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![Page 1: Substance abuse comorbidity in hospitalized psychiatric patients Population – 470 consequently admitted hospitalized patients Kfar Shaul – 250 patients.](https://reader036.fdocuments.in/reader036/viewer/2022062412/5a4d1acb7f8b9ab05996f8df/html5/thumbnails/1.jpg)
Substance abuse comorbidity in hospitalized psychiatric patients
Population – 470 consequently admitted hospitalized patients
Kfar Shaul – 250 patientsTel Ha-Shomer – 220 patients
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Substance abuse comorbidity in hospitalized psychiatric patients
Age – 18-70 years oldUp to 24 years old – 87 patients (18.5%)25 – 44 years old – 224 patients (47.7%)45 and more years old – 159 patients (33.8%)
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Age- Kfar Saul vs. Tel Ha ShomerKfar Saul Tel Ha
ShomerStatisticanalysisdf=1
18-24 years old
51 (20.4 %) 66 (30 %) p=0.05
25-44 years old
143 (57.2%) 81(36.8 %) p=0.000
45 and more years old
56 (22.4%) 73 (33.2%) P=0.01
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SexFemale – 165
patients (35% )
Male – 305 patients (65 %)
Place of birthIsrael – 308 patients
(65,5%)West-Europe ,America,
Australia, South Africa -112 patients (23.8%)
East-Asia, Africa, Middle East – 46 patients (9.8%)
Other – 2 patients (0.4%)
Substance abuse comorbidity in hospitalized psychiatric patients
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Origin-Kfar Shaul vs. Tel ha Shomer
Kfar-Shaul Tel-Ha-Shomer
Statistic analysisdf=1
Israel 174 (69.6%)
134(60.9%)
p=0.05
West 59 (24.6%) 57 (25.9%) NS
East 17 (6.8%) 29 (13.2) p=0.03
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Substance abuse comorbidity in hospitalized psychiatric patients
Working status
Frequency PercentWorkingStudents (incl. eshiva)UnemployedSocial security (mental problems)Social security (other problems)Other
107 20
40
178
5669
22.84.3
8.5
37.9
11.914.7
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Substance abuse comorbidity in hospitalized psychiatric patients
Working status-Kfar Saul vs.Tel-Ha-ShomerKfar Shaul Tel-Ha-
ShomerStatistical Analysis df=1
WorkingStudents (incl. eshiva)UnemployedSocial security (mental problems)Social security (other problems)Other
34 (13.6%)16 (6.4%)
27 (10.8%)116 ( 46.4%)
20 (8.0%)
37 (14.8%)
73 (33.2%)4 (1.8%)
13 (5.9%)62 (28.1%)
36 (16.3%)
32 (14.5%)
p=000p=0.02
p=0.01p=0.000
p=0.006
NS
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Substance abuse comorbidity in hospitalized psychiatric patients
Marital status
Frequency Percent
married 151 32.1
single 225 47.9
divorced 85 18.1
widow 5 1.1
other 4 0.9
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Substance abuse comorbidity in hospitalized psychiatric patients Marital status - Kfar Shaul vs. Tel-Ha-Shomer
Kfar Shaul Tel-Ha-Shomer
Statistical Analysis df=1
married 63 (25.2%) 88 (40%) p=0.001
single 135 (54%) 90 (40.9%) p=0.005
divorced 47 (18.8%) 38 (17.2%) NS
widow 2 (0.8%) 0 NS
other 2 (0.8%) 2 (0.9%) NS
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Substance abuse comorbidity in hospitalized psychiatric patients
Past psychiatric historyyes – 391 patients (83.2 %)no – 71 patients (15.5 %)
unclear – 6 (1.3%)
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Substance abuse comorbidity in hospitalized psychiatric patients
Diagnosis
Frequency PercentOrganic disorders (incl. mental disorders due to drug abuse)
33 7.1%
Schizophrenia, schizophrenoform and schizoaffective d-r
237 50.4%
Affective disorders 126 26.8%Anxiety disorders 48 10.8%Personality disorders 26 5.4%
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Substance abuse comorbidity in hospitalized psychiatric patients
Diagnosis Kfar Shaul vs. Tel-Ha-ShomerKfar Shaul Tel-Ha-
ShomerOrganic disorders (incl. mental disorders due to drug abuse)
28 (11.2%) 5 (2.2%) p=0.000
