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  • Title: Use of drugs, alcohol and tobacco by people with schizophrenia: case-control study.
    Author: McCreadie RG, Scottish Comorbidity Study Group.
    Journal: Br J Psychiatry; 2002 Oct; 181():321-5. PubMed ID: 12356659.
    Abstract:
    BACKGROUND: Specialised services should be developed to help people with schizophrenia and associated substance misuse. The extent of the problem therefore needs to be known. AIMS: To determine the use of drugs, alcohol and tobacco by people with schizophrenia drawn from rural, suburban and urban settings, and to compare use by general population control subjects. METHOD: People with schizophrenia (n=316) and general population controls of similar gender distribution, age and postcode area of residence (n=250) were identified in rural, urban and suburban areas of Scotland. Use of drugs and alcohol was assessed by the Schedules for Clinical Assessment in Neuropsychiatry, and use of tobacco by a questionnaire. RESULTS: More patients than controls reported problem use of drugs in the past year (22 (7%) v. 5 (2%)) and at some time before then (50 (20%) v. 15 (6%)) and problem use of alcohol in the past year (42 (17%) v. 25 (10%)) but not at some time previously (99 (40%) v. 84 (34%)). More patients were current smokers (162 (65%) v. 99 (40%)). CONCLUSIONS: Problem use of drugs and alcohol by people with schizophrenia is greater than in the general population, but absolute numbers are small. Tobacco use is the greatest problem.
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