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Prevalence, Demographic Characteristics and Comorbid Psychiatric Disorders in Children and Adolescents With Substance Use Disorder in Iran Publisher



Mohammadi MR1 ; Hojjat SK2 ; Khaleghi A1 ; Hooshyari Z1 ; Mostafavi SA1 ; Alavi SS1 ; Ahmadi N3 ; Kaviyani F2 ; Ahmadi A1 ; Kian AA4 ; Sarraf N5 ; Safavi P6 ; Khalili MN2 ; Talepasand S7 Show All Authors
Authors
  1. Mohammadi MR1
  2. Hojjat SK2
  3. Khaleghi A1
  4. Hooshyari Z1
  5. Mostafavi SA1
  6. Alavi SS1
  7. Ahmadi N3
  8. Kaviyani F2
  9. Ahmadi A1
  10. Kian AA4
  11. Sarraf N5
  12. Safavi P6
  13. Khalili MN2
  14. Talepasand S7
  15. Amiri S8
  16. Molavi P9
  17. Akbari H2
  18. Arman S10
  19. Mohammadzadeh S11
  20. Kousha M12
  21. Golbon A13
  22. Hosseini SH14
  23. Delpisheh A15
  24. Mojahed A16
  25. Moharari F17
  26. Dastjerdi R18
  27. Jaberghaderi N19
  28. Ostovar R20
  29. Moghadam MNM21
  30. Salmanian M1
  31. Zarafshan H1
Show Affiliations
Authors Affiliations
  1. 1. Psychiatry and Psychology Research Center, Roozbeh Hospital, Tehran University of Medical Science, Tehran, Iran
  2. 2. Addiction and Behavioral Sciences Research Center, North Khorasan University of Medical Sciences, Bojnurd, Iran
  3. 3. Yazd Cardiovascular Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
  4. 4. Department of Psychiatry, Zanjan University of Medical Science, Zanjan, Iran
  5. 5. Department of Child and Adolescent Psychiatry, School of Medicine, Qazvin University of Medical Sciences, Qazvin, Iran
  6. 6. Clinical Research Development Unit, Hajar Hospital, Shahrekord University of Medical Sciences, Shahrekord, Iran
  7. 7. Semnan University, Semnan, Iran
  8. 8. Research Center of Psychiatry and Behavioral Sciences, Tabriz University of Medical Sciences, Tabriz, Iran
  9. 9. Department of Psychiatry, Fatemi Hospital, Ardabil University of Medical Sciences, Ardabil, Iran
  10. 10. Behavioral Sciences Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
  11. 11. Department of Psychiatry, Neuroscience Research Center, Kurdistan University of Medical Sciences, Sanandaj, Iran
  12. 12. Department of Pediatric Psychiatry, Faculty of Medicine, Guilan University of Medical Sciences, Rasht, Iran
  13. 13. Department of Psychiatry, Faculty of Medicine, Hormozgan University of Medical Sciences, Bandar Abbas, Iran
  14. 14. Psychiatry and Behavioral Sciences Research Center, Addiction Institute, Mazandaran University of Medical Sciences, Sari, Iran
  15. 15. Department of Epidemiology, Faculty of Public Health & Safety and Safety Promotion, Injury Prevention Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  16. 16. Department of Clinical Psychology, Zahedan University of Medical Sciences, Zahedan, Iran
  17. 17. Psychiatry and Behavioral Sciences Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
  18. 18. Birjand University of Medical Sciences, Birjand, Iran
  19. 19. Department of Clinical Psychology, School of Medicine, Kermanshah University of Medical Sciences, Kermanshah, Iran
  20. 20. Social Determinant of Health Research Center, Yasuj University of Medical Sciences, Yasuj, Iran
  21. 21. Department of Psychiatry, School of Medicine, Ardabil University of Medical Sciences, Ardabil, Iran

Source: Journal of Iranian Medical Council Published:2022


Abstract

Background: The present study aimed to investigate the prevalence of substance use disorder in Iranian children and adolescents and its relationship with demographic characteristics and psychiatric comorbidities. Methods: The data were taken from a national survey on the prevalence of psychiatric disorders in Iranian children and adolescents. The national survey was conducted on 30,532 children and adolescents aged 6-18 years which were selected using multistage cluster sampling. The psychiatric disorders were assessed by employing k-SADS-PL questionnaire and interviews carried out by 240 clinical psychologists with the participants and their parents. Data were analyzed by Chi-square test and logistic regression. Results: A total of 277 (0.97%) were diagnosed as people with substance use disorder that were further studied for comorbid disorders. Among the various types of drugs, hypnotic/sedative/anti-anxiety drugs were abused by 84 people (46.15%), cannabis by 68 (37.36%) and stimulants by 43 (23.63%). The variables of gender, place of residence, and father's occupation and parents' education level were identified as predictors of substance use disorder in children and adolescents. At the same time, 42.50% substances and alcohol abusing people had at least one comorbid psychiatric disorder and the highest comorbidity was observed in oppositional defiant disorder, attention deficit and hyperactivity disorder and separation anxiety disorder (p≤0.05). Conclusion: The findings can be used in the prevention and treatment of substance use disorder and promotion of mental health in children and adolescents by focusing on the psychiatric comorbidities of people with substance use disorder. Copyright © 2022, Journal of Iranian Medical Council. All rights reserved.
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