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1.
Pol Merkur Lekarski ; 48(287): 327-330, 2020 Oct 23.
Artigo em Inglês | MEDLINE | ID: mdl-33130792

RESUMO

It is known that every day 2,500 children under the age of 18 try their first cigarette, and more than 400 of them become new, regular smokers, and half of them will die from this addiction in the future. AIM: The aim of the study is to determine changes in the indices of dental status in adolescents with tobacco smoking. MATERIALS AND METHODS: The study involved 54 adolescents aged 12 to 18 years. They were divided into the main group of 25 adolescents with a smoking experience of 1 to 3 years, and a control group of 29 adolescents who were physically healthy at the time of the study and had never smoked. During their visit to dentist for a preventive examination such indexes were investigated as simplified Oral Hygiene Index (OHI-S) (Greene-Vermillion), papillary-marginal-alveolar index (PMA), Fedorov-Volodkina index, caries severity index, index of the need for treatment of periodontal disease and biophysical methods of oral fluid research: rate of salivation, elasticity, pH of oral fluid. RESULTS: The changes in dental status identified in the study in adolescents with addiction to smoking indicated certain aspects of the risk of developing dental diseases in this group of patients with prevalence of periodontal inflammation. The most vulnerable, with a short history of smoking, were periodontal tissues. It could indicate the direct effect of tobacco smoke on the microcirculation of the gums. CONCLUSIONS: Smoking is a risk factor for periodontal health in adolescents. The periodontal inflammation of various severities was established in children and adolescents aged 12-18 years old. Evaluation of oral health indices has been estimated from 0.79 ± 0.19 to 1.9 ± 0.05 (p<0.05) for Greene-Vermilion, from 1.5 ± 0.41 to 2.5 ± 0.59 (p<0.05) for Fedorov-Volodkina, from 12.0± 2.06% to 36.0 ± 2.04% to for PMA (p<0.05) as result of adolescent smoking. Simultaneously we didn't estimate significant difference for caries severity in investigated groups.


Assuntos
Comportamento Aditivo , Doenças Periodontais , Adolescente , Criança , Humanos , Saúde Bucal , Fumar/epidemiologia , Tabaco
2.
Nutrients ; 12(11)2020 Nov 05.
Artigo em Inglês | MEDLINE | ID: mdl-33167515

RESUMO

Past public health crises (e.g., tobacco, alcohol, opioids, cholera, human immunodeficiency virus (HIV), lead, pollution, venereal disease, even coronavirus (COVID-19) have been met with interventions targeted both at the individual and all of society. While the healthcare community is very aware that the global pandemic of non-communicable diseases (NCDs) has its origins in our Western ultraprocessed food diet, society has been slow to initiate any interventions other than public education, which has been ineffective, in part due to food industry interference. This article provides the rationale for such public health interventions, by compiling the evidence that added sugar, and by proxy the ultraprocessed food category, meets the four criteria set by the public health community as necessary and sufficient for regulation-abuse, toxicity, ubiquity, and externalities (How does your consumption affect me?). To their credit, some countries have recently heeded this science and have instituted sugar taxation policies to help ameliorate NCDs within their borders. This article also supplies scientific counters to food industry talking points, and sample intervention strategies, in order to guide both scientists and policy makers in instituting further appropriate public health measures to quell this pandemic.


Assuntos
Comportamento Aditivo/prevenção & controle , Dieta , Açúcares da Dieta/efeitos adversos , Fast Foods/efeitos adversos , Indústria Alimentícia/legislação & jurisprudência , Doenças não Transmissíveis/prevenção & controle , Saúde Pública , Comportamento Aditivo/etiologia , Infecções por Coronavirus , Comportamento Alimentar , Manipulação de Alimentos/legislação & jurisprudência , Humanos , Obesidade/etiologia , Obesidade/prevenção & controle , Pandemias , Pneumonia Viral , Política Pública , Controle Social Formal , Impostos
3.
BMC Psychol ; 8(1): 120, 2020 Nov 10.
Artigo em Inglês | MEDLINE | ID: mdl-33168098

