Can Drug Abuse Cause Schizophrenia?
By Dr. Randi Fredricks, Ph.D.
While there is no definite evidence that drug addiction causes schizophrenia, the exact cause of schizophrenia
is not known. It is believed to result from a combination of environmental and genetic factors.
Research suggests that schizophrenia runs in families, and consequently, individuals with a first-degree relative
(for example, a parent, brother, or sister) or a second-degree relative (a grandparent, aunt, or uncle) with
schizophrenia are at an increased risk. Despite the genetic risk, researchers believe that genes alone are not
enough to cause the disorder.
It is more likely that genes interact with environmental factors, such as exposure to viruses or malnutrition
before birth or problems during birth, and psychosocial factors, such as stressful
environmental conditions. Any one of these conditions may to trigger the condition.
This means that if a person who has a vulnerability to
developing schizophrenia engages in alcohol and drug abuse, this behavior may interact with the
vulnerability and result in the development of the disorder.
Some drug abuse may produce symptoms that look like schizophrenia. For example, bingeing on cocaine or methamphetamine
can result
in exaggerated irritability, restlessness, and paranoia. It's not unusual for drug binges to result in paranoid
psychosis, in which the individual loses touch with reality and imagines hearing things that aren't there (known
as auditory hallucinations). The symptoms of acute drug-induced psychosis are similar to the symptoms that someone
with schizophrenia experiences.
Although the relationship between drug addiction and schizophrenia may not be crystal clear, it is important to
consider other negative consequences of addiction to such drugs as cocaine and marijuana. By definition, when
people become "addicted" to a drug, they develop a tolerance, thus requiring ever greater amounts to experience
the desired high.
The increased heavier and heavier use of the drug can have a significant impact on overall health,
including mental health. Heavy marijuana use, for example, has been associated with depression, anxiety, and
personality disturbances and can affect someone's ability to learn and retain information. Overall, drug use is
also associated with absenteeism, poor work, poor academic performance, and family disruption.
References (To view, roll mouse over the "References" heading; to hide, click on the heading)
Smelson, D. A., Dixon, L., Craig, T., Remolina, S., Batki, S. L., Niv, N., & Owen, R. (2008). Pharmacological treatment of schizophrenia and co-occurring substance use disorders. CNS Drugs, 22(11), 903-916.