Journal article
Distress and sleep quality in young amphetamine-type stimulant users with an affective or psychotic illness
Psychiatry Research, Vol.262, pp.254-261
2018
Appears in Thompson Institute Research Collection
Abstract
Misuse of amphetamine-type stimulant (ATS) drugs may disrupt key neurodevelopmental processes in young people and confer protracted neurocognitive and psychopathological harm. ATS users with a co-occurring psychiatric illness are typically excluded from research, reducing generalizability of findings. Accordingly, we conducted a cross-sectional examination of key clinical, sleep, socio-occupational and neurocognitive measures in current, past and never users of ATS drugs who were accessing a youth mental health service (headspace) for affective- or psychotic-spectrum illnesses. Contrary to hypotheses, groups did not differ in psychotic symptomology, socio-occupational functioning or neurocognitive performance. Current ATS users were however significantly more distressed and reported poorer subjective sleep quality and greater subjective sleep disturbances than never users, with a trend toward greater depressive symptomology in current users. Regression analyses revealed that depressive symptoms, daily ATS use and socio-occupational functioning predicted distress, and depressive symptoms and distress predicted subjective sleep quality. Our findings suggest that distress and poor sleep quality reflect a particular pathophysiology among ATS-using patients, which may negatively impact treatment engagement. Delineating the factors that disrupt social and neurobiological development in young people (such as substance use) warrants further investigation, including longitudinal study.
Details
- Title
- Distress and sleep quality in young amphetamine-type stimulant users with an affective or psychotic illness
- Authors
- Jacob J Crouse (Author) - University of SydneyRico S C Lee (Author) - University of SydneyDjango White (Author) - University of SydneyAhmed A Moustafa (Author) - Western Sydney UniversityIan B Hickie (Author) - University of SydneyDaniel F Hermens (Author) - University of the Sunshine Coast - Faculty of Arts, Business and Law
- Publication details
- Psychiatry Research, Vol.262, pp.254-261
- Publisher
- Elsevier Ireland Ltd.
- Date published
- 2018
- DOI
- 10.1016/j.psychres.2018.02.033
- ISSN
- 0165-1781
- Copyright note
- Copyright © 2018. This manuscript version is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/
- Organisation Unit
- University of the Sunshine Coast, Queensland; Thompson Institute
- Language
- English
- Record Identifier
- 99451357202621
- Output Type
- Journal article
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