입원한 약물남용 청소년의 공존질환과 정신병리

• 영문명: Comorbidity and Psychopathology in Substance-Abusing Adolescent Inpatients
• 발행기관: 대한신경정신의학회
• 저자명: 김길숙 곽영숙 김자성
• 간행물 정보: 『신경정신의학』제34권 제1호, 27~40쪽, 전체 14쪽
• 주제분류: 의약학 > 정신과학
• 파일형태: PDF
• 발행일자: 1995.01.30

영문 초록

In order to investigate the comorbidity and the psychopathology off substance-abusing adolescent inpatients, we reiewed medical records of 28 psychiatric inpatients retrospectively and interviewed 17 psychiatric inpatients prospectively. Above subjects consist of 45 psychiatric inpatients admitted to Child-Adolescent unit at Seoul National Mental Hospital for treatment of substance abuse and other concurrent psychiatric disorders. The results were as follows : 1) The most frequently used substance was inhalants such as bond and butane gas, but female patients tended to perfer drug such as dextromethorphan. Motivations for initial substance use were maintenance o f friendship and relief o f unpleasant emotion. 2) Conduct disorder(88.9%), dysthymia(26.7%), attention deficit hyperactivity disorder(l3.3 and major depression (6.7 % ) were most frequent diagnoses. The patients with by-medical advice discharge had the higher percentage of depressive disorder(p<0.05), the longer duration of admission(p〈0.01) and the higher level of improvement(p〈0.005) than the patients with against-medical advice discharge. 3) CBCL was useful in comprehensive understanding about behavior and substance abuse of adolescents and also useful in classifying conduct disorder into 4 groups by its characteristic CBCL Profile pattern. 4) Children of alcohol-abusing parents and physically and sexually abused children and. adolescents may be high risk group for substance abuser in adolescents. From these results, careful evaluation and understanding of comorbidity and other risk factor are very important factor in the treatment and the prognosis of substance-abusing adolescent inpatients

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키워드

Comorbidity Psychopathology Adolescent substance abuse