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Stimulant Psychosis: Symptom Profile and Acute Clinical Course
Author(s) -
Harris Debra,
Batki Steven L.
Publication year - 2000
Publication title -
the american journal on addictions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.997
H-Index - 76
eISSN - 1521-0391
pISSN - 1055-0496
DOI - 10.1080/10550490050172209
Subject(s) - positive and negative syndrome scale , psychopathology , seclusion , psychiatry , psychosis , stimulant , clinical psychology , psychology , medicine , schizophrenia (object oriented programming) , amphetamine , dopamine
Nineteen patients seen at a psychiatric emergency service with amphetamine‐ or cocaine‐induced psychotic disorder were assessed with structured interviews, chart review, and blood and urine testing. All had a predominance of positive symptoms from the Positive and Negative Syndrome Scale (PANSS). However, some subjects had substantial Negative Scale scores (26%), bizarre delusions (95%), and Schneiderian hallucinations (63%), mimicking a broad range of schizophrenic symptoms. Several PANSS scores were correlated with treatment intensity: Positive score with seclusion hours, General Psychopathology and Negative scores with hospitalization length, and General Psycho‐pathology score with neuroleptic dose. Presenting symptoms may help in treatment planning.