Schizophrenia, schizophrenoform and schizoaffective d-r
142 (56.8%) 95 ( 43.2%) p=0.004
Affective disorders 52 (20.8%) 74 (33.6%) p=0.002
Anxiety disorders 14 (5.6%) 34 (15.4%) p=0.001
Personality disorders 14 (5.6%) 12 (5.6%) NS
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Substance abuse comorbidity in hospitalized psychiatric patients
Life time prevalence of drug abuse Positive (self report) – 113 patients 24.0%Cannabis – 93 patients (19.7%)Opioid – 27 patients (5.7%)Cocaine – 13 patients (2.7%)Amphetamine – 16 patients (3.4%)Methamphetamine – 31 patients (6.6%)
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Substance abuse comorbidity in hospitalized psychiatric patients
Life time prevalence - frequency of abuse
2 - 10 cases per month – 42 patientsmore than 10 cases – 77 patientsunclear – 27 patients
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Non-active substance abusers Kfar-Shaul vs. Tel-Ha-Shomer
Tel-Ha-Shomer
Kfar-Shaul Total Statistical Analysis df=1
20 (9.1%) 15 (6%) 35 (7.4%) NS
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Substance abuse comorbidity in hospitalized psychiatric patients Non-active abusers diagnosis (N = 35)
Frequency Percent
Organic d-rs (incl. due to substance abuse)
3 8.6
Schizophrenia, schizophrenoform d-r and schizoaffective
22 62.9
Affective d-rs 6 17.1
Anxiety d-rs 1 2.9
Personality d-rs 3 8.6
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Substance abuse comorbidity in hospitalized psychiatric patients
Frequency of abuse
Cannabis Amphetamine
Methamphetamine
Opioid Cocaine
2-10 cases/month
16 4 10 4 5
10 and more
35 0 6 12 0
unclear 6 1 2 6 3
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Frequency of abuse of different drugs: Kfar-Shaul vs. Tel-Ha-Shomer
Drug Num of abusers
% of Total num of patients
Kfar-Shaul
% Kfar-Shaul
Tel-Ha-Shomer
% Tel-Ha-Shomer
Statistical Analysis df=1
Amphetamine
5 1.1 4 1.6 1 0.5 NS
Cocaine 7 1.5 4 1.6 3 1.4 NS
Methamphetamine
18 3.8 13 5.2 5 2.3 NS
Opiates 23 4.9 19 7.6 4 1.8 0.004
Cannabis 54 11.1 39 15.6 15 6.8 0.003
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Substance abuse comorbidity in hospitalized psychiatric patients
Active abuse of the drugs (last month) 18 patients - positive for urine tests, but
negative in self reports34 patients - positive for urine tests and self
report24 patients - positive for self report, but
negative for urine testsTotal – 78 patients
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Substance abuse comorbidity in hospitalized psychiatric patients
Urine testsTHC (Cannabis) - 30 positiveMethamphetamine - 7 positiveAmphetamine - 3 positiveCocaine - 5 positiveOpioid - 17 positive
Total – 52 positive
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Substance abuse comorbidity in hospitalized psychiatric patients
Abusers vs. nonusers – age
AbusersN=78
NonusersN=392
Statistical Analysis df=1
Up to 24 years 24 (30.8%) 63 (16.1%) p<0.001
25-44 years 41 (52.6%) 183 (46.7%)
NS
45-64 years 12 (15.4%) 117 (29.8%)
p<0.001
65-70 years 1 (1,2 %) 29 (7.4%) NS
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Substance abuse comorbidity in hospitalized psychiatric patients
Abusers vs. nonusers-sex
Abusersn=78
Nonusersn= 392
Male 60 (76.9%) 245 (62.5%)
Female 18 (23.1%) 147 (37.5%)
p<0.05
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Substance abuse comorbidity in hospitalized psychiatric patients
Abusers vs. nonusers-marital status
Abusers n=78
NonusersN=392
Statistical Analysis df=1
Married 10 (12.8%) 141 (36%) p<0.001
Single 52 (66.7%) 173 (44.1%) p<0.001
Divorced 16 (20.5%) 69 (17.6%) NS
Widow 0 5 (1.3%) NS
Other 0 4 (1%) NS
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Substance abuse comorbidity in hospitalized psychiatric patients
Abusers vs. nonusers-country of origin
Abusers N=78
Nonusers N=392
Statistical Analysis df=1
Israel 52 (66.7%) 256 (65.6%)
