Can exploring natural recovery from substance misuse in psychosis assist with treatment? A review of current research

Rebgetz, Shane, Kavanagh, David J., & Hides, Leanne (2015) Can exploring natural recovery from substance misuse in psychosis assist with treatment? A review of current research. Addictive Behaviors, 46, pp. 106-112.

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Substance misuse in people with psychosis presents significant problems, but trials of treatments to address it show little sustained advantage over control conditions. An examination of mechanisms underpinning unassisted improvements may assist in the refinement of co-morbidity treatments. This study reviewed existing research on natural recovery from substance misuse in people with psychosis. To address this issue, a systematic search identified only 7 articles that fulfilled the criteria. Their results suggest that people with psychosis report similar reasons to change as do non-psychotic groups, although they did not clarify whether the relative frequencies or priority orders were the same. Differences involved issues relating to the disorder and the functional problems faced by this group: receipt of treatment for mental health difficulties, worsening of mental health difficulties, and homelessness. The current research on reasons for change in people with psychosis is sparse and has significant limitations, and as yet it offers little inspiration for new treatments. A more fertile source may prove to be a detailed investigation of successful substance control strategies that are used in self-management by this group.

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4 citations in Scopus
3 citations in Web of Science®
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ID Code: 91340
Item Type: Journal Article
Refereed: Yes
Keywords: natural recovery, psychosis, substance use, comorbidity
DOI: 10.1016/j.addbeh.2015.03.006
ISSN: 0306-4603
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Deposited On: 17 Dec 2015 05:11
Last Modified: 26 Jun 2017 15:01

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