. Effects were well maintained to 12 months. However, more SOS participants lived with a relative or partner, and this also was associated with better outcomes. Engagement remained challenging: 39% (16/41) declined participation and 38% (5/13) in SOS only received rapport building. Further research will increase sample size, and address both engagement and potential confounds. |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
United States | 1 | 1% |
Unknown | 97 | 99% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Researcher | 11 | 11% |
Student > Ph. D. Student | 10 | 10% |
Student > Master | 10 | 10% |
Student > Bachelor | 10 | 10% |
Other | 8 | 8% |
Other | 26 | 27% |
Unknown | 23 | 23% |
Readers by discipline | Count | As % |
---|---|---|
Psychology | 39 | 40% |
Medicine and Dentistry | 17 | 17% |
Social Sciences | 5 | 5% |
Neuroscience | 4 | 4% |
Nursing and Health Professions | 2 | 2% |
Other | 4 | 4% |
Unknown | 27 | 28% |