Trends and gender differences in alcohol and substance use among children and adolescents admitted to an addiction treatment center in Turkey: comparison of 2014 with 2011

Amaç: Bu çalışmanın amacı, İstanbul'da bir bağımlılık merkezine tedavi için başvuran gençlerde, alkol ve madde kulanımı davranışıyla ilgili olarak eğilim ve cinsiyet farklılıklarının değerlendirilmesidir. Yöntem: Katılımcılar madde kullanmakta olup, 2011-2014 yıllarında Bakırköy Ruh ve Sinir Hastalıkları Hastanesi'ne başvurmuş 2755 çocuk ve ergendir. Bu amaçla, Dünya Sağlık Örgütü Öğrenci Madde Kullanım Anketi eğitimli klinisyenler tarafından doldurulmuştur. Sonuçlar: 2014 yılında madde kullanımı için başvuran gençlerin toplam sayısında artış saptanmıştır (2011'de %31.4, 2014'te %68.6). 2011'den 2014'e kadar çoklu madde kullanımında ve tedavi için başvuran kızlarda anlamlı artış bulunmuştur. 2014 yılında alkol, ekstazi, sentetik kanabinoidler ve eroin kullanımında artma; uçucu, esrar, reçeteli ilaç kullanımında azalma saptanmıştır. 2014 yılında kızlar en çok ekstazi, reçeteli ilaç ve kokain kullanırken; erkeklerin daha çok esrar ve sentetik maddeler kullandığı saptanmıştır. Sonuç: Yeni ve popüler yasa dışı maddeler ortaya çıktıkça, madde kullanımındaki yeni eğilimlerin yeniden gözden geçirilmesi, önleyici tedbirler ve tedavi stratejilerinin belirlenmesi açısından önemlidir. (Anadolu Psikiyatri Derg 2016; 17(4):325-331)Objective: The aim of this study was to evaluate the trends and gender differences in alcohol and substance use behaviors in youth admitted to an addiction treatment center in Istanbul. Methods: Participants were 2755 substance using children and adolescents who were treated at the Bakırköy Mental Health and Neurologic Disorders Hospital between 2011 and 2014. The World Health Organization student drug use questionnaire' was completed by trained clinicians. Results: There was an increase in the total number of youths admitted for substance use treatment (31.4% in 2011, 68.6% in 2014). A significant increase found in polysubstance use and in the number of females seeking treatment for substance use from 2011 to 2014. Alcohol, ecstasy, synthetics cannabinoids and heroin usage showed increase whereas inhalants, cannabis, prescribed medicines usage showed decrease in 2014. In 2014 while girls mostly consumed ecstasy, prescribed medicines and cocaine boys mostly used cannabis and synthetics. Conclusions: As new popular illicit drugs emerge in the market in the recent years, it is essential to reexamine the new trends in substance use and to reconsider prevention policies and treatment strategies. (Anatolian Journal of Psychiatry 2016; 17(4):325-331

Trends and gender differences in alcohol and substance use among children and adolescents admitted to an addiction treatment center in Turkey: comparison of 2014 with 2011

