Addictive behaviors in schizophrenic patients: Descriptive and analytical study

Introduction The association of an addictive disorder (harmful use, abuse or dependence) with a schizophrenic is the rule. Genetic vulnerability and social economic factors are common to both disorders. Objectives determine impact behavior on patients suffering from schizophrenia. Methods A descriptive analytical retrospective study 150 schizophrenia hospitalized in psychiatry department Taher Sfar University Hospital Mahdia January 2017 December 2021. Results average age was 39.8 ± 11.23 years predominance group 36-45 (38.4%). All were male. Three quarters (75.5%) consumers psychoactive substances (PSA): nearly three (72.8%) dependent tobacco, more than third (39.7%) alcohol, quarter (29.1%) cannabis almost (26.5%) other SPAs. Criminal history, suicide attempts hospitalization significantly frequent who consumed SPA those did not consume (39.5% vs 8.1%; p=0.008, 17.5% 2.7%; p=0.02, 89.5 % 75.7%; p=0.03, respectively). Patients had positive signs (51.8% 10.8%; p=0.001) less observant treatment (55.3% 16.3%; consume. Hetero-aggressiveness, self-aggressiveness job change behaviors without addiction (86.8% 48.7%; p=0.001, 23.7% p= 0.004, 14.9% 0%; p=0.015, Multivariate analysis revealed that criminal hetero-aggressiveness, predominant symptomatology work stoppage independently associated consumption our (β=14.7 95% CI 3.23–67.01, β=0.099, 0.03–0.31, β=7.18, 2.09–24.67, p=0.002, β=5.24 1.27–21.7; Conclusions According study, comorbidities concern patients. They expose them higher risk legal problems, instability at work. These results encourage development methods for early diagnostic identification comorbid as well integrated care combining psychiatric addictological care. Disclosure Interest None Declared