Table 2.
Study (Author et al.) | Study design | N | Age [mean, years] | Sex [male %] | Ancestry | Diagnosis | Antipsychotic (s) exposure [mean dose] | Substance use outcomes/assessment of substance use | Type of substance assessed |
---|---|---|---|---|---|---|---|---|---|
Drake et al. (2000) | Prospective Cohort Study 3 years follow up | 105 | 32.3 | 77.5 | Predominantly European (96.7%) | Schz/SAD + SUD | 1. Clozapine (n = 19) 2. FGA (n = 86) |
Remission defined as AUS < 3 i.e., abstinence or use without impairment/TLBF, ASI, UDS, AUS, DUS, SATS | Alcohol |
Green et al. (2003) | Retrospective Cohort Study 1 year follow-up | 41 | 44.7 | 76 | NS | Schz/SAD + SUD | 1. Clozapine (n = 24)
439 mg/day 2. Risperidone (n = 8) 3.9 mg/day |
Abstinence defined as cessation of all alcohol and cannabis use/Chart review as per clinician notes | Alcohol, cannabis |
Brunette et al. (2006) | Prospective Cohort Study 1 year follow-up following “remission” | 95 | 34 | 74.4 | Predominantly European (96.4%) | Schz/SAD + SUD | 1. Clozapine (n = 25)
484 mg/day 2. Other Aps (n = 70) |
Remission defined as AUS/DUS < 3 i.e., abstinence or use without impairment /TLFB, ASI, UDS, AUS, DUS, SATS | Alcohol, cannabis, cocaine |
Brunette et al. (2008) | Retrospective Cohort Study 6 to 12 months follow-up | 86 | 40.3 | 79.1 | NS | Schz/SAD + SUD | 1. Clozapine 448.2 mg/day
(n = 27) 2. Other Aps (n = 59) FGA = 35 405 mg/day CPZ equivalent Olanzapine = 24 18.2 mg/day |
Abstinence defined as cessation of all alcohol use/Chart review as per clinician notes/ blood or urine test results, and recordings of Breathalyzer results | Alcohol |
Aps: Antipsychotics; ASI: Addiction Severity Index; AUS: Alcohol Use Scale; BP: Bipolar Disorder; CPZ: chlorpromazine; DUS: Drug Use Scale; NS: Not Stated; FGA: First generation antipsychotics; SAD: Schizoaffective Disorder; SATS: Substance Abuse Treatment Scale; Schz: Schizophrenia; SUD: Substance Use Disorder; TLBF: Time-Line Follow-Back; UDS: Urine Drug Screen.