RESUMO

BACKGROUND: Decisions made by individuals with disordered gambling are markedly inflexible. However, whether anomalies in learning from feedback are gambling-specific, or extend beyond gambling contexts, remains an open question. More generally, addictive disorders-including gambling disorder-have been proposed to be facilitated by individual differences in feedback-driven decision-making inflexibility, which has been studied in the lab with the Probabilistic Reversal Learning Task (PRLT). In this task, participants are first asked to learn which of two choice options is more advantageous, on the basis of trial-by-trial feedback, but, once preferences are established, reward contingencies are reversed, so that the advantageous option becomes disadvantageous and vice versa. Inflexibility is revealed by a less effective reacquisition of preferences after reversal, which can be distinguished from more generalized learning deficits. METHODS: In the present study, we compared PRLT performance across two groups of 25 treatment-seeking patients diagnosed with an addictive disorder and who reported gambling problems, and 25 matched controls [18 Males/7 Females in both groups, Mage(SDage) = 25.24 (8.42) and 24.96 (7.90), for patients and controls, respectively]. Beyond testing for differences in the shape of PRLT learning curves across groups, the specific effect of problematic gambling symptoms' severity was also assessed independently of group assignment. In order to surpass previous methodological problems, full acquisition and reacquisition curves were fitted using generalized mixed-effect models. RESULTS: Results showed that (1) controls did not significantly differ from patients in global PRLT performance nor showed specific signs of decision-making inflexibility; and (2) regardless of whether group affiliation was controlled for or not, gambling severity was specifically associated with more inefficient learning in phases with reversed contingencies. CONCLUSION: Decision-making inflexibility, as revealed by difficulty to reacquire decisional preferences based on feedback after contingency reversals, seems to be associated with gambling problems, but not necessarily with a substance-use disorder diagnosis. This result aligns with gambling disorder models in which domain-general compulsivity is linked to vulnerability to develop gambling-specific problems with exposure to gambling opportunities.


Assuntos
Comportamento Aditivo/psicologia , Comportamento Compulsivo , Jogo de Azar , Reversão de Aprendizagem , Transtornos Relacionados ao Uso de Substâncias/psicologia , Adulto , Tomada de Decisões , Feminino , Humanos , Comportamento Impulsivo , Masculino , Recompensa , Índice de Gravidade de Doença
5.
Soins ; 65(846): 10-13, 2020 Jun.
Artigo em Francês | MEDLINE | ID: mdl-33012409

RESUMO

Carers also use psychoactive substances and sometimes at work. The risks of use and especially the misuse of psychoactive substances at work take characteristics in health area. Often silent or concealed, substance use disorders of health professionals justify identifying, screening, care and prevention through comprehensive institutional programs involving supervision team.


Assuntos
Comportamento Aditivo , Cuidadores/psicologia , Transtornos Relacionados ao Uso de Substâncias , Humanos
6.
Psychiatr Danub ; 32(Suppl 3): 382-385, 2020 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-33030458

RESUMO

INTRODUCTION: Addiction is not solely "substance dependence". Diminished control is a core defining concept of psychoactive substance addiction. Several behaviors, besides psychoactive substance ingestion, produce short-term reward that may engender diminished control over the behavior. Growing evidence suggests that behavioral addictions resemble substance addictions in many domains, including phenomenology, tolerance, comorbidity, overlapping genetic contribution, neurobiological mechanisms, and response to treatment. This similarity has given rise to the concept of non-substance or behavioral addictions, i.e., syndromes analogous to substance addiction, but with a behavioral focus. The type of excessive behaviors identified as being addictive include gambling, use of computers, playing video games, use of the internet, exercise, and shopping. Behavioral addictions have been proposed as a new class in DSM-5, but the only category included is gambling disorder. Internet gaming disorder is included in the appendix as a condition for further study. The ICD-11 included also the definition of a new disorder, gaming disorder. To present actual knowledge about behavioral addictions in childhood and adolescence. METHODS: Analysis of data in available literature in data basis and textbooks. RESULTS: Some behavioral addictions are becoming more common in children and adolescents. Dominant are gaming and gambling addiction that are also best researched. CONCLUSIONS: Behavioral addiction becomes an epidemic in children and adolescents.