NS
Asia, Middle East, North Africa
2 (4.3%) 44 (11.3%)
p<0.05
Europe, South Africa, America, Australia
24 (30.8%) 88 (22.6%)
p< 0.05
Other 0 2 (0,5%) NS
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Substance abuse comorbidity in hospitalized psychiatric patients Abusers vs. nonusers-working status
Abusersn=78
Nonusersn=392
Statistical Analysis df=1
Working 16 (20.5%) 91 (23.2%) NSStudents (inc. eshiva) 7 (9%) 13 (3.3%) NS
Unemployed 9 (11.5%) 31 (7.9%) NS
Soc. security due to mental problems
25 (32%) 153 (39.1%) NS
Soc. security due to other problems
8 (10.3%) 48 (12.2%) NS
Other 13 (16.7%) 56 (14.3%) NS
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Substance abuse comorbidity in hospitalized psychiatric patients
Abusers vs. nonusers-diagnosis
Abusers (n=78) Nonusers (n=392)
Organic d-rs (incl. due to substance abuse)
19 (24.4%) 14 (3.7%)
Schizophrenia, schizophrenoform d-r and schizoaffective
37 (47.4%) 200 (51%)
Affective d-rs 14 (17.9%) 112 (28.5%)
Anxiety d-rs 2 (2.6%) 46 (11.7%)
Personality d-rs 6 (7.7%) 20 (5.1%)
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Substance abuse comorbidity in hospitalized psychiatric patients
Abusers vs. nonusers-diagnosis (without organic d-rs) Abusers n=59
Nonusers n=378
Statistical Analysis df=1
Schizophrenia, schiphrenoform schizoaffective d-rs
37 (62.7%) 200 (52.9%) p=0.06
Affective d-rs 14 (23.7%) 112 (29.6%) NS
Anxiety d-rs 2 (3.4%) 46 (12.1%) NS
Personality d-rs 6 (10.2%) 20 (5.3%) NS
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Substance abuse comorbidity in hospitalized psychiatric patients
Duration of drug abuse vs. duration of mental disorder Tel-Ha-Shomer
Kfar-Shaul
Total Statistical Analysis df=2
Duration of drug abuse is longer than that of mental problems
27 (56.3%) 10 (24.4%) 37 (41.6%) p = 0.004
Duration of drug abuse is similar to that of mental problems
11 (22.9%) 22 (53.7%) 33 (37.1%) p = 0.004
Duration of mental problems is longer than that of drug abuse
10 (20.8%) 9 (22.0%) 19 (21.3%) NS
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Substance abuse comorbidity in hospitalized psychiatric patients Cannabis abuser vs. nonusers-diagnosis
Abusers n=54
Nonusers n=392
Organic (incl. due to substance abuse)
14 (25.9%) 14 (3.7%)
Schizophrenia, schizoaffective,schizophrenoform
27 (50%) 200 (51%)
Affective d-rs 9 (16.7%) 112 (28.5%)
Anxiety d-rs 0 46 (11.7%)
Personality d-rs 4 (7.4%) 20 (4.5%)
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Substance abuse comorbidity in hospitalized psychiatric patients
Cannabis abusers vs. nonusers - diagnosis (without organic)
Abusers n=40
NonusersN=378
Statistical Analysis df=1
Schizophrenia,schizoaffective, schizophrenoform
27 (67.5%) 200 (52.9%) p=0.014
Affective d-rs 9 (22.5%) 112 (29.6%) NS
Anxiety d-rs 0 46 (12.2%) NS
Personality d-rs 4 (10%) 20 ( 5.3 %) NS
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Substance abuse comorbidity in hospitalized psychiatric patients
Psycho stimulants (amphetamine, methamphetamine, cocaine) - diagnosis
Amphetamine
Methamphetamine
Cocaine Total
Organic(incl. due to substance abuse)
1 0 2 3 (10.3%)
Schizophrenia, schizoaffective, schizoprenoform
16 4 1 21 (72.5%)
Affective d-rs 1 0 2 3 (10.3%)
Anxiety d-rs 0 1 1 2 (6.9%)
Personality d-rs 0 0 0 0
Total 18 5 6 29
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Psycho stimulant’s abusers n=26
Nonusersn=378
Statistical Analysis df=1
Schizophrenia, schizoaffective, schizoprenoform
21 (80.7%) 200 (52.9%) p=0.001
Affective d-rs 3 (11.5%) 112 (29.6%) p=0.03
Anxiety d-rs 2 (7.7%) 46 (12.2 %) NS
Personality d-rs 0 20 (5.3%) NS
Substance abuse comorbidity in hospitalized psychiatric patients
Psycho stimulant’s abusers vs. nonusers (diagnosis without organic d-rs)
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Substance abuse comorbidity in hospitalized psychiatric patientsOpioid abusers vs. nonusers-diagnosis
