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Comorbidity profiles of psychotic patients in emergency psychiatry

Journal of Dual Diagnosis Feb 01, 2020

Lecomte T, et al. - The present study was undertaken to determine comorbidity profiles among individuals seeking emergency room services for psychotic symptoms and to examine the correlation between comorbid symptoms and social functioning deficits in this same population. Researchers collected data from 546 individuals soliciting psychiatric help for psychotic symptoms within the Signature Project (large data bank) in a psychiatric emergency. As per cluster analyses conducted using three different methods, a consensus of five classes of comorbid presentations was identified. People who had a high score for childhood trauma, with fairly high scores for anxiety and depression formed the Class 1 (n = 90). People with mostly psychotic symptoms with little comorbid presentation across other measures were included in Class 2 (n = 176). People with the highest anxiety and depression scores as well as high drug use and impulsivity formed Class 3 (n = 81). Individuals with the highest scores on alcohol and substance abuse, as well as high impulsivity were included in Class 4 (n = 87). People with very low anxiety and depression scores but average trauma, alcohol, and substance misuse scores were included in Class 5 (n = 112). As per linear regressions, there was an association between social functioning, and depression, anxiety, and childhood trauma.
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