Ghinea Denisa, Parzer Peter, Resch Franz, Kaess Michael, Edinger Alexandra
Universitätsklinikum Heidelberg Klinik für Kinder- und Jugendpsychiatrie Blumenstraße 8 69115 Heidelberg Deutschland Klinik für Kinder- und Jugendpsychiatrie - Universitätsklinikum Heidelberg.
Universitäre Psychiatrische Dienste Bern (UPD) Universitätsklinik für Kinder- und Jugendpsychiatrie und Psychotherapie Bolligenstrasse 111 Stöckli CH-3000 Bern 60 Schweiz Universitäre Psychiatrische Dienste Bern (UPD).
Prax Kinderpsychol Kinderpsychiatr. 2020 Mar;69(2):126-140. doi: 10.13109/prkk.2020.69.2.126.
Risk-taking behavior is a common phenomenon in adolescence. Even prevalence rates for illicit drug use are considerably high in youth and associated with a range of psychiatric disorders, especially depression and Borderline Personality Disorder (BPD). However, there is a lack of data investigating differences in psychopathology between different substance user groups. Therefore, aim of the study was to investigate occurrence of depression and BPD symptoms in different drug risk groups (no use vs. occasional use vs. frequent use). Further aim of the study was to examine risk profiles regarding single BPD criteria. Data of n = 347 adolescents (81.7 % female, mean age 14.95, SD = 1.50) presenting at the specialized outpatient clinic for risk-taking and self-harming behavior (AtR!Sk) in Heidelberg were analyzed. Results show that BPD is clearly associated with illicit drug use in adolescence. There is no difference between occasional and frequent users in terms of mean number of BPD criteria. However, frequent users differ from occasional users regarding greater number of impulsivity and anger criteria. After adjusting for sociodemographic variables there was no association between drug use and depression. Since even single events of illicit drug use are associated with higher levels of BPD, clinicians should rapidly target to stop consumption. Further, psychotherapeutic interventions for BPD in high-risk consumers should especially focus on facilitating adaptive emotion regulation skills in regards to impulsivity and anger.
冒险行为是青少年中的一种常见现象。即使在年轻人中非法药物使用的流行率也相当高，并且与一系列精神疾病相关，尤其是抑郁症和边缘性人格障碍（BPD）。然而，缺乏研究不同物质使用群体之间精神病理学差异的数据。因此，本研究的目的是调查不同药物风险组（不使用 vs. 偶尔使用 vs. 频繁使用）中抑郁症和BPD症状的发生情况。本研究的另一个目的是检查关于单个BPD标准的风险概况。对海德堡专门的冒险和自我伤害行为门诊（AtR!Sk）的n = 347名青少年（81.7%为女性，平均年龄14.95岁，标准差 = 1.50）的数据进行了分析。结果表明，BPD与青少年非法药物使用明显相关。在BPD标准的平均数量方面，偶尔使用者和频繁使用者之间没有差异。然而，频繁使用者在冲动性和愤怒标准数量较多方面与偶尔使用者不同。在调整社会人口统计学变量后，药物使用与抑郁症之间没有关联。由于即使单次非法药物使用事件也与较高水平的BPD相关，临床医生应迅速致力于阻止消费。此外，针对高风险消费者的BPD心理治疗干预应特别注重促进在冲动性和愤怒方面的适应性情绪调节技能。
