2.43 Recent Trends in Stimulant Medication Use Among Children in Finland

Vuori, Miika; Martikainen, Jaana E.; Koski-Pirilä, Anna; Saastamoinen, Leena

doi:10.1016/j.jaac.2018.09.131

Cited by 1 publication

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“…It is possible that increased public discussions have led to growing awareness of attention problems and attention deficit hyperactivity disorder (ADHD) among 18-year-old males and that more cases have been identified. It is worth noting that ADHD medication was almost non-existent in Finland in the 1990s and has increased rapidly since early 2000 [56][57][58]. It is likely that the use of ADHD medication became more common among men attending the military call-up during the 10-year period of our study.…”

Section: Discussionmentioning

confidence: 99%

Ten-year changes in the psychosocial well-being, psychopathology, substance use, suicidality, bullying, and sense of coherence of 18-year-old males: a Finnish population-based time-trend study

Kronström

Multimäki

Ristkari

et al. 2020

Eur Child Adolesc Psychiatry

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We studied Finnish 18-year-old males attending obligatory military call-up assessments in 1999 (n = 2340) and 2009 (n = 4309) on time-trend changes in psychosocial well-being, psychopathology, substance use, suicidality, bullying, and sense of coherence. Subjects filled in questionnaires, including the Young Adult Self-Report (YASR) for psychopathology and the Orientation to Life Questionnaire (SOC-13) for sense of coherence. The prevalence of minor mental health problems in the last 6 months decreased from 22.3% in 1999 to 18.6% in 2009 (OR 0.8, 95% CI 0.7-0.9), whereas severe mental health problems remained stable. Suicidal thoughts decreased from 5.7 to 3.7% (OR 0.6, 95% CI 0.5-0.8). The use of illicit drugs decreased from 6.0 to 4.7% (OR 0.8, 95% CI 0.6-0.95), but being drunk at least once a week increased from 10.3 to 13.4% (OR 1.3, 95% CI 1.0-1.5). Attention problems increased in YASR syndrome domains (mean score 2.9 vs 3.2, p < 0.001) and so did somatic complains (mean score 1.7 vs 1.9, p = 0.005). The SOC-13 scores remained stable. The percentage of males who had studied during the past 6 months increased from 91.4 to 93.4% (OR 1.3, 95% CI 1.1-1.6), while being employed decreased from 64.9 to 49.4% (OR 0.5, 95% CI 0.5-0.6). The positive findings included reductions in the prevalence of suicidal thoughts and the use of illicit drugs, but being drunk at least once a week increased. Self-reported somatic problems and attention problems increased. Despite changes in society and family structures, there were only minor overall changes in psychopathology.

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Section: Discussionmentioning

confidence: 99%