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- Berglund, Kristina, 1969, et al.
(författare)
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Impacts of alcohol consumption by mothers and fathers, parental monitoring, adolescent disclosure and novelty-seeking behaviour on the likelihood of alcohol use and inebriation among adolescents
- 2022
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Ingår i: International Journal of Adolescence and Youth. - : Informa UK Limited. - 0267-3843 .- 2164-4527. ; 27:1, s. 582-596
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this prospective cohort study was to examine how alcohol consumption by mothers and fathers, parental monitoring (knowledge, control and solicitation), adolescent disclosure and novelty seeking were associated with the likelihood of alcohol use and inebriation among adolescents in three different age groups (13-14 years, 14-15 years, and 17 years). The results showed that alcohol consumption by parents is of significance for adolescent alcohol consumption (odds ratio mothers: 1.47 [1.17-1.84], odds ratio fathers 1.33 [1.08-1.65]) and inebriation, especially in the 17-year-old age group. The results showed that novelty seeking was a strong risk factor in all three age groups, while parental control and knowledge had no impact. This study shows that parental solicitation increased the odds at age 17 for alcohol consumption (2.64 [1.02-6.83]) and inebriation, while adolescent disclosure decreased the odds (0.18 [0.05-0.68]). In summary, the study shows that parents should be particularly attentive to adolescents with high novelty-seeking behaviour and that parental alcohol consumption influences adolescent alcohol habits.
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| 2. |
- Boson, Karin, 1984, et al.
(författare)
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Adolescents with substance use problems in outpatient treatment: a one-year prospective follow-up study focusing on mental health and gender differences
- 2022
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Ingår i: Substance Abuse Treatment, Prevention, and Policy. - : Springer Science and Business Media LLC. - 1747-597X. ; 17:1
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Tidskriftsartikel (refereegranskat)abstract
- Background Although several studies have found a high incidence of coexisting mental health problems among adolescents with substance use problems, follow-up studies addressing how these conditions change over time are rare. The study will describe and analyze indications of mental health problems and how various risk factors predict outcomes 1 year after initial treatment contact. In addition, gender-specific risk factors are explored. Methods A clinical sample of 455 adolescents (29% girls, median age 17 years) answered a structural interview at baseline and were followed up using official records 1 year after initiated treatment. Bivariate associations and logistic regressions were conducted to analyse the links between risk factors at the individual, social, and structural levels as well as links between various mental illness symptoms at treatment start and indications of mental health problems 1 year later were analysed. Results The results show that mental health problems among adolescents largely persisted 1 year after start of outpatient care for substance use problems. Forty-two per cent of the sample displayed indications of mental health problems at follow-up, and registrations for both outpatient treatment and psychiatric medication were more common among the girls. Girls also reported more mental illness symptoms at treatment start than boys did, especially anxiety. Depression and suicidal thoughts had predictive values regarding indications of mental health problems and small cumulative effects were found for 6-10 co-occurring risk factors. Conclusions Adolescents with depression and suicidal thoughts at treatment start should yield attention among clinicians as these general risk factors could predict indication of mental health problems at 1 year follow-up effectively. Also, patients with more than six co-occurring risk factors seem more vulnerable for continued mental health problems. Generally, girls displayed a greater mental health and psychosocial burden at treatment initiation and were more likely to show indication of mental health problems at follow-up. These results suggests that girls are more likely to get psychiatric out-treatment parallel to, or after, substance abuse treatment. We recommend further investigation of gender differences and gender-specific needs in substance use treatment.
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| 3. |
- Dahlberg, Mikael, 1965-, et al.
(författare)
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Long-Term Outcomes for Young People With Substance Use Problems in Outpatient Treatment: Gender-Specific Patterns
- 2022
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Ingår i: Frontiers in Psychiatry. - : Frontiers Media SA. - 1664-0640. ; 13
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Tidskriftsartikel (refereegranskat)abstract
- This study presents the results of a longitudinal research project focusing on long-term outcomes among young people after initiation of outpatient treatment for substance use problems (SUP) in Sweden. Young people are defined with the age group 13-25 years. A clinical sample of 451 young people (29% girls, median age 17 years) completed a structured interview at baseline and was followed using official records one, two, and 3 years after initiation of treatment. Gender-specific patterns at intake were described and bivariate associations and logistic regressions were calculated to analyse the links between risk factors at treatment start and indications of substance use problems 3 years later. Significantly more boys than girls displayed indications of continued SUP at 3-year follow-up. More specifically, 49% of the boys vs. 35% of the girls were identified through records as still having problems with substance use. Predictive risk factors also displayed gender-specific patterns. Primary drug use frequency and age at intake predicted indications of SUP among boys but not among girls. Placement in foster care/residential homes, depression, and early drug debut had significant predictive value regarding indications of SUP among females but not among males. Girls also displayed a greater psychosocial burden at treatment start, but a more favorable treatment outcome at follow-up. Youths with a heavy risk load at treatment start (i.e., over six risk factors) did not display a greater risk of SUP at 3-year follow-up, although our results suggest that this subgroup has indications of continued problems with mental health. Consequently, future studies should further explore gender-specific treatment pathways for young people with substance use problems. Since women and girls seem to have different risk factors, co-occurring psychiatric problems and more experiences of trauma compared to men, they might need multidimensional and more comprehensive treatment interventions that run over a longer period of time.
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