ArticleInternational journal of qualitative studies on health and well-being2013
Walking the fine line: self-reported reasons for substance use in persons with severe mental illness.
Article in International journal of qualitative studies on health and well-being, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Prevalence and risk factors for misuse of prescription psychotropic drug in patients with severe mental illness: A systematic review.Actas espanolas de psiquiatria · 2023Pooled it
- Exploring the temporal relationship between mood, alcohol- and nicotine use in bipolar disorder using time-series analyses.International journal of bipolar disorders · 2025Article
- Impact of COVID-19 on the lives of people with severe mental illness-front-line community psychiatry workers observation from a provincial survey of assertive community treatment teams in Ontario, Canada.International journal of mental health systems · 2023Article
- Individuals with Mental Illnesses in the Criminal Legal System: Complex Issues and Best Practices.Federal probation · 2022Article
- Perceived stress and its associated factors among people living in post-war Districts of Northern Ethiopia: A cross-sectional study.PloS one · 2022Article
- Prevalence and Demographic Correlates of Substance Use among Adults with Mental Illness in Eastern Cape, South Africa: A Cross-Sectional Study.International journal of environmental research and public health · 2021Article
- Problematic Drug Use Among Outpatients With Schizophrenia and Related Psychoses.Frontiers in psychiatry · 2021Article
- The impact of COVID-19 on individuals living with serious mental illness.Schizophrenia research · 2020Article
- Co-Occurring Psychiatric and Substance Use Disorders: Clinical Survey Among a Rural Cohort of Italian Patients.Neuropsychiatric disease and treatment · 2019Article
- Mental Health and Substance Use Factors Associated With Unwanted Sexual Contact Among U.S. Active Duty Service Women.Journal of traumatic stress · 2015Article
- Engagement in assertive community treatment as experienced by recovering clients with severe mental illness and concurrent substance use.International journal of mental health systems · 2014Article
- Allostasis as a conceptual framework linking bipolar disorder and addiction.Frontiers in psychiatry · 2014Review
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Many theoretical models have been proposed to explain the relationship between severe mental illness (SMI) and substance use. Because many of these are contradictory quantitative American studies, a qualitative, exploratory study of a Scandinavian sample may offer a new perspective. The aim of the study is to explore reasons for substance use through analysis of the participants' experiences. A qualitative study with semistructured interviews was used. Purposeful sampling (N=11) of patients with substance use disorder (SUD) and SMI, who were included in assertive community treatment teams, was completed. Inclusion criteria are increased quality of life or increased general functioning, and decreased substance use, after a minimum of 12 months in treatment. Reasons given for using substances were categorized as (a) controlling the symptoms of mental illness, (b) counteracting medication side effects, or (c) balancing the ambiguity. The conclusion is that the study findings mainly support secondary substance use models in explaining the comorbidity of SMI and substance use. However, there is some support for the traditional self-medication hypothesis (SMH), iatrogenic vulnerability, and the supersensitivity model. This may be because the majority of the study participants reported having a mental illness with subsequent substance use. The expressed ambivalence to substance use also lends some support to bidirectional models.
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