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

Abstract

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.

Brief intervention in substance-use among adolescent psychiatric patients: a randomized controlled trial

“…The mentioned intervention had been previously manualized by the original authors, contacted by the authors, and it was translated and adapted to the Spanish language. The intervention considered altogether 12 points to be discussed during the session: (1) contact, (2) feedback from the evaluation, (3) analysis of an episode of substance-use, (4) pros and cons of substance-use, (5) personal goals, (6) problems and risks of substance-use, (7) explore preoccupations, (8) making decisions, (9) questions and answers, (10) decisional balance, (11) planning changes, (12) self-monitoring. Through this planned structure therapists focused initially in building a good rapport, and the interviewer involved the patient in an initial discussion about the results of the evaluation.…”

“…However, one of the socalled high-risk adolescent populations, those who present a comorbid psychiatric condition, has been less investigated. Prevalence of use, abuse and dependence in adolescent psychiatric population has been reported to be high [21], and comorbid psychiatric disorders among adolescents with substance disorders are highly prevalent, with rates reaching 88% [6].…”

Prevalência e fatores associados ao transtorno da conduta entre adolescentes: um estudo de base populacional

“…Os fatores mais comumente associados aos transtornos de conduta são: sexo 4,7 , nível sócio-econômico 14,15,17,18,19,20 , uso de bebida alcoólica 4,21,22,23,24,25 , uso/abuso de drogas ilícitas 26,27,28 , bullying 29 e depressão 30,31 . Não existem estudos brasileiros sobre a freqüência e os fatores comportamentais associados ao problema.…”

Effet d'un traitement de l'abus de substances psychotropes sur la détresse psychologique et le fonctionnement exécutif autorégulateur, chez des adolescents présentant une problématique de consommation /

“…Par exemple, un courant de recherche influent a permis d'identifier deux facteurs généraux de psychopathologie qui ont été traditionnellement interprétés comme une dimension d'internalisation, indiquant la propension à exprimer la détresse à l'intérieur de soi, de même qu'une dimension d'externalisation, traduisant une tendance à « agir » la détresse à l'extérieur de soi (Achenbach & Edelbrock, 1984;Krueger et al, 2001;Kruger & Markon, 2006 (Couwenbergh et al, 2006). Toutefois, les filles qui présentent un trouble des conduites sont plus susceptibles de présenter un trouble concomitant d'abus de psychotropes (Hawkins, 2009).…”

“…La comorbidité la plus importante associe les troubles d'utilisation d'une substance et les troubles dits d'externalisation (Abrantes et al, 2003;Armstrong & Costello, 2002;Couwenbergh et al, 2006;Hawkins, 2009 (Dorard, Berthoz, Phan, Corcos, & Bungener, 2008;Elkington, Bauermeister, & Zimmerman, 2010;Johnson, Brems, Mills, & Fisher, 2007;Lubman, Allen, Rogers, Cementon, & Bonomo, 2007).…”