Association of Substance Use Patterns with Psychiatric Disorders in Homeless Persons with Psychiatric Disorders in Vancouver

Vogel, Marc; Nikoo, Mohammadali; Nikoo, Nooshin; Schütz, Christian G.; Walter, Marc; Somers, Julian; Krausz, Michael

doi:10.1007/s11469-018-0040-4

Original Article
Published: 10 December 2018

Association of Substance Use Patterns with Psychiatric Disorders in Homeless Persons with Psychiatric Disorders in Vancouver

Marc Vogel ORCID: orcid.org/0000-0002-3088-0331^1,2,
Mohammadali Nikoo^2,3,
Nooshin Nikoo^2,3,
Christian G. Schütz^2,3,
Marc Walter¹,
Julian Somers⁴ &
Michael Krausz^2,3

International Journal of Mental Health and Addiction volume 17, pages 1200–1213 (2019)Cite this article

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Abstract

Substance use and psychiatric disorders are highly prevalent in persons experiencing homelessness. We aimed to investigate the associations between the patterns of substance use and risk behaviors with specific psychiatric disorders in homeless persons with psychiatric disorders using baseline data of the Vancouver sample (N = 494) of the At Home/Chez Soi study. Psychiatric disorders were diagnosed with the MINI Neuropsychiatric Interview 6.0, and substance use was assessed with the Maudsley Addiction Profile. In a multivariate analysis, major depressive disorder was associated with the use of stimulants and benzodiazepines, respectively. Posttraumatic stress disorder (PTSD) was associated with stimulant use. Panic disorder was associated with alcohol and benzodiazepine use, respectively. Opioid use was less common in participants with a psychotic disorder. Injection use of drugs occurred more often among participants with major depressive disorder, PTSD, and mood disorder with psychotic features. Awareness of these associations will be useful for clinicians for targeted prevention, diagnosis, and treatment of this population.

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Authors and Affiliations

University of Basel Psychiatric Hospital, Division of Addictive Disorders, Wilhelm Klein-Strasse 27, 4002, Basel, Switzerland
Marc Vogel & Marc Walter
Institute of Psychiatric Health, Department of Psychiatry, The University of British Columbia, Vancouver, BC, Canada
Marc Vogel, Mohammadali Nikoo, Nooshin Nikoo, Christian G. Schütz & Michael Krausz
Centre for Health Evaluation and Outcome Sciences (CHEOS), The University of British Columbia, Vancouver, BC, Canada
Mohammadali Nikoo, Nooshin Nikoo, Christian G. Schütz & Michael Krausz
Faculty of Health Sciences, Simon Fraser University, Vancouver, BC, Canada
Julian Somers

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Marc Vogel
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Mohammadali Nikoo
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Nooshin Nikoo
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Christian G. Schütz
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Marc Walter
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Julian Somers
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Michael Krausz
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Vogel, M., Nikoo, M., Nikoo, N. et al. Association of Substance Use Patterns with Psychiatric Disorders in Homeless Persons with Psychiatric Disorders in Vancouver. Int J Ment Health Addiction 17, 1200–1213 (2019). https://doi.org/10.1007/s11469-018-0040-4

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Published: 10 December 2018
Issue Date: October 2019
DOI: https://doi.org/10.1007/s11469-018-0040-4

Keywords

Alcohol
Opioid
Stimulant
Cannabis
Route of administration
Risk behavior