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Substance use and misuse among children and youth with mental illness : A pilot study.
Neuropsychiatr. 2018 Mar; 32(1):18-25.N

Abstract

OBJECTIVE

The aim of this study was to examine prevalence, patterns and predictors of substance use among a sample of adolescent psychiatric inpatients.

METHODS

Participants included 25 minors aged 12-17 years admitted to an Austrian department of child and adolescent psychiatry. Lifetime use, initiation, frequency and quantity of substance use, sociodemographic, family and school-related data were collected by self-report measures. Substance use disorders were detected using CAGE (a screening instrument for problem drinking) and FTND (Fagerström Test For Nicotine Dependence). Clinical characteristics were extracted from medical records.

RESULTS

Lifetime prevalence of any substance use (76%) and regular use (32%) were common. Prevalence was high for alcohol (76%), nicotine (44%) and illicit drug use (36%). Older age was associated with tobacco (p = 0.023), drug (p = 0.021) and cannabis use (p = 0.015) and regular use of psychotropic substances (p = 0.027). Family dysfunction predicted regular (p = 0.035) and cannabis use (p = 0.02). History of trauma prognosticated regular (p = 0.047) and tobacco use (p = 0.011). Use of any substance (p < 0.001) as well as regular use (p = 0.026) were significantly associated with peer substance use. Consuming adolescents were more likely to show academic failure, school absenteeism and behavioral problems. Alcohol (p = 0.02), drug (p = 0.017) and regular substance use (p = 0.007) were linked to suicidal ideation. A remarkable relationship between affective as well as externalizing disorders and alcohol, nicotine and drug use was found.

CONCLUSIONS

Substance use is highly prevalent among youth with mental illnesses and associated with psychosocial consequences. These data highlight the need to carefully explore this population at high risk.

Authors+Show Affiliations

Department of Child and Adolescent Psychiatry, Medical University of Vienna, Spitalgasse 23, 1090, Vienna, Austria.Department of Child and Adolescent Psychiatry, Medical University of Vienna, Spitalgasse 23, 1090, Vienna, Austria.Department of Child and Adolescent Psychiatry, Medical University of Vienna, Spitalgasse 23, 1090, Vienna, Austria.Department of Child and Adolescent Psychiatry, Medical University of Vienna, Spitalgasse 23, 1090, Vienna, Austria.Department of Child and Adolescent Psychiatry, Medical University of Vienna, Spitalgasse 23, 1090, Vienna, Austria.Department of Child and Adolescent Psychiatry, Medical University of Vienna, Spitalgasse 23, 1090, Vienna, Austria. katrin.skala@meduniwien.ac.at.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

28639209

Citation

Herz, V, et al. "Substance Use and Misuse Among Children and Youth With Mental Illness : a Pilot Study." Neuropsychiatrie : Klinik, Diagnostik, Therapie Und Rehabilitation : Organ Der Gesellschaft Osterreichischer Nervenarzte Und Psychiater, vol. 32, no. 1, 2018, pp. 18-25.
Herz V, Franzin N, Huemer J, et al. Substance use and misuse among children and youth with mental illness : A pilot study. Neuropsychiatr. 2018;32(1):18-25.
Herz, V., Franzin, N., Huemer, J., Mairhofer, D., Philipp, J., & Skala, K. (2018). Substance use and misuse among children and youth with mental illness : A pilot study. Neuropsychiatrie : Klinik, Diagnostik, Therapie Und Rehabilitation : Organ Der Gesellschaft Osterreichischer Nervenarzte Und Psychiater, 32(1), 18-25. https://doi.org/10.1007/s40211-017-0231-4
Herz V, et al. Substance Use and Misuse Among Children and Youth With Mental Illness : a Pilot Study. Neuropsychiatr. 2018;32(1):18-25. PubMed PMID: 28639209.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Substance use and misuse among children and youth with mental illness : A pilot study. AU - Herz,V, AU - Franzin,N, AU - Huemer,J, AU - Mairhofer,D, AU - Philipp,J, AU - Skala,K, Y1 - 2017/06/21/ PY - 2017/05/15/received PY - 2017/06/06/accepted PY - 2017/6/24/pubmed PY - 2019/5/23/medline PY - 2017/6/23/entrez KW - Adolescents KW - Alcohol KW - Illicit substances KW - Mental illness KW - Nicotine SP - 18 EP - 25 JF - Neuropsychiatrie : Klinik, Diagnostik, Therapie und Rehabilitation : Organ der Gesellschaft Osterreichischer Nervenarzte und Psychiater JO - Neuropsychiatr VL - 32 IS - 1 N2 - OBJECTIVE: The aim of this study was to examine prevalence, patterns and predictors of substance use among a sample of adolescent psychiatric inpatients. METHODS: Participants included 25 minors aged 12-17 years admitted to an Austrian department of child and adolescent psychiatry. Lifetime use, initiation, frequency and quantity of substance use, sociodemographic, family and school-related data were collected by self-report measures. Substance use disorders were detected using CAGE (a screening instrument for problem drinking) and FTND (Fagerström Test For Nicotine Dependence). Clinical characteristics were extracted from medical records. RESULTS: Lifetime prevalence of any substance use (76%) and regular use (32%) were common. Prevalence was high for alcohol (76%), nicotine (44%) and illicit drug use (36%). Older age was associated with tobacco (p = 0.023), drug (p = 0.021) and cannabis use (p = 0.015) and regular use of psychotropic substances (p = 0.027). Family dysfunction predicted regular (p = 0.035) and cannabis use (p = 0.02). History of trauma prognosticated regular (p = 0.047) and tobacco use (p = 0.011). Use of any substance (p < 0.001) as well as regular use (p = 0.026) were significantly associated with peer substance use. Consuming adolescents were more likely to show academic failure, school absenteeism and behavioral problems. Alcohol (p = 0.02), drug (p = 0.017) and regular substance use (p = 0.007) were linked to suicidal ideation. A remarkable relationship between affective as well as externalizing disorders and alcohol, nicotine and drug use was found. CONCLUSIONS: Substance use is highly prevalent among youth with mental illnesses and associated with psychosocial consequences. These data highlight the need to carefully explore this population at high risk. SN - 0948-6259 UR - https://www.unboundmedicine.com/medline/citation/28639209/Substance_use_and_misuse_among_children_and_youth_with_mental_illness_:_A_pilot_study_ L2 - https://dx.doi.org/10.1007/s40211-017-0231-4 DB - PRIME DP - Unbound Medicine ER -