Demographic and clinical features of patients with substance-induced mental disorders admitted to the psychiatric hospital in Kermanshah, Iran

Abstract

Background: Evaluating the prevalence and clinical features of substance induced mental disorders leading hospitalization is important in programming for better management of these disorders. There is a lack of studies investigated the pattern of drugs leading admission in mental hospitals.Objectives: To evaluate demographic and clinical features of patients with substance induced mental disorders admitted to Farabi psychiatric hospital in Kermanshah, Iran.Methods: This is a cross-sectional study conducted in 2013. 359 patients whom admitted with substance related psychiatric disorders were evaluated using demographic questionnaire, clinical and paraclinical exams. patients diagnosed with primary mental disorders, and mental disorders due to other medical condition were excluded.Results: The participant's mean age was 31.44 years. The most of the patients were unemployed males with low education living in urban areas. Amphetamines in 289 (80.5%), opioids in 57 (15.8%), cannabis in 11(3.1%), and benzodiazepines in 2 (0.6%) patients were the main drugs leading admission. Amphetamine induced psychotic disorder with hallucination (40.4%) were the most common diagnosis among the study subjects.Discussion: Amphetamines was the most problematic drug in our setting and amphetamine induced mental disorders were the most prevalent causes of hospitalization. Opioids induced psychiatric disorders were in the second rank.