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Associations between psychotic symptoms and substance use in young offenders

机译：少年犯的精神病症状与药物滥用之间的关联

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Introduction and Aims. Substance use and psychotic symptoms/disorders are associated. There has been little examination of this issue in young offenders, despite elevated substance use in this group. Design and Methods. Semistructured interviews were conducted by trained researchers with 514 young offenders. Psychotic symptoms were assessed using a previously validated screening measure, with scores >= 3 indicative of possible psychotic disorder. Associations between this indicator and patterns of offending, common symptoms of mental disorders and health risk behaviours, including substance use were examined. The extent to which substance use and psychotic symptoms remained associated after adjustment for possible confounding was evaluated. Results. Thirteen percent screened positive for psychosis. Participants who screened positive for psychosis were more likely than those who did not to have: unstable housing; been expelled from school; a family history of substance use/mental health problems, and depressive symptoms. Amphetamine, sedative and cannabis dependence were all strongly associated with screening positive for psychosis. Screening positive remained significantly associated with amphetamine and sedative dependence, and daily cannabis and sedative use, in multivariable regressions. Discussion and Conclusions. One in eight young offenders reported symptoms consistent with psychosis. Symptomatology was strongly associated with heavy use of a range of illicit drugs. Given the frequency of these symptoms and the potential for them to be related to or exacerbated by drug use, this study highlights the importance of co-ordinated alcohol and other drugs and mental health treatment for young offenders, both due to co-occurrence and given the possibility that treating SUDs may impact on mental health symptoms.
机译：简介和目的。物质使用与精神病性症状/疾病有关。尽管这个群体的毒品使用量增加了，但对于年轻犯罪者，几乎没有对此问题进行检查。设计和方法。半结构化访谈是由受过训练的研究人员对514名年轻罪犯进行的。使用先前经过验证的筛查措施评估精神病症状，得分> = 3表示可能存在精神病。检查了该指标与犯罪模式，精神障碍的常见症状以及包括药物使用在内的健康风险行为之间的关联。评估可能的混杂因素后，药物使用和精神病症状保持关联的程度。结果。百分之十三的人筛查出精神病呈阳性。筛查精神病呈阳性的参与者比没有精神疾病的参与者更有可能：住房不稳定;被学校开除;有吸毒/精神健康问题和抑郁症状的家族史。苯丙胺，镇静剂和大麻的依赖都与筛查精神病呈阳性密切相关。在多变量回归中，筛查阳性仍与苯丙胺和镇静依赖性，每日大麻和镇静使用显着相关。讨论和结论。八分之一的年轻罪犯报告了与精神病一致的症状。症状学与大量使用非法药物密切相关。考虑到这些症状的发生频率以及与使用毒品相关或加剧的可能性，本研究强调了酒精和其他毒品的协调使用以及对青少年犯罪者的心理健康治疗的重要性，这既是由于同时发生，也是由于SUD的治疗可能会影响心理健康症状的可能性。

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