ArticleThe South African journal of psychiatry : SAJP : the journal of the Society of Psychiatrists of South Africa2019
First-episode psychosis and substance use in Nelson Mandela Bay: Findings from an acute mental health unit.
Article in The South African journal of psychiatry : SAJP : the journal of the Society of Psychiatrists of South Africa, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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12 citing papers in PubMed, 20 citations in OpenAlex.
- Substance abuse in first-episode psychosis at Chris Hani Baragwanath Hospital.The South African journal of psychiatry : SAJP : the journal of the Society of Psychiatrists of South Africa · 2026Article
- The current nursing care of patients diagnosed with dual diagnosis: a comprehensive literature review.BMC nursing · 2025Article
- Impacts of Covid-19 on mental health service provision in the Western Cape, South Africa: The MASC study.PloS one · 2023Article
- The association of cognitive impairment with quality of life and functional impairment in Ugandan first-episode psychosis patients: a cross sectional study.Health and quality of life outcomes · 2022Article
- The psychological and subjective experience of catatonia: a qualitative study.BMC psychology · 2022Article
- Management and outcomes of catatonia: A prospective study in urban South Africa.SAGE open medicine · 2022Article
- Profiles and factors associated with schizophrenia in eastern Ethiopia: A matched case-control study.Frontiers in psychiatry · 2022Article
- Prevalence of cannabis use in people with psychosis in KwaZulu-Natal, South Africa.The South African journal of psychiatry : SAJP : the journal of the Society of Psychiatrists of South Africa · 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
- Prevalence and clinical correlates of substance use disorders in South African Xhosa patients with schizophrenia.Social psychiatry and psychiatric epidemiology · 2021Article
- Quality of individual and group level interventions for first-episode psychosis at the tertiary psychiatric hospital in Uganda.The South African journal of psychiatry : SAJP : the journal of the Society of Psychiatrists of South Africa · 2021Article
- Prevalence and clinical correlates of substance use amongst acute psychiatric inpatients in Gauteng, South Africa.The South African journal of psychiatry : SAJP : the journal of the Society of Psychiatrists of South Africa · 2020Article
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Authors and funding
3 authors at 3 institutions in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundUse of psychoactive substances is a common finding in studies on first-episode psychosis (FEP), and this has prognostic implications. We know very little about psychoactive substance use (SU) among patients with FEP in the Eastern Cape province (EC) of South Africa (SA).
aimThe study seeks to determine SU prevalence and associated features among inpatients with non-affective FEP in an acute mental health unit (MHU) in Nelson Mandela Bay, EC.
settingResearchers conducted a retrospective clinical file review of a 12-month admission cohort of patients with FEP, without a concurrent mood episode, to the Dora Nginza Hospital MHU. Information collected included SU history, psychiatric diagnoses, and demographics. Data were then subjected to statistical analysis.
methodsResearchers conducted a retrospective clinical file review of a 12-month admission cohort of patients with FEP, without a concurrent mood episode, to the Dora Nginza Hospital MHU. Information collected included SU history, psychiatric diagnoses and demographics. Data were then subjected to statistical analysis.
resultsA total of 117 patients (86 [73.5%] males; 31 [26.5%] females) aged 18-60 years (mean 29 years) met the inclusion criteria. After controlling for missing information, 95 of 117 (81.2%) patients had a history of active or previous SU, 82 of 90 (91.1%) were single and 61 of 92 (66.3%) were unemployed. A significant association was found between SU and unemployment (
conclusionIn keeping with national and international literature, the results of this study showed a high prevalence of substance use in South African patients with first-episode psychosis. The high prevalence of lifetime substance use in this cohort compared to previous studies in South Africa requires further investigation and highlights the urgent need for dual diagnosis services in the Eastern Cape province.
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