Abstract
Substance Use Disorder (SUD) in adolescents, is a condition in which the use of one or more substances leads to clinically significant impairment or distress. It is a significant public health problem globally with a higher burden in low and middle-income countries. To find out the frequency and pattern of psychiatric comorbidity among the adolescents with Substance Use Disorder. This descriptive and observational study was conducted in the Department of Psychiatry, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh from March 2016 to September 2018. The present study aimed at assessing the presence of comorbid psychiatric disorders among adolescents with Substance Use Disorder (SUD) included a total of 70 adolescents. Over half (60%) of the respondents were <15 years old, and 40% of the respondents were >15 years age. The mean age of the respondents was 13.2 ± 2.1 years, and the range was 11-17 years. About 50% of the adolescents interviewed had Tobacco Use Disorder (51.4%), followed by Cannabis Use Disorder (47.1%). Among the respondents, 22.8% had no psychiatric illness. The overall psychiatric disorders among adolescents were 77.1% (54 out of 70). Most of the patients (45.7%) had more than one psychiatric disorder diagnosed. Regarding the specific disorder diagnosed Conduct Disorder was 31.4% and different socio-demographic features. Based on the findings of the study, it can be concluded that adolescents with SUD have a high rate of other comorbid psychiatric disorders.
Highlights
A drug is a natural or synthetic chemical substance that affects living processes
In a different analysis of psychiatric morbidity among the Institute outpatients, emotional disorder was found to be the largest group with 32.5%, followed by conduct disorder 18.8%; mental retardation comprised 16.2%, psychoses and allied conditions 11.2%, epilepsy with behavioral problems 12.5% and the rest 8.5% comprised of other groups of disorders, according to ICD-9 criteria [11]
The present study aimed at assessing the presence of comorbid psychiatric disorders among adolescents with Substance Use Disorder (SUD) included a total of 70 adolescents
Summary
Substance-related disorders are psychiatric disturbances developing during or following substance use, and attributable to it. The drugs that most often produce substance-related disorders include tobacco, alcohol, cannabis, stimulants (cocaine, amphetamine, methamphetamine, mephedrone, and others), opioids, sedative-hypnotic and anxiolytic agents, inhalants (volatile hydrocarbons), phencyclidine or other arylcyclohexylamines, and other hallucinogens. Numerous other substances, including nitrous oxide, amyl- or butylnitrite, or anabolic steroids may produce these disorders [1]. There are substantial geographic variations in drug use prevalence among the adolescents, with higher rates in higher-income countries ( data from lower-income countries often are lacking). A survey done in the United States investigated the prevalence of SUD among 203 adolescent psychiatric inpatients and found 41% met the criteria for a SUD [4]. A study was done in West Bengal, India, out of 416 students, Niaz Mohammad Khan et al.: Psychiatric Comorbidity Among Adolescents with
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