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dc.contributor.authorBoson, Karin Margareta Mellberg
dc.contributor.authorAnderberg, Mats
dc.contributor.authorMelander Hagborg, Johan
dc.contributor.authorWennberg, Peter
dc.contributor.authorDahlberg, Mikael
dc.date.accessioned2022-11-03T12:47:06Z
dc.date.available2022-11-03T12:47:06Z
dc.date.created2022-08-11T11:27:33Z
dc.date.issued2022
dc.identifier.issn1747-597X
dc.identifier.urihttps://hdl.handle.net/11250/3029905
dc.description.abstractAlthough 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 analyse 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. 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. 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. 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.en_US
dc.language.isoengen_US
dc.rightsNavngivelse 4.0 Internasjonal*
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/deed.no*
dc.subjectAdolescentsen_US
dc.subjectSubstance use problemsen_US
dc.subjectOutpatient treatmenten_US
dc.subjectMental health problemsen_US
dc.subjectRisk factorsen_US
dc.subjectGender differencesen_US
dc.titleAdolescents with substance use problems in outpatient treatment: a one-year prospective follow-up study focusing on mental health and gender differencesen_US
dc.title.alternativeAdolescents with substance use problems in outpatient treatment: a one-year prospective follow-up study focusing on mental health and gender differencesen_US
dc.typePeer revieweden_US
dc.typeJournal articleen_US
dc.description.versionpublishedVersionen_US
dc.subject.nsiVDP::Samfunnsvitenskap: 200en_US
dc.source.journalSubstance Abuse Treatment, Prevention, and Policyen_US
dc.identifier.doi10.1186/s13011-022-00482-2
dc.identifier.cristin2042380
cristin.ispublishedtrue
cristin.fulltextoriginal
cristin.qualitycode1


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Navngivelse 4.0 Internasjonal
Except where otherwise noted, this item's license is described as Navngivelse 4.0 Internasjonal