Analysis of Substance Use and Mental Disorder Diagnoses in Adolescents with a History of Delinquency: a Cross-sectional Study.

This study aimed to evaluate substance use and comorbid mental disorders in delinquent adolescents presenting to a child and adolescent psychiatry outpatient clinic. This study included 47 adolescents aged 15-18 years and had a history of delinquency. Data were collected using the Addiction Profile Index Adolescent Form (API-A) and an information form. Results indicated that the adolescents' mean age is 16.11 ± 1.05 years, 78.7% had committed crimes against property and 34.0% against the person, and 34.0% were also victims of crime. Mean API-A total scores indicated that their level of substance use was low. In addition, mean API-A total scores showed significant differences according to the adolescents' migration status, age, economic status, school attendance, mental disorder diagnosis, duration of mental disorder, and type of offense (p < 0.05). The benefit provided by timely and appropriate psychosocial interventions may have a key role in solving this problem for adolescents and improving their future as adults.

Relationship Between Caregivers' Care Burden and Their Social Functioning Perceptions Toward Addicted Patients: A Cross-Sectional Survey.

AIM: The aim of this study is to examine the relationship between social functioning perceptions of the caregivers toward their patients, and their perceived care burden. METHOD: The descriptive, cross-sectional and correlational study was carried out between September 2017-September 2019 using two measurement tools, in addition to an introductory information form: the Burden Interview and Social Functioning Scale The study was conducted with caregivers of the 76 addict outpatients and inpatients of the Alcohol and Substance Addiction Treatment Center of a university hospital in Turkey. The study data were evaluated using descriptive statistical analysis and correlation analysis. RESULTS: Of the caregivers, 69.7% were female and had a mean age of 43.32 ± 13.35 years; 52.6% and 47.4% of the all caregivers provided care to substance abusers and alcohol abusers, respectively. Of the addicted individuals receiving care, 78.9% were male, 60.5% were single, and 56.6% were unemployed. The mean age of patients was found to be 35.94 ± 11.75 years, and patients had been given treatment for an average of 7.56 ± 7.26 years. It was found that as caregivers' total mean Social Functioning Scale scores and mean subscale scores increased, their mean Burden Interview scores decreased (p > .05), though this value was not found to be statistically significant. CONCLUSION: These results are important to support not only the addicted individual but also their caregiver, and to conduct the related treatment and care holistically.

Stigmatization and Social Functioning Levels of Patients With Alcohol Use Disorders.

AIM: The aim of this stu dy was to determine the levels of internalized stigma and social functioning of patients with alcohol use disorders. METHOD: The study is cross-sectional and descriptive. The data were collected between August 2017 and August 2018 using face-to-face interviews with 104 alcohol-dependent patients who were undergoing inpatient treatment. The data collection was done so through personal information forms, the Internalized Stigma of Mental Illness Scale (ISMIS), and the Social Functioning Scale (SFS). Descriptive statistics, t test, and correlation analysis were used in evaluating data. RESULTS: Analysis of the sociodemographic characteristics of the patients showed that the mean age was 47.28 ± 10.10 years and 92.3% of the patients were male. The mean age of patients when they first started drinking alcohol is 19.37 ± 6.25 years. It was determined that 85.5% of the patients were also cigarette smokers, 37.5% were previously treated because of alcohol dependence, and 34.6% are currently having legal problems. Patients' ISMIS mean score was 71.99 ± 13.78, and the mean scores of subscales were moderate. In SFS, the mean scores of the "preliminary social activity" and "leisure activities" subscales and the total scale scores were at a moderate level and those of the other subscales (social withdrawal, interpersonal functionality, independent competence, independent performance, job-profession) were below average. As the ISMIS mean score increases, the SFS subscales' mean scores decrease (p < .05). CONCLUSION: Alcohol-dependent patients negatively stigmatize themselves, and the functionality of their prosocial activity skills, along with their recreational activities, is inadequate. Furthermore, as ISMIS tends to increase, SFS (interpersonal functioning, prosocial activities, recreational activities, independence-performance) levels decrease.