A Study on Psychotic Disorder Due to Alcohol Use.
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2018, Vol 3, Issue 11
Abstract
Introduction: Alcohol induced psychotic disorder occurs in a substantial number of individuals with chronic alcoholism. Studies on the factors associated with the condition are few in the Indian context. Methodology: Cross sectional study in a case control design comparing individuals with alcohol induced psychotic disorder and alcohol dependence without psychosis. Cases of delirium and late onset psychotic disorders were excluded in accordance with current criteria. The symptom profile of cases with alcohol induced psychotic disorder were noted and its association with soicio-demographic, addiction severity measured by Addiction Severity Index (ASI) and family history was studied Results: Most patients (53.3%) had predominantly hallucinatory symptoms. The mean age of the study group was higher than the control group [35.03 (SD7.92) vs 41.03 (SD 8.07); p = 0.004] indicating that alcohol induced psychosis was associated with increased age. Interviewer rating for severity of alcohol use and legal status domains was higher in the study group, indicating that high degree of alcohol dependence is associated with psychotic features.57% patients in the study group had first degree relatives with psychiatric symptoms whereas it was just 18% in the control group indicating a strong genetic vulnerability for development of alcohol induced psychotic disorder in individuals with a positive family history. Conclusion: Alcohol induced psychosis manifests predominantly with hallucinations but other presentations are also common. Older age, greater severity of addiction and family history of psychosis are all associated with alcohol induced psychosis.
Authors and Affiliations
Dr. SJ Daniel
Keywords
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