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European Child & Adolescent Psychiatry

, Volume 20, Issue 6, pp 279–289 | Cite as

Patterns of substance use in adolescents attending a mental health department

  • Rosa DíazEmail author
  • Javier Goti
  • Montse García
  • Antoni Gual
  • Lourdes Serrano
  • Laura González
  • Rosa Calvo
  • Josefina Castro-Fornieles
Original Contribution

Abstract

This study aimed to describe patterns of substance use in adolescents initiating mental health treatment and analyse factors associated with a high-risk pattern of substance use differentially by gender. Two hundred and thirty-seven 12- to 17-year-old new patients in an urban public mental health service were prospectively recruited and evaluated using semi-structured interviews and standardized questionnaires to obtain socio-demographic, psychopathological, family, school and substance use data. The most prevalent primary diagnoses among males were attention deficit disorder and conduct disorder, while among females they were eating disorders, affective and conduct disorders. Substance use disorder was diagnosed as follows: cannabis in 10.1% of the sample, alcohol in 3.4% and other drugs in 0.4%. A pattern of substance use with high risk of developing problems (at least regular use of alcohol or occasional use of cannabis or other illegal drugs) was found in 48.9% of the sample. After adjusting for age in the multivariate logistic regression, this pattern of risky use of drugs was found to be associated with Youth Self-Report scales of thought problems, delinquent and aggressive behaviour, in both genders. Altered family structure, having had to repeat a school grade and Youth Self-Report attention problems were only significantly associated with risky drug consumption in females. The high prevalence of risky and problematic substance use in adolescents entering mental health treatment warrants early systematic screening and specific preventive and therapeutic interventions, addressing mental health psychoeducation and motivation to avoid drugs, as well as differential associated risk factors for males and females.

Keywords

Substance abuse Dual disorders Risk factors Adolescents 

Notes

Acknowledgments

This study has been supported by a grant from the INIFD (National Drug Research and Training Institute) (Ref: INT/1525/2003) of the Spanish Governmental Delegation for the National Drug Plan.

Conflict of interest

The authors reported no biomedical financial interest or potential conflicts of interests.

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Copyright information

© Springer-Verlag 2011

Authors and Affiliations

  • Rosa Díaz
    • 1
    Email author
  • Javier Goti
    • 1
  • Montse García
    • 2
  • Antoni Gual
    • 3
  • Lourdes Serrano
    • 4
  • Laura González
    • 4
  • Rosa Calvo
    • 1
  • Josefina Castro-Fornieles
    • 1
    • 5
    • 6
  1. 1.Department of Child and Adolescent Psychiatry and Psychology, Institute of NeurosciencesHospital Clínic Universitari of Barcelona, Biomedical Research Center in Mental Health Network CIBERSAMBarcelonaSpain
  2. 2.Cancer Prevention and Control UnitCatalan Institute of OncologyBarcelonaSpain
  3. 3.Alcohol Unit, Department of Psychiatry, Institute of NeurosciencesHospital Clinic Universitari of BarcelonaBarcelonaSpain
  4. 4.Department of Child and Adolescent Psychiatry and Psychology, Institute of NeurosciencesHospital Clínic Universitari of BarcelonaBarcelonaSpain
  5. 5.IDIBAPS (Institut d’Investigacions Biomèdiques August Pi Sunyer)BarcelonaSpain
  6. 6.Health Sciences Division, Department of Psychiatry and Clinical PsychobiologyUniversity of BarcelonaBarcelonaSpain

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