Amaç: Bu çalışmanın amacı, İstanbul'da bir bağımlılık merkezine tedavi için başvuran gençlerde, alkol ve madde kulanımı davranışıyla ilgili olarak eğilim ve cinsiyet farklılıklarının değerlendirilmesidir. Yöntem: Katılımcılar madde kullanmakta olup, 2011-2014 yıllarında Bakırköy Ruh ve Sinir Hastalıkları Hastanesi'ne başvurmuş 2755 çocuk ve ergendir. Bu amaçla, Dünya Sağlık Örgütü Öğrenci Madde Kullanım Anketi eğitimli klinisyenler tarafından doldurulmuştur. Sonuçlar: 2014 yılında madde kullanımı için başvuran gençlerin toplam sayısında artış saptanmıştır (2011'de %31.4, 2014'te %68.6). 2011'den 2014'e kadar çoklu madde kullanımında ve tedavi için başvuran kızlarda anlamlı artış bulunmuştur. 2014 yılında alkol, ekstazi, sentetik kanabinoidler ve eroin kullanımında artma; uçucu, esrar, reçeteli ilaç kullanımında azalma saptanmıştır. 2014 yılında kızlar en çok ekstazi, reçeteli ilaç ve kokain kullanırken; erkeklerin daha çok esrar ve sentetik maddeler kullandığı saptanmıştır. Sonuç: Yeni ve popüler yasa dışı maddeler ortaya çıktıkça, madde kullanımındaki yeni eğilimlerin yeniden gözden geçirilmesi, önleyici tedbirler ve tedavi stratejilerinin belirlenmesi açısından önemlidir. (Anadolu Psikiyatri Derg 2016; 17(4):325-331)Objective: The aim of this study was to evaluate the trends and gender differences in alcohol and substance use behaviors in youth admitted to an addiction treatment center in Istanbul. Methods: Participants were 2755 substance using children and adolescents who were treated at the Bakırköy Mental Health and Neurologic Disorders Hospital between 2011 and 2014. The World Health Organization student drug use questionnaire' was completed by trained clinicians. Results: There was an increase in the total number of youths admitted for substance use treatment (31.4% in 2011, 68.6% in 2014). A significant increase found in polysubstance use and in the number of females seeking treatment for substance use from 2011 to 2014. Alcohol, ecstasy, synthetics cannabinoids and heroin usage showed increase whereas inhalants, cannabis, prescribed medicines usage showed decrease in 2014. In 2014 while girls mostly consumed ecstasy, prescribed medicines and cocaine boys mostly used cannabis and synthetics. Conclusions: As new popular illicit drugs emerge in the market in the recent years, it is essential to reexamine the new trends in substance use and to reconsider prevention policies and treatment strategies. (Anatolian Journal of Psychiatry 2016; 17(4):325-331

The prevalence of childhood psychopathology in Turkey: a cross-sectional multicenter nationwide study (EPICPAT-T).

Aim: The aim of this study was to determine the prevalence of childhood psychopathologies in Turkey

Prevalence of Childhood Affective disorders in Turkey: An epidemiological study

Aim: To determine the prevalence of affective disorders in Turkey among a representative sample of Turkish population. Methods: This study was conducted as a part of the "The Epidemiology of Childhood Psychopathology in Turkey" (EPICPAT-T) Study, which was designed by the Turkish Association of Child and Adolescent Mental Health. The inclusion criterion was being a student between the second and fourth grades in the schools assigned as study centers. The assessment tools used were the K-SADS-PL, and a sociodemographic form that was designed by the authors. Impairment was assessed via a 3 point-Likert type scale independently rated by a parent and a teacher. Results: A total of 5842 participants were included in the analyses. The prevalence of affective disorders was 2.5 % without considering impairment and 1.6 % when impairment was taken into account. In our sample, the diagnosis of bipolar disorder was lacking, thus depressive disorders constituted all the cases. Among depressive disorders with impairment, major depressive disorder (MDD) (prevalence of 1.06%) was the most common, followed by dysthymia (prevalence of 0.2%), adjustment disorder with depressive features (prevalence of 0.17%), and depressive disorder-NOS (prevalence of 0.14%). There were no statistically significant gender differences for depression. Maternal psychopathology and paternal physical illness were predictors of affective disorders with pervasive impairment. Conclusion: MDD was the most common depressive disorder among Turkish children in this nationwide epidemiological study. This highlights the severe nature of depression and the importance of early interventions. Populations with maternal psychopathology and paternal physical illness may be the most appropriate targets for interventions to prevent and treat depression in children and adolescents

The prevalence of childhood psychopathology in Turkey: a cross-sectional multicenter nationwide study (EPICPAT-T)

Conclusion: This is the largest and most comprehensive epidemiological study to determine the prevalence of psychopathologies in children and adolescents in Turkey. Our results partly higher than, and partly comparable to previous national and international studies. It also contributes to the literature by determining the independent predictors of psychopathologies in this age group