Assuntos
Comportamento Aditivo/epidemiologia , Internet , Adolescente , Criança , Jogo de Azar/epidemiologia , Humanos , Pandemias , Comportamento Sexual , Jogos de Vídeo
7.
Annu Int Conf IEEE Eng Med Biol Soc ; 2020: 980-983, 2020 07.
Artigo em Inglês | MEDLINE | ID: mdl-33018149

RESUMO

Gamers with Internet gaming disorder (IGD) dynamically regulate their psychophysiological responses during playing; however, analyzing instantaneous psychophysiological responses in these gamers has been limited by a lack of appropriate methods. We propose combining the Complementary Ensemble Empirical Mode Decomposition and Direct Quadrature methods to overcome this limitation. The related effect of abdominal breathing (AB) training (as a relaxing psychology method) on the distribution of instantaneous frequency (IF) was investigated by calculating median (IFmed), kurtosis (IFkurt) and skewness (IFskew), and 19 participants with high-risk IGD (HIGD) were found to have increased IFmed [massively multiplayer online role-playing game (MMORPG): 0.36 ± 0.08; first-person shooter game (FPSG): 0.34 ± 0.08] but decreased IFkurt (MMORPG: 5.98 ± 2.31; FPSG: 6.84 ± 4.61) and IFskew (MMORPG: 0.40 ± 0.69; FPSG: 0.64 ±1.04) during game-film stimuli compared with baseline and recovery states. After AB training, IFmed of these 19 participants (MMORPG: 0.24 ± 0.11; FPSG: 0.18 ± 0.06) decreased significantly. This study is firstly to observe the IF distribution of respiratory signal in gamers with HIGD; thus, this distribution may be used as a respiratory physiological marker of IGD risk.


Assuntos
Comportamento Aditivo , Transtornos Disruptivos, de Controle do Impulso e da Conduta , Jogos de Vídeo , Humanos , Internet , Desempenho de Papéis
8.
PLoS One ; 15(10): e0239761, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33035229

RESUMO

BACKGROUND: Addiction medicine consultation services (ACS) may improve outcomes of hospitalized patients with substance use disorders (SUD). Our aim was to examine the difference in length of stay and the hazard ratio for a routine hospital discharge between SUD patients receiving and not receiving ACS. METHODS: Structured EHR data from 2018 of 1,900 adult patients with a SUD-related diagnostic code at an urban academic health center were examined among 35,541 total encounters. Cox proportional hazards regression models were fit using a cause-specific approach to examine differences in hospital outcome (i.e., routine discharge, leaving against medical advice, in-hospital death, or transfer to another level of care). Models were adjusted for age, sex, race, ethnicity, insurance status, and comorbidities. RESULTS: Length of stay was shorter among encounters with a SUD that received a SUIT consultation versus those admissions that did not receive one (5.77 v. 6.54 days, p<0.01). In adjusted analyses, admissions that received a SUIT consultation had a higher hazard of a routine discharge [hazard ratio (95% confidence interval): 1.16 (1.03-1.30)] compared to those not receiving a SUIT consultation. CONCLUSIONS: The SUIT consultation service was associated with a reduced length of stay and an increased hazard of a routine discharge. The SUIT model may serve as a benchmark and inform other health systems attempting to improve outcomes in SUD patient cohorts.


