2026-04-17T16:13:03Zhttps://recercat.cat/oai/request

oai:recercat.cat:2445/1194252025-12-04T22:33:19Zcom_2072_1057col_2072_478917col_2072_478931

00925njm 22002777a 4500 dc Roncero, Carlos author Daigre, Constanza author Gonzalvo, Begoña author Valero, Sergi author Castells, Xavier author Grau-López, Lara author Eiroá Orosa, Francisco José author Casas, Miquel author 2018-01-30T17:04:51Z 2018-01-30T17:04:51Z 2013 2018-01-30T17:04:51Z Cocaine consumption can induce transient psychotic symptoms, expressed as paranoia or hallucinations. Cocaine induced psychosis (CIP) is common but not developed in all cases. This is the first European study on the relationship between CIP, consumption pattern variables and personality disorders. We evaluated 173 cocaine-dependent patients over 18 years; mostly males, whose average age was 33.6 years (SD=7.8). Patients attending an outpatient addictions department were enrolled in the study and subsequently systematically evaluated using SCID I and SCID II interviews for comorbid disorders, a clinical interview for psychotic symptoms and EuropASI for severity of addiction. A high proportion of cocaine dependent patients reported psychotic symptoms under the influence of cocaine (53.8%), the most frequently reported being paranoid beliefs and suspiciousness (43.9%). A logistic regression analysis was performed, finding that a model consisting of amount of cocaine consumption, presence of an antisocial personality disorder and cannabis dependence history had 66.2% sensitivity 75.8% specificity predicting the presence of CIP. In our conclusions, we discuss the relevance of evaluating CIP in all cocaine dependent-patients, and particularly in those fulfilling the clinical profile derived from our results. These findings could be useful for a clinical approach to the risks of psychotic states in cocaine-dependent patients. Drogoaddicció Cocaïna Psicosi Trastorns de la personalitat antisocial Drug addiction Cocaine Psychoses Antisocial personality disorders Risk factors for cocaine-induced psychosis in cocaine-dependent patients