青少年和年轻成年人物质使用障碍治疗中的共病精神病理学：一项综述。
Comorbid psychopathology in adolescents and young adults treated for substance use disorders: a review.
作者信息
Couwenbergh Christianne, van den Brink Wim, Zwart Kirsten, Vreugdenhil Coby, van Wijngaarden-Cremers Patricia, van der Gaag Rutger J
机构信息
Dept. of Psychiatry, Radboud University Medical Centre & the Academic Centre for Child and Adolescent Psychiatry Oost-Nederland, Reinier Postlaan 12, 6525 GC, Nijmegen, The Netherlands.
出版信息
Eur Child Adolesc Psychiatry. 2006 Sep;15(6):319-28. doi: 10.1007/s00787-006-0535-6.
OBJECTIVE
In a recent review, the prevalence of comorbid psychiatric disorders in non-treated adolescents and young adults with substance use disorders (SUD) in the general population was summarized. This review looks into the prevalence of psychiatric comorbidity in adolescents and young adults treated for SUD.
METHOD
A computerized literature search was conducted resulting in ten eligible studies.
RESULTS
The prevalence of comorbid psychiatric disorders varied from 61% to 88%. Externalizing disorders, especially Conduct Disorder (CD), were most consistently linked to SUD in treatment seeking adolescents. Girls are distinguished by their high rate of comorbid internalizing disorders.
CONCLUSIONS
Comparison with data from community and juvenile justice studies shows an ascending trend of comorbidity rates of externalizing disorders from community to clinical and finally to juvenile justice samples. It seems that young addicts with comorbid disorders are at high risk of ending up in the juvenile justice system.
目的
在最近的一项综述中，总结了普通人群中未接受治疗的患有物质使用障碍（SUD）的青少年和青年中合并精神障碍的患病率。本综述探讨了接受SUD治疗的青少年和青年中精神共病的患病率。
方法
进行了计算机文献检索，得出十项符合条件的研究。
结果
合并精神障碍的患病率在61%至88%之间。外化性障碍，尤其是品行障碍（CD），在寻求治疗的青少年中与SUD的关联最为一致。女孩的特点是合并内化性障碍的比例较高。
结论
与社区和青少年司法研究的数据比较显示，外化性障碍的共病率从社区样本到临床样本，最后到青少年司法样本呈上升趋势。似乎患有共病的年轻成瘾者最终进入青少年司法系统的风险很高。
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