PMID- 24837058 OWN - NLM STAT- MEDLINE DCOM- 20150120 LR - 20211021 IS - 1573-2509 (Electronic) IS - 0920-9964 (Print) IS - 0920-9964 (Linking) VI - 156 IP - 2-3 DP - 2014 Jul TI - Impact of substance use on conversion to psychosis in youth at clinical high risk of psychosis. PG - 277-80 LID - S0920-9964(14)00193-5 [pii] LID - 10.1016/j.schres.2014.04.021 [doi] AB - Elevated rates of substance use (alcohol, tobacco, cannabis) have been reported in people at clinical high risk (CHR) of developing psychosis and there is some evidence that substance use may be higher in those who convert to a psychosis compared to non-converters. However little is known about the predictive value of substance use on risk of conversion to psychosis in those at CHR of psychosis. In the current study, 170 people at CHR of psychosis were assessed at baseline on severity of alcohol, tobacco and cannabis using the Alcohol and Drug Use Scale. Participants were recruited across three sites over a four year period as part of the Enhancing the Prospective Prediction of Psychosis (PREDICT) study. Predictors of conversion to psychosis were examined using Cox proportional hazards models. Results revealed that low use of alcohol, but neither cannabis use nor tobacco use at baseline, contributed to the prediction of psychosis in the CHR sample. Prediction algorithms incorporating combinations of additional baseline variables known to be associated with psychotic conversion may result in increased predictive power compared with substance use alone. CI - Copyright (c) 2014 Elsevier B.V. All rights reserved. FAU - Buchy, Lisa AU - Buchy L AD - Hotchkiss Brain Institute, Department of Psychiatry, University of Calgary, Calgary, Alberta, Canada. FAU - Perkins, Diana AU - Perkins D AD - Department of Psychiatry, University of North Carolina, Chapel Hill, NC, United States. FAU - Woods, Scott W AU - Woods SW AD - Department of Psychiatry, Yale University, New Haven, CT, United States. FAU - Liu, Lu AU - Liu L AD - Hotchkiss Brain Institute, Department of Psychiatry, University of Calgary, Calgary, Alberta, Canada. FAU - Addington, Jean AU - Addington J AD - Hotchkiss Brain Institute, Department of Psychiatry, University of Calgary, Calgary, Alberta, Canada. Electronic address: jmadding@ucalgary.ca. LA - eng GR - U01 MH081984/MH/NIMH NIH HHS/United States GR - U01MH066134/MH/NIMH NIH HHS/United States GR - U01 MH066069/MH/NIMH NIH HHS/United States GR - U01MH066069/MH/NIMH NIH HHS/United States GR - U01 MH066160/MH/NIMH NIH HHS/United States GR - U01MH066160/MH/NIMH NIH HHS/United States GR - U01 MH066134/MH/NIMH NIH HHS/United States PT - Journal Article PT - Multicenter Study PT - Observational Study PT - Research Support, N.I.H., Extramural DEP - 20140514 PL - Netherlands TA - Schizophr Res JT - Schizophrenia research JID - 8804207 SB - IM MH - Adolescent MH - Adult MH - Alcohol-Related Disorders/complications MH - Algorithms MH - Child MH - Disease Progression MH - Female MH - Humans MH - Longitudinal Studies MH - Male MH - Marijuana Abuse/complications MH - Prodromal Symptoms MH - Prognosis MH - Proportional Hazards Models MH - Prospective Studies MH - Psychotic Disorders/*complications/*diagnosis MH - Risk MH - Substance-Related Disorders/*complications MH - Tobacco Use Disorder/complications MH - Young Adult PMC - PMC4082820 MID - NIHMS591016 OTO - NOTNLM OT - Alcohol OT - Cannabis OT - Prodrome OT - Psychosis OT - Substance use OT - Tobacco COIS- Conflict of Interest All authors declare no conflict of interest. EDAT- 2014/05/20 06:00 MHDA- 2015/01/21 06:00 PMCR- 2015/07/01 CRDT- 2014/05/20 06:00 PHST- 2014/02/14 00:00 [received] PHST- 2014/04/10 00:00 [revised] PHST- 2014/04/17 00:00 [accepted] PHST- 2014/05/20 06:00 [entrez] PHST- 2014/05/20 06:00 [pubmed] PHST- 2015/01/21 06:00 [medline] PHST- 2015/07/01 00:00 [pmc-release] AID - S0920-9964(14)00193-5 [pii] AID - 10.1016/j.schres.2014.04.021 [doi] PST - ppublish SO - Schizophr Res. 2014 Jul;156(2-3):277-80. doi: 10.1016/j.schres.2014.04.021. Epub 2014 May 14.