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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

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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