Substance-Use Disorders in Children and Adolescents.
Background: The most common substance use disorders in childhood and adolescence have to do with alcohol and cannabis. These disorders begin as early as puberty, are often accompanied by other mental disorders, and, if untreated, very frequently persist into adulthood. Methods: This review is based...
| Publicado en: | Deutsches Ärzteblatt International Vol. 119; no. 25; pp. 440 - 460 |
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| Autores principales: | , , |
| Formato: | Journal Article |
| Publicado: |
Deutscher Aerzte-Verlag GmbH
6/24/2022
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=159462336&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 159462336 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 18660452 5F0N jtl: Deutsches Ärzteblatt International issn: 18660452 maglogo: N pubinfo: dt: 6/24/2022 vid: 119 iid: 25 pid: 25312 pub: Deutscher Aerzte-Verlag GmbH artinfo: ui: 159462336 10.3238/arztebl.m2022.0122 159462336 ppf: 440 ppct: 20 formats: fmt: @attributes: type: P tig: atl: Substance-Use Disorders in Children and Adolescents. aug: au: Thomasius, Rainer Paschke, Kerstin Arnaud, Nicolas affil: German Center for Addiction Research in Childhood and Adolescence (DZSKJ), University Clinic Hamburg-Eppendorf sug: ab: Background: The most common substance use disorders in childhood and adolescence have to do with alcohol and cannabis. These disorders begin as early as puberty, are often accompanied by other mental disorders, and, if untreated, very frequently persist into adulthood. Methods: This review is based on pertinent publications retrieved by a selective search in PubMed on substance use disorders in children and adolescents. Results: Substance use disorders are among the commonest mental disorders in childhood and adolescence. In Germany, approximately 10% of adolescents have tried cannabis at least once. The prognosis is negatively affected by individual (bio-)psychological traits, mental comorbidities, laws that facilitate consumption, socioeconomic disadvantage, consuming peers, and parental substance use disorders. A timely diagnosis, motivation by the pediatrician, and referral to specialized child and adolescent psychiatric services helps assure that those affected receive appropriate treatment, with the goal of abstinence from the substance as well as improvement in emotional regulation, affectivity, and attention. According to studies from the English-speaking countries and considering all treatment forms, treatment is completed by approximately 60% to 65% of children and adolescents; 20% to 40% of these patients are abstinent six months after the end of treatment. No studies of this type have been carried out to date in Germany. Conclusion: As the results of treatment are generally poor, there is a major need for research on the treatment and care of children and adolescents with substance use disorders. In particular, the interfaces between outpatient and inpatient care need further improvement. pubtype: Academic Journal doctype: Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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