Opioid abusers n=22
NonusersN=392
Organic d-rs (incl. due to substance abuse)
9 (27.3%) 14 (3.7%)
Schizophrenia, schizoaffective, schizofreniform
7 (31.8%) 200 (51%)
Affective d-rs 5 (22.7%) 112 (28.5%)
Anxiety d-rs 0 46 (11.7%)
Personality d-rs 1 (4.5%) 20 (5.1%)
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Substance abuse comorbidity in hospitalized psychiatric patients
Opioid abusers vs. nonusers-diagnosis (without organic) Opioid abusers n=13
NonusersN=378
Statistical Analysis df=1
Schizophrenia,schizoaffective,schizofrenoform
7 (53.8 %) 200 (52.9%) NS
Affective d-rs 5 (38.5%) 112 (29.6%) NS
Anxiety d-rs 0 46 (12.1%) NS
Personality d-rs 1 (7.7 %) 20 (5.3 %) NS
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Substance abuse comorbidity in hospitalized psychiatric patients
PANSS (positive scale) - cannabis abusers vs. nonusers
Mean Standard deviation
t df p
Cannabisabusersn=54
16.128 8.03054 2.510 466 0.012
Nonusersn= 392
19.0556 8.29962
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Substance abuse comorbidity in hospitalized psychiatric patients
PANNS (positive) – subscales: cannabis abusers vs nonusers
P1 (delusions), P2 (conceptual disorganization), P6 (suspiciousness) – rates of the abusers were higher, but not significantly.
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Substance abuse comorbidity in hospitalized psychiatric patients PANSS (positive) - subscales: abusers vs.
nonusers
Rates of the abusers were significantly higher then the nonusers:
P3 (hallucinatory behavior) – p=0.011P4 (excitement) – p= 0.004P5 (grandiosity) – p= 0.006P7 (hostility) – p= 0.024
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Substance abuse comorbidity in hospitalized psychiatric patients
PANSS (general scale) – cannabis abusers vs.
nonusers Mean Standard
deviatn.T df p
Cannabis abusersn=54
33.0185 9.31724 2.727 466 0.007
NonusersN=394
37.3575 11.1955
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G5 (mannerism and posturing), G10 (disorientation), G15 (preoccupation) and G16 (active social avoidance) - rates of the abusers were lower, but not significantly.
Substance abuse comorbidity in hospitalized psychiatric patients PANSS (general scale) – subscales: cannabis
abusers vs. nonusers
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Substance abuse comorbidity in hospitalized psychiatric patients
PANSS (general) – subscales: cannabis abusers vs. nonusers
G9 (unusual thought content), G11 (poor attention), G12 (lack of judgment and insight) - rates of the abusers were higher, but not significantly.
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Substance abuse comorbidity in hospitalized psychiatric patients
PANSS (general) – subscales: cannabis abusers vs. nonusers
G8 (uncooperativeness) – rates of the abusers were significantly higher
(p=0.001)
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Substance abuse comorbidity in hospitalized psychiatric patients
PANSS (general) – subscales: cannabis abusers vs. nonusers
Rates of the abusers were significantly lower:G1 (somatic concern) p=0.001G2 (anxiety) p=0.000G3 (guilt feelings) p=0.000G4 (tension) p=0.000G6 (deression) p=0.000G7 (motor retardation) p= 0.001G13 (disturbance of volition) p=0.002G14 (poor impulse control) p=0.001
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Substance abuse comorbidity in hospitalized psychiatric patients
PANSS (negative scale): cannabis abusers vs. nonusers
Mean Standard deviatn.
t df p
Cannabis abusersn=54
13.8148 6.86763 1.184 466 0.2
Nonusersn=394
14.9831 6.44593
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Substance abuse comorbidity in hospitalized psychiatric patients
PANSS (negative) – subscales: cannabis abusers vs. nonusers
N3 (poor rapport), N5 (difficulty in abstract thinking) – rates of the abusers were higher, but not significantly.
