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Chunk #25 — Discussion

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Comparison of demographic characteristics and psychiatric comorbidity among methamphetamine-, heroin- and methamphetamine-heroin co- dependent males in Hunan, China.
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Not unexpectedly, after we had controlled for demographics and duration of drug use, we found high prevalence rates of comorbid mental disorders in both groups. Generally, psychotic disorders were more common among MDs and H/MDs. The incidence of current MA induced psychotic disorders range from 20.08% to 31.4% in subjects with MA use disorders in previous cross-sectional studies [27, 31, 43, 49]. There might be a genetic predisposition to MA-induced psychosis [22]. Other distinctive demographic predictors are being male gender, being unemployed and being single, and having low level of education [15]. Indeed, this might also be the case for some other drug use behaviors, including early age at onset, a high-volume [8], long duration, high frequency of use [48], sexual abuse, a family history of drug use, other substance use, and co-occurring personality and mood disorders [15, 19, 28]. However, the relative importance of genetic predisposition and of other etiological factors remains unclear. The symptoms of psychosis induced by MA are very similar to those of schizophrenia spectrum psychosis and include: lack of concentration, delusions of persecution, increased motor