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DC Field | Value | Language |
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dc.contributor.author | Rodrigo, C. | - |
dc.contributor.author | Welgama, S. | - |
dc.contributor.author | Gunawardana, A. | - |
dc.contributor.author | Maithripala, C. | - |
dc.contributor.author | Jayananda, G. | - |
dc.contributor.author | Rajapakse, S. | - |
dc.date.accessioned | 2011-11-21T10:45:41Z | - |
dc.date.available | 2011-11-21T10:45:41Z | - |
dc.date.issued | 2010 | - |
dc.identifier.citation | Subst Abuse Treat Prev Policy. 2010 Jul 8;5:16 | en_US |
dc.identifier.uri | http://archive.cmb.ac.lk:8080/xmlui/handle/70130/449 | - |
dc.description.abstract | BACKGROUND: Several epidemiological studies have shown that cannabis; the most widely used illegal drug in the world, is associated with schizophrenia spectrum disorders (SSD). AIMS: To assess the characteristics of cannabis use and its association with SSD in a cohort of psychiatrically ill patients and discuss the implications for policy development METHODS: This is a retrospective analytical study of a cohort of psychiatric patients who received treatment in the psychiatry unit of the Provincial General Hospital, Ratnapura, Sri Lanka over five years (2000 - 2004). The schizophrenia spectrum disorders defined in this article include schizophrenia and the schizoaffective disorders. RESULTS: A total of 3644 patient records were analyzed. The percentage of self reported life time cannabis (LTC) use was 2.83% (103, all males). Sixteen percent (576) of the total cohort was diagnosed with SSD by 2009. Male sex and LTC use were significantly associated with SSD (p < 0.01 and 0.001 respectively). In the majority (91.5%), cannabis use preceded the diagnosis. There were 17(16.5%) patients diagnosed as cannabis induced psychosis and 7 (41.2%) of them were subsequently diagnosed as SSD. This group was significantly more likely to have had a past psychiatric consultation, but other demographic and clinical correlates did not differ from the rest of the LTC users. CONCLUSIONS: Self reported LTC use was strongly associated with being diagnosed with SSD. However we could not identify a particular subgroup of users that are at increased risk to recommend targeted primary prophylaxis. The policy implications of this observation are discussed. | en_US |
dc.language.iso | en | en_US |
dc.title | A retrospective analysis of cannabis use in a cohort of mentally ill patients in Sri Lanka and its implications on policy development | en_US |
dc.type | Journal abstract | en_US |
Appears in Collections: | Department of Clinical Medicine |
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