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Substance-Induced Psychosis: a Narrative Review

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Abstract

Purpose of Review

Novel integrative reviews that give detail information regarding various psychoactive substances (PS) with ability of inducing psychosis in adults are lacking. This review aims to scope the latest knowledge about substance-induced psychosis (SIP) through the comprehensive review of the most common misused PS inducing psychosis.

Recent Findings

Epidemiological data on the prevalence of SIP are insufficiently harmonized, so clear conclusions for most PS can not be drawn. Etiological mechanisms include three pathophysiological mechanisms: the modulation of GABA transmission, NMDA antagonism, and effects on the monoaminergic system. Beside positive symptoms, PS may induce negative and cognitive symptoms. There are no uniform therapeutic guidelines for specific SIP, but some antipsychotics appear to be more effective than others. It is likely that the conversion rate of SIP to schizophrenia may be higher in the future because novel PS with a higher psychotic potential are increasingly being consumed.

Summary

This review presents epidemiological data, etiological mechanisms, details of clinical pictures, and treatment options for psychoses induced by specific PS.

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Data Availability

Data sharing is not applicable to this paper as no new data were created in this paper.

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L.T. was responsible for conceiving, designing, and planning the paper. The database literature search was done by L.T., M.P., and Z.K.P. L.T. and M.P. wrote the first draft of the article. L.T., M.P., and Z.K.P. critically revised the article for important intellectual content. L.T., M.P., and Z.K.P. approved the final version and agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved. All authors approved the final version of the manuscript.

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Correspondence to Lea Tomašić.

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Tomašić, L., Peček, M. & Petrović, Z.K. Substance-Induced Psychosis: a Narrative Review. Curr Addict Rep 11, 55–67 (2024). https://doi.org/10.1007/s40429-023-00528-w

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  • DOI: https://doi.org/10.1007/s40429-023-00528-w

Keywords

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