دورية أكاديمية
Mental health of adolescents who abuse psychoactive substances in Enugu, Nigeria - a cross-sectional study.
| العنوان: | Mental health of adolescents who abuse psychoactive substances in Enugu, Nigeria - a cross-sectional study. |
|---|---|
| المؤلفون: | Igwe WC; Nnamdi Azikiwe University Teaching Hospital, Nnewi, Nigeria., Ojinnaka NC |
| المصدر: | Italian journal of pediatrics [Ital J Pediatr] 2010 Aug 10; Vol. 36, pp. 53. Date of Electronic Publication: 2010 Aug 10. |
| نوع المنشور: | Comparative Study; Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: BioMed Central Country of Publication: England NLM ID: 101510759 Publication Model: Electronic Cited Medium: Internet ISSN: 1824-7288 (Electronic) Linking ISSN: 17208424 NLM ISO Abbreviation: Ital J Pediatr Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: London : BioMed Central |
| مواضيع طبية MeSH: | Mental Health*, Adolescent Behavior/*drug effects , Psychotropic Drugs/*poisoning , Substance-Related Disorders/*psychology, Adolescent ; Cross-Sectional Studies ; Female ; Follow-Up Studies ; Humans ; Incidence ; Male ; Nigeria/epidemiology ; Prognosis ; Substance-Related Disorders/epidemiology ; Surveys and Questionnaires |
| مستخلص: | Background: Association between psychiatric morbidity and substance abuse among adolescent has been reported. However prevalence and pattern of such dysfunctions are unknown in our environment. Aims: To determine the prevalence of psychosocial dysfunction and depressive symptoms among adolescents who abuse substance and also note the influence of socio-demographic factors and type of substance on the pattern of dysfunction. Method: A cross-sectional study was carried out among 900 adolescents selected from 29 secondary schools in Enugu metropolis. A multi-stage sampling procedure was used to select the students. The student drug use questionnaire was used to screen respondents for substance abuse. Those who were abusing substance and matched controls (non substance abusers) were assessed for psychiatric symptoms using the 35-item Paediatric Symptom Checklist (PSC) and the Zung Self-rating Depression Scale (SDS). Social classification was done using the parental educational attainment and occupation. Result: A total of 290 students were current substance abusers. The substances most commonly abused were alcohol (31.6%), cola nitida (kola nut) (20.7%) and coffee (15.7%). Using the PSC scale, 70 (24.1%) subjects compared to 29 (10.7%) of the controls had scores in the morbidity range of >or= 28 for psychosocial dysfunction. This was statistically significant (chi(2) = 17.57 p = 0.001). Fifty-four subjects (18.6%) had scores in the morbidity range of >or= 50 for depressive symptoms using the Zung SDS compared to 21 (7.7%) of controls. This was statistically significant (chi(2) = 14.43, p = 0.001). Prevalence of dysfunction was not significantly related to age in both subjects and controls (chi(2) = 4.62, p = 0.010, chi(2) = 4.8, p = 0.10 respectively). Also using both scales, there was no significant relationship between psychosocial dysfunction and gender or social class in both subjects and control. The prevalence of dysfunction using both scales was significantly higher in multiple abusers compared to single abusers. Subjects abusing alcohol scored more on both scales compared to those abusing other substances. Conclusion: Prevalence of psychosocial dysfunction is higher in adolescents abusing substance compare to controls. The prevalence of psychiatric morbidity was not related to the age, gender or social classes in the study population.We advocate periodic screening of our adolescents for drug abuse regular evaluation of such group for possible psychopathology. |
| References: | West Afr J Med. 2001 Jan-Mar;20(1):28-36. (PMID: 11505884) East Afr Med J. 2003 Mar;80(3):154-8. (PMID: 12762432) Pediatrics. 2000 Oct;106(4):748-55. (PMID: 11015518) Br J Psychiatry. 2003 Jun;182:509-17. (PMID: 12777342) J Abnorm Child Psychol. 1997 Apr;25(2):121-32. (PMID: 9109029) South Med J. 1997 Nov;90(11):1123-8. (PMID: 9386055) Drug Alcohol Depend. 1993 Jan;31(2):101-9. (PMID: 8382147) Arch Dis Child. 2004 Aug;89(8):701-4. (PMID: 15269062) Br J Psychiatry. 1994 Oct;165(4):527-30. (PMID: 7804668) Arch Gen Psychiatry. 1965 Jan;12:63-70. (PMID: 14221692) Br J Psychiatry. 2002 Mar;180:216-21. (PMID: 11872513) Pediatrics. 2003 Jun;111(6 Pt 1):e699-705. (PMID: 12777588) Trop Doct. 2005 Oct;35(4):225-8. (PMID: 16354478) Acta Neuropsychiatr. 2004 Feb;16(1):47-53. (PMID: 26983877) J Pediatr. 1986 Aug;109(2):371-8. (PMID: 3734977) Arch Fam Med. 2000 Sep-Oct;9(9):876-83. (PMID: 11031395) J Am Acad Child Adolesc Psychiatry. 1998 Mar;37(3):322-30. (PMID: 9519638) J Am Acad Child Adolesc Psychiatry. 1992 Nov;31(6):1036-40. (PMID: 1429401) Drug Alcohol Depend. 1989 Dec;24(3):245-9. (PMID: 2606001) Med Clin North Am. 1997 Jul;81(4):1017-36. (PMID: 9222266) Niger J Med. 2005 Jan-Mar;14(1):83-7. (PMID: 15832649) |
| المشرفين على المادة: | 0 (Psychotropic Drugs) |
| تواريخ الأحداث: | Date Created: 20100812 Date Completed: 20101028 Latest Revision: 20240318 |
| رمز التحديث: | 20240318 |
| مُعرف محوري في PubMed: | PMC2928240 |
| DOI: | 10.1186/1824-7288-36-53 |
| PMID: | 20698990 |
| قاعدة البيانات: | MEDLINE |
Find this article in full text from Springer Verlag. 
Full Text Finder | تدمد: | 1824-7288 |
|---|---|
| DOI: | 10.1186/1824-7288-36-53 |