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Substance abuse comorbidity in hospitalized psychiatric patients
PANSS (negative) – subscales: cannabis abusers vs. nonusers
N1 (blunted affect), N2 (emotional withdrawal), N6 (lack of spontaneity/conversational flow) – rates of the abusers were lower, but not significantly
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Substance abuse comorbidity in hospitalized psychiatric patients
PANSS (negative) – subscales: cannabis abusers vs. nonusers
Rates of the abusers were significantly lower:
N4 (social withdrawal) p= 0.04 N7 (stereotyped thinking) p= 0.037
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Substance abuse comorbidity in hospitalized psychiatric patients
YMRS Scale – cannabis abusers vs. nonusers
Mean Standard deviatn.
t df p
Cannabis abusersn=54
6.7778 10.82566 1.158 466 0.115
Nonusersn=394
4.9106 7.754404
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Substance abuse comorbidity in hospitalized psychiatric patients
YMRS – subscales: cannabis abusers vs. nonusers
YMRS1 (elevated mood), YMRS2 (increased motor activity), YMRS4 (sleep), YMRS5 (irritability), YMRS6 (speech), YMRS8 (content), YMRS9 (disruptive/aggressive behavior), YMRS10 (appearance) – rates of the abusers were higher, but not significantly.
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Substance abuse comorbidity in hospitalized psychiatric patients
YMRS – subscales: cannabis abusers vs. nonusers
YMRS3 (sexual interest) – rates of the abusers were lower, but not significantly
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Substance abuse comorbidity in hospitalized psychiatric patients
YMRS – subscales: cannabis abusers vs. nonusers
Rates of the abusers were significantly higher:
YMRS7 (language/thought) – p=0.001 YMRS11 (insight) – p=0.002
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Substance abuse comorbidity in hospitalized psychiatric patients HAM-D: cannabis abusers vs. nonusers
Mean Standarddeviatn.
t df p
Cannabisabusersn=54
5.9444 10.2909 3.535 468 0.000
Nonusersn=394
12.8966 13.9465
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Substance abuse comorbidity in hospitalized psychiatric patients
HAM-D – subscales: cannabis abusers vs. nonusers
HAM-D13 (general somatic symptoms) and HAM-D20 (paranoid symptoms) – rates of the abusers were higher, but not significantly
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Substance abuse comorbidity in hospitalized psychiatric patients
HAM-D – subscales: cannabis abusers vs. nonusers
Rates of the abusers were lower, but not significantly:
HAM-D5 (middle insomnia)HAM-D7 (work and activities)HAM-D15 (hyposhondriasis)HAM-D16 (lost of weight)HAM-D17 (insight)HAM-D19 (depersonalization and derealization)
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Substance abuse comorbidity in hospitalized psychiatric patients
HAM-D – subscales: cannabis abusers vs. nonusers
Rates of the users were significantly lower:HAM-D1 (depressed mood) – p=0.000HAM-D2 (feeling of guilt) – p=0.000HAM-D3 (suicide) – p=0.011HAM-D4 (early insomnia) – p=0.000HAM-D6 (late insomnia) – p=0.006HAM-D8 (retardation) – p=0.006HAM-D9 (agitation) – p=0.000HAM-D10 (psychotic anxiety) – p=0.000
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Substance abuse comorbidity in hospitalized psychiatric patients
HAM-D – subscales: cannabis abusers vs.nonusers (continued)
Rates of the abusers were significantly lower: HAM-D11(somatic anxiety) – p=0.000HAM-D12 (somatic symptoms-gastrointestinal) –
p=0.006HAM-D14 (somatic symptoms-genital) – p=0.002HAM-D18 (diurnal variation) – p=0.01HAMD-D21 (obsessive and compulsive symptoms) –
p=0.002
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Substance abuse comorbidity in hospitalized psychiatric patients
PANNS (positive scale) – stimulants abusers vs. nonusers
Mean Standarddeviatn
t df p
Stimulantsabusersn=29
19.0 9.29606 1.609 466 0.11
Nonusersn=394
16.3228 8.02299
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Substance abuse comorbidity in hospitalized psychiatric patients
PANNS (negative scale) – stimulants abusers vs. nonusers
Mean Standarddeviatn
t df p
Stimulantsabusersn=29
14.8691 6.88043 0.277 466 0.78
Nonusersn=394
14.4800 5.83895
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Substance abuse comorbidity in hospitalized psychiatric patients
PANNS (general scale) – stimulants abusers vs. nonusers
Mean Standarddeviatn
t df p
Stimulantsabusersn=29
39.9097 11.17572 0.434 466 0.664
Nonusersn=394
35.920 9.21466
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Substance abuse comorbidity in hospitalized psychiatric patients
YMRS scale – stimulants abusers vs. nonusers
Mean Standarddeviatn
t df p
Stimulantsabusersn=29
5.2400 7.67181 0.072 466 0.943
Nonusersn=394
5.1196 8.21056