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Open Access 01-07-2021 | Anxiety Disorder | Original Contribution

Psychiatric morbidity, somatic comorbidity and substance use in an adolescent psychiatric population at 3-year follow-up

Authors: Kari Skulstad Gårdvik, Marite Rygg, Terje Torgersen, Stian Lydersen, Marit Sæbø Indredavik

Published in: European Child & Adolescent Psychiatry | Issue 7/2021

Abstract

Knowledge is scarce on the course of psychiatric disorders in adolescence. We aimed to assess changes in the frequency of psychiatric disorders, somatic disorders, pain, and substance use in a clinical psychiatric cohort from adolescence to young adulthood. This study is part of the Health Survey in Department of Children and Youth, St. Olavs Hospital, Norway. At age 13–18 years, 717 (43.5% of eligible) participated in the first study visit (T₁) in 2009–2011, 549 were reassessed 3 years later with telephone interview (T₂), and 464 had diagnostic evaluation at both time points. Data included: ICD-10 diagnoses (T₁), DSM-IV diagnoses (T₂), self-reported pain and substance use (T₁ and T₂). The overall rate of psychiatric disorders decreased (T₁ vs. T₂: 94.8% vs. 72.2%, p < 0.001); while, an increased rate of anxiety disorders was marked among girls (37.5% vs. 55.9%, p < 0.001), with accompanying raised frequencies of psychiatric comorbidity (14.1% vs. 42.6%, p < 0.001), somatic comorbidity (9.4% vs. 19.5%, p = 0.001), chronic pain (31.6% vs. 49.4%, p < 0.001), smoking, alcohol use and trying illicit drugs. Chronic pain, smoking and trying illicit drugs were associated with persisting psychiatric disorders, with highest risk differences for girls (RD = 25.4%, p = 0.002, RD = 15.6%, p = 0.008, RD = 18.0%, p = 0.001, respectively). Three out of four adolescents still had a psychiatric disorder after 3 years. Unlike boys, girls had an increasing rate of anxiety disorders and comorbidities. Chronic pain, smoking and trying illicit drugs were associated with persisting psychiatric disorders. Despite methodological limitations, these findings emphasize the importance of early targeted intervention for adolescents with psychiatric disorders.

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Title: Psychiatric morbidity, somatic comorbidity and substance use in an adolescent psychiatric population at 3-year follow-up
Authors: Kari Skulstad Gårdvik
Marite Rygg
Terje Torgersen
Stian Lydersen
Marit Sæbø Indredavik
Publication date: 01-07-2021
Publisher: Springer Berlin Heidelberg
Keyword: Anxiety Disorder
Published in: European Child & Adolescent Psychiatry / Issue 7/2021
Print ISSN: 1018-8827
Electronic ISSN: 1435-165X
DOI: https://doi.org/10.1007/s00787-020-01602-8

At a glance: The STEP trials

Springer Medicine

Psychiatric morbidity, somatic comorbidity and substance use in an adolescent psychiatric population at 3-year follow-up

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

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