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Adolescent boys with addictive disorders in an Indian rehabilitation centre: profiles and correlates
Shahul Ameen1,2, Aleesha Sanish1, Amal Joseph1
1Deparment of Psychiatry and Counseling, Samrudha Care Center for Children, Pongamthanam, Kerala, India.
Background:
No Indian study has profiled adolescents with addictive disorders in rehabilitation.
Aim:
Hence, this study aimed to describe sociodemographic and clinical profiles of adolescent boys in short-term rehabilitation.
Methods:
A retrospective chart review was conducted, including the scores on Disruptive Behaviour Disorders (DBDs) Rating Scale, for 59 patients, over 16 months.
Results:
Mean age of first use of nicotine, alcohol, and cannabis was 12.1 ± 2.7, 13.6 ± 1.7, and 14.3 ± 1.4 years, respectively. Of the patients, 57.6% were from broken families, 59.3% had experienced childhood adversities, 49.2% had parental psychiatric history, 10.2% had only behavioural addictions, 84.7% had dual diagnosis, and 79.7% had comorbid DBD, the commonest being conduct-dissocial disorder (in 47.5%).
Conclusion:
Earlier onset of substance use was associated with lower socioeconomic status (SES) (P = 0.003) and poor parental supervision (P = 0.017). Clinicians should screen for dual diagnoses and target prevention for broken families, childhood adversities, poor parental supervision, and low SES.
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