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[特殊成瘾门诊机构中青少年的物质使用、所致障碍及并发精神障碍]

[Substance Use, Resulting Disorders, and Collateral Mental Disorders Among Adolescents in a Special Outpatient Institutions for Addictions].

作者信息

Wiedmann Melina, Atzendorf Josefine, Basedow Lukas Andreas, Roessner Veit, Golub Yulia, Kuitunen-Paul Sören

机构信息

Klinik und Poliklinik für Kinder- und Jugendpsychiatrie und -psychotherapie, Medizinische Fakultät, Technische Universität Dresden, Dresden.

Munich Center for the Economics of Aging (MEA), Max-Plank-Institut für Sozialrecht und Sozialpolitik, München.

出版信息

Z Kinder Jugendpsychiatr Psychother. 2021 Mar;50(2):105-119. doi: 10.1024/1422-4917/a000846. Epub 2022 Jan 10.

DOI:10.1024/1422-4917/a000846
PMID:35005989
Abstract

Substance Use, Resulting Disorders, and Collateral Mental Disorders Among Adolescents in a Special Outpatient Institutions for Addictions Only few clinics offer the outpatient treatment of substance use disorders (SUDs) among adolescents. Therefore, only limited data describe substance use patterns, SUDs, and co-occurring psychiatric disorders characteristic of adolescents who present in such outpatient clinics specialized in the treatment of SUDs. Via interview we collected data from = 201 patients between 12 and 19 years concerning their substance use, SUDs, and current co-occurring psychiatric disorders. We created descriptive presentation of data regarding use patterns, SUDs, and co-occurring disorders divided by sex and current age. Tobacco (88 %) and cannabis (86 %) were the most frequently used substances. 67 % of all patients presented with more than one SUD, cannabis use disorder being the most prevalent one (84 %). 72 % presented with at least one co-occurring disorder, with conduct disorders (40 %), attention deficit (hyperactivity) disorders (21 %), and depressive disorders (18 %) being the most frequent ones. Adolescent SUD patients often present with co-occurring psychiatric disorders. Institutions for adolescent SUD treatment should also focus on treating co-occurring conduct disorders, depression, and attention deficit disorders.

摘要

专门治疗成瘾问题的门诊机构中青少年的物质使用、所致障碍及并发精神障碍

只有少数诊所提供青少年物质使用障碍(SUDs)的门诊治疗。因此,仅有有限的数据描述在这类专门治疗SUDs的门诊就诊的青少年的物质使用模式、SUDs及并发的精神障碍特征。通过访谈,我们收集了201例年龄在12至19岁之间患者关于其物质使用、SUDs及当前并发精神障碍的数据。我们按性别和当前年龄对使用模式、SUDs及并发障碍的数据进行了描述性呈现。烟草(88%)和大麻(86%)是最常使用的物质。所有患者中有67%存在不止一种SUD,大麻使用障碍最为普遍(84%)。72%的患者至少有一种并发障碍,品行障碍(40%)、注意缺陷(多动)障碍(21%)和抑郁障碍(18%)最为常见。青少年SUD患者常常并发精神障碍。青少年SUD治疗机构也应关注并发品行障碍、抑郁和注意缺陷障碍的治疗。

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