Risky Alcohol Use and Comorbidity in a Swedish Adolescent Emergency Psychiatric Inpatient Population

Eberhard, Sophia; Rask, Olof; Höglund, Peter; Råstam, Maria; Johansson, Björn

doi:10.1155/2021/5514144

Cited by 3 publications

(3 citation statements)

References 39 publications

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“…This was also found in the youngest group (17-29 years) of a national, general population survey used for comparison [14], although differences were not as pronounced as here. The same picture has been seen in adolescents in clinical treatment settings; despite the male predominance in alcohol-related diagnoses in the adult general population, these diagnostic entities in the present dataset were at least not more common in boys in child and adolescent emergency psychiatry [51].…”

Section: Discussionsupporting

confidence: 74%

Prevalence and comorbidity in a Swedish adolescent community sample – gambling, gaming, substance use, and other psychiatric disorders

Gerdner

Håkansson

2022

BMC Psychiatry

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Background This study investigates a broad spectrum of psychiatric disorders, substance use disorders, gambling, and internet gaming disorders in Swedish 18-year-old boys and girls with the aim of estimating the prevalence of disorders and comorbidity. Methods We used a two-phase design with screening to detect candidates for clinical interviews. Screening included 949 adolescents (55.6% girls), out of which 758 adolescents (57.0% girls) were selected for interview with at least one of four instruments: M.I.N.I., ADDIS, NODS and IGDS. Of these, 387 (61.2% girls) were interviewed. Gender separated prevalence was estimated on the assumption that those selected but not interviewed had the same distribution as those interviewed based on similar outcomes above screening cut-offs. Comorbidity between types of disorders was estimated on similar assumptions. In addition, comorbidity between dyads of the ten most common specified disorders was calculated based on recorded data without these assumptions. Results We estimated that 14.6% met the criteria of a substance use disorder (SUD), mostly concerning alcohol and more frequent in girls than in boys. Those meeting the criteria lifetime of at least one of 16 other psychiatric disorders were 26.7%, more than twice as frequent in girls compared to boys, and with depression being the most common disorder. Gambling and gaming disorders were found almost exclusively in boys, of which 5.8% met the criteria for gambling, and 2.3% for gaming disorders. Of girls with a SUD, 40% also had a psychiatric disorder, while on the other hand more than 28% of girls with a psychiatric disorder also had a SUD. In boys with a SUD, 22% had another psychiatric disorder, while 15% of those with a psychiatric disorder also had a SUD. Conclusions Psychiatric comorbidity is common in SUDs in adolescents, which calls for screening and diagnostic efforts in young patients presenting with symptoms of SUDs. Girls with SUDs are at higher risk of also suffering from psychiatric conditions. Gambling and gaming disorders appear in a substantial minority of adolescents and warrant further study of their comorbidity. Since prevalences and comorbidity were estimated on the assumptions mentioned, some caution in interpreting the results is needed.

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Section: Discussionsupporting

confidence: 74%

Prevalence and comorbidity in a Swedish adolescent community sample – gambling, gaming, substance use, and other psychiatric disorders

Gerdner

Håkansson

2022

BMC Psychiatry

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“…Saha et al [26] found a six-fold elevated risk for broadly defined mood disorder and drug dependence in depressed patients. Eberhard et al [27] describe a comorbidity of 41% of risky alcohol use and affective disorder in an emergency psychiatric inpatient population of adolescents. The link between MDD and SUD suggests a common pathophysiology.…”

Section: Introductionmentioning

confidence: 99%

“…Eberhard et al . [ 27 ] describe a comorbidity of 41% of risky alcohol use and affective disorder in an emergency psychiatric inpatient population of adolescents. The link between MDD and SUD suggests a common pathophysiology.…”

Section: Introductionmentioning

confidence: 99%

Masculine depression and its problem behaviors: use alcohol and drugs, work hard, and avoid psychiatry!

Zimmermann

Hübner

Mühle

et al. 2023

Eur Arch Psychiatry Clin Neurosci

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The gender role influences vulnerability to mental illness. Substance use, even critical in scale, is perceived as masculine, just like hard (over-)work, while not seeking help. With the ongoing separation between gender and sex, masculine norms become more relevant also to females’ mental health. The male depression concept highlights the role of male symptoms in affective disorders. However, the empirical evidence is still limited. Here, we use the denomination ‘masculine depression’ to open the category for female patients and tested substance use patterns, health services’ utilization, and working hours as predictors in a case–control study of 163 depressed in-patients (44% women; masculine vs. non-masculine depression according to a median split of the Male Depression Rating Scale-22) and 176 controls (51% women). We assessed higher depression severity in patients with masculine (vs. non-masculine) depression. Masculine depression (vs. non-masculine depression and vs. no depression) was predicted by more frequent and critical use of alcohol (including binge drinking), tobacco, and illicit drugs, and by longer working times. Moreover, fewer health services contacts due to mental complaints during the previous year were associated with masculine (vs. non-masculine) depression. Alarmingly, even critical substance misuse was not significantly associated with more frequent health services contacts; however, the higher the depression severity, the more contacts the patients reported. Here, we provide evidence that patients with masculine depression are highly burdened and undertreated, which applies equally to female and male patients. This study identified promising targets to establish specialized care offers.

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Introducing brief admissions by self-referral in child and adolescent psychiatry: an observational cohort study in Sweden

Johansson

Holmström²,

Eberhard

et al. 2023

The Lancet Psychiatry

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Risky Alcohol Use and Comorbidity in a Swedish Adolescent Emergency Psychiatric Inpatient Population

Cited by 3 publications

References 39 publications

Prevalence and comorbidity in a Swedish adolescent community sample – gambling, gaming, substance use, and other psychiatric disorders

Prevalence and comorbidity in a Swedish adolescent community sample – gambling, gaming, substance use, and other psychiatric disorders

Masculine depression and its problem behaviors: use alcohol and drugs, work hard, and avoid psychiatry!

Introducing brief admissions by self-referral in child and adolescent psychiatry: an observational cohort study in Sweden

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