Comorbid psychopathology in adolescents and young adults treated for substance use disorders

被引:93
作者
Couwenbergh, Christianne
van den Brink, Wim
Zwart, Kirsten
Vreugdenhil, Coby
van Wijngaarden-Cremers, Patricia
van der Gaag, Rutger J.
机构
[1] Radboud Univ Nijmegen Med Ctr, Dept Psychiat, NL-6525 GC Nijmegen, Netherlands
[2] Acad Ctr Child & Adolescent Psychiat Oost Nederla, NL-6525 GC Nijmegen, Netherlands
[3] Univ Amsterdam, Acad Med Ctr, Dept Psychiat, NL-1105 AZ Amsterdam, Netherlands
[4] Res Inst Addict, Amsterdam, Netherlands
[5] Univ Utrecht, Dept Clin Genet, Utrecht, Netherlands
[6] GGZ Zwolse Poort, Dept Addict Psychiat, Ermelo, Netherlands
[7] Meerkanten GGZ Flevo Veluwe, Ermelo, Netherlands
关键词
substance use; psychiatric comorbidity; adolescents;
D O I
10.1007/s00787-006-0535-6
中图分类号
B844 [发展心理学(人类心理学)];
学科分类号
040202 ;
摘要
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. A computerized literature search was conducted resulting in ten eligible studies. 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. 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.
引用
收藏
页码:319 / 328
页数:10
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