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Perceived advantages and disadvantages of substance use in a dual diagnosis population with severe mental disorders and severe substance use disorder. Considering the self-medication hypothesis.

Signe Wegmann DüringStephen Fitzgerald AustinSolvej MårtenssonKatrine Schepelern Johansen
Published in: Nordic journal of psychiatry (2024)
reported were relaxation, improved sleep, and control over negative emotions. The number of problems listed varied significantly with the type of preferred substance. Patients using pain medication, sedatives, central stimulants, and alcohol reported most problems. Diagnosis did not differentiate the problems experienced. Results partially support the broad self-medication hypothesis for patients with severe mental illness, but also points out that patients are well aware of negative effects.
Keyphrases
  • mental health
  • mental illness
  • ejection fraction
  • newly diagnosed
  • prognostic factors
  • physical activity
  • early onset
  • depressive symptoms
  • chronic pain
  • patient reported outcomes
  • social support
  • spinal cord injury