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在俄罗斯北部,青少年使用吸入剂的情况。

Inhalant use in adolescents in northern Russia.

机构信息

Regional Center for Child and Youth Mental Health and Child Welfare, UiT The Arctic University of Norway, Tromsö, Norway.

The Stockholm Center for Health and Social Change (SCOHOST), Södertörn University, Huddinge, Sweden.

出版信息

Soc Psychiatry Psychiatr Epidemiol. 2018 Jul;53(7):709-716. doi: 10.1007/s00127-018-1524-z. Epub 2018 May 2.

DOI:10.1007/s00127-018-1524-z
PMID:29721591
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6003974/
Abstract

PURPOSE

To determine the prevalence of inhalant use in Russian adolescents and to investigate associated psychosocial problems from a gender perspective.

METHODS

Data on inhalant use and comorbid psychopathology were collected by means of self-reports from 2892 (42.4% boys) sixth to tenth grade students in public schools in Arkhangelsk, Russia. Multivariate analysis of covariance was used to assess differences in the levels of internalizing and externalizing problems in boys and girls, who were non-users and users of inhalants.

RESULTS

The prevalence of inhalant use was 6.1% among boys and 3.4% among girls. Compared with non-users, inhalant users scored significantly higher on internalizing and externalizing problems, functional impairment and lower on academic motivation, with psychopathology increasing with age. While there were no gender differences for internalizing problems, increased levels of externalizing problems in inhalant users were gender-specific (significantly higher in boys).

CONCLUSIONS

Inhalant use is related to significantly higher levels of comorbid psychopathology in Russian adolescents. Comprehensive, evidence-based prevention and intervention policies are needed to address inhalant use and its harmful effects.

摘要

目的

从性别角度出发,确定俄罗斯青少年中吸入剂使用的流行率,并调查相关的心理社会问题。

方法

通过自我报告,收集了来自俄罗斯阿尔汉格尔斯克市公立学校 2892 名(42.4%为男生)六年级至十年级学生的吸入剂使用和共病精神病理学数据。使用协方差多元分析评估了非使用者和使用者之间男孩和女孩内在和外在问题水平的差异。

结果

男孩的吸入剂使用率为 6.1%,女孩为 3.4%。与非使用者相比,吸入剂使用者在内在和外在问题、功能障碍方面的得分明显更高,在学术动机方面的得分则较低,且精神病理学随年龄增长而增加。虽然内在问题没有性别差异,但吸入剂使用者的外在问题水平存在性别特异性(男孩明显更高)。

结论

在俄罗斯青少年中,吸入剂使用与共病精神病理学水平显著升高有关。需要制定综合的、基于证据的预防和干预政策,以解决吸入剂使用及其有害影响。

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本文引用的文献

1
Inhalant Use and Mental Health Problems in Russian Juvenile Delinquents.吸入剂使用与俄罗斯少年犯的心理健康问题。
Subst Use Misuse. 2017 Oct 15;52(12):1616-1623. doi: 10.1080/10826084.2017.1293106. Epub 2017 May 30.
2
Sensitive periods of substance abuse: Early risk for the transition to dependence.药物滥用的敏感期:向依赖转变的早期风险。
Dev Cogn Neurosci. 2017 Jun;25:29-44. doi: 10.1016/j.dcn.2016.10.004. Epub 2016 Oct 29.
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Loneliness and its association with psychological and somatic health problems among Czech, Russian and U.S. adolescents.捷克、俄罗斯和美国青少年中的孤独感及其与心理和躯体健康问题的关联。
BMC Psychiatry. 2016 May 4;16:128. doi: 10.1186/s12888-016-0829-2.
4
Adolescent inhalant use and executive cognitive functioning.青少年吸入剂使用与执行认知功能。
Child Care Health Dev. 2014 Jan;40(1):20-8. doi: 10.1111/cch.12052. Epub 2013 Apr 3.
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Inhalant use and inhalant use disorders in the United States.在美国,吸入剂的使用和吸入剂使用障碍。
Addict Sci Clin Pract. 2011 Jul;6(1):18-31.
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Exposure to community violence, psychopathology, and personality traits in Russian youth.俄罗斯青少年遭受社区暴力、精神病理学及人格特质的影响。
Depress Res Treat. 2011;2011:909076. doi: 10.1155/2011/909076. Epub 2011 Aug 4.
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Genetic and environmental risk factors for adolescent-onset substance use disorders.青少年期物质使用障碍的遗传和环境风险因素。
Child Adolesc Psychiatr Clin N Am. 2010 Jul;19(3):465-77. doi: 10.1016/j.chc.2010.03.013.
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Adolescent inhalant use, abuse and dependence.青少年吸入剂使用、滥用和依赖。
Addiction. 2009 Jul;104(7):1185-92. doi: 10.1111/j.1360-0443.2009.02557.x. Epub 2009 Apr 29.
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Youth with substance abuse and comorbid mental health disorders.患有药物滥用和共病心理健康障碍的青少年。
Curr Psychiatry Rep. 2008 Jun;10(3):265-71. doi: 10.1007/s11920-008-0043-0.
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Substance use disorders among inhalant users: results from the National Epidemiologic Survey on alcohol and related conditions.吸入剂使用者中的物质使用障碍:酒精及相关状况全国流行病学调查结果
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