Brazilian study on substance misuse in adolescents: associated factors and adherence to treatment

Revista Brasileira de Psiquiatria

Vilma A Da Silva¹  Aline S De Aguiar¹  Felippe Felix¹  Gabrielle P Rebello¹  Renata C Andrade¹  Helcio F Mattos¹ 

[1] ,Fluminense Federal University Integrated Regional Center for Attention of Adolescents Department of Psychiatry and Mental HealthNiterói RJ ,Brazil

关键词: Substance misuse;    Adolescent;    Treatment;    Abuso de substâncias;    Adolescentes;    Adesão;    Tratamento;   

DOI  :  10.1590/S1516-44462003000300004

来源: SciELO

【 摘 要 】

OBJECTIVES: To investigate developmental and environmental factors associated to substance misuse in adolescents seen at a university day-hospital in Brazil and to verify the correlations between those factors and adherence to treatment. To compare factors associated to substance misuse in adolescents with the available scientific literature and to suggest specific preventive interventions for a national policy in Brazil. METHODS: Eighty-six adolescent's guardians were evaluated at admission to the service by using a semistructured interview including sociodemographic data, family relationship, perinatal and pregnancy histories, psychomotor and educational development, social relations, history of previous illnesses and family diseases, including drug abuse. RESULTS: The sample was predominantly male (90%). Adolescents referred from the criminal justice were older than those originating from other sources (16.4 x 15.4 years old p=.00). Forty-four percent of adolescents reported school failure, a level which is two times higher than Brazilian statistics. Forty percent of the sample had criminal involvement, mainly drug dealing. Cannabis was the most prevalent reported drug. Living with both parents was protective, delaying the age of initiation by one year. Domestic violence was more frequent among parents with illicit drugs abuse (38.1% x 12.5%, p<.05). Alcoholism and drug addiction in parents and relatives were about four times higher than those reported for the Brazilian population. No correlation was found between the investigated factors and adherence to treatment. CONCLUSION: Our results indicate that the programs must include treatment of adults and education of parents and parents to be. Withdrawal of treatment occurs in the first month, and seems to be related to factors extrinsic to the adolescent.

【 授权许可】

CC BY-NC   
 All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License