Assuntos
Tempo de Internação/estatística & dados numéricos , Alta do Paciente/estatística & dados numéricos , Transtornos Relacionados ao Uso de Substâncias/psicologia , Comportamento Aditivo/psicologia , Comorbidade , Feminino , Hospitalização/tendências , Humanos , Masculino , Pessoa de Meia-Idade , Readmissão do Paciente/estatística & dados numéricos , Modelos de Riscos Proporcionais , Encaminhamento e Consulta
10.
Isr Med Assoc J ; 9(22): 521-528, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-32954702

RESUMO

BACKGROUND: Dependence on technology and electronic media devices (EMDs) is a significant phenomenon of modern life with many people experiencing adverse symptoms during abstention. Orthodox Jews abstain from using all forms of EMDs for 25 consecutive hours every week on the Sabbath but do not appear to experience significant adverse reactions during this abstention. OBJECTIVES: To better examine whether Sabbath observant Jews experience fewer and less severe adverse symptoms while abstaining from EMDs on the Sabbath compared to weekdays. METHODS: Ten Sabbath observant Jews abstained from using all forms of EMDs for 25 hours on a Sabbath and again on a weekday. At the end of each 25-hour period participants completed a 12-item Likert-type scale self-assessment of 1-5, once as a report of their condition at 10:00 and again after 25 hours of abstaining. The authors compared the mean results of Sabbath and weekday using Wilcoxon signed ranks test. P ≤ 0.05 was considered significant. RESULTS: Overall, discomfort on Sabbath was less than on weekdays. A statistically significant decrease on the Sabbath was found at both the 10:00 reporting time and after 25 hours in anxiety, restlessness, thoughts and plans of using devices, and overall difficulty to abstain. Significance was found for feelings of not knowing what to do with time (10:00) and moodiness and irritability, being drawn to devices, and cravings achieved significance (after 25 hours). CONCLUSIONS: Sabbath observant Jews reported statistically significant less adverse reactions while abstaining from EMDs on the Sabbath compared to on a weekday.


Assuntos
Comportamento Aditivo/psicologia , Uso do Telefone Celular/estatística & dados numéricos , Judeus/psicologia , Judaísmo , Adulto , Feminino , Humanos , Masculino , Projetos Piloto , Inquéritos e Questionários , Fatores de Tempo , Adulto Jovem
11.
Rev Med Suisse ; 16(707): 1748-1750, 2020 Sep 23.
Artigo em Francês | MEDLINE | ID: mdl-32969611

RESUMO

There is a renewed interest in the use of psychedelics in the treatment of addictions. The mode of action of psychedelics could be explained by the addictolytic effect of the substance or by an amplifying effect a unique experience. If studies are lacking on the intrinsic addictolytic effects of psychedelics in humans, animals and in vitro experiences show an increase in neurogenesis. In humans, the effectiveness could be explained by the intensity of the lived experience. If the purely experiential aspect is the key to the effectiveness of treatment, it strengthens the idea that psychedelics act as reinforcers of the psychotherapeutic experience by exposure to intense and unusual internal stimuli.


Assuntos
Comportamento Aditivo/tratamento farmacológico , Alucinógenos/uso terapêutico , Psicoterapia/métodos , Animais , Comportamento Aditivo/terapia , Humanos
12.
Rev Prat ; 70(1): 69-77, 2020 Jan.
Artigo em Francês | MEDLINE | ID: mdl-32877036

RESUMO

Cannabis use and somatic consequences. Cannabis is the most frequently used illicit psychoactive substance in the world. It is perceived as a low-risk drug, as it is a plant, although many warnings in the medical literature underlined increased complications of cannabis use. Acute and chronic cannabis use is known to be harmful inducing psychiatric and addictive effects. An increase in the potency of cannabis as defined by a high ratio between the more important components, tetrahydrocannabinol and cannabidiol has been observed for years, which leads to more serious complications. Evidence indicates that both acute and chronic consumptions of cannabis can be detrimental to both mental and physical health. Effects of cannabis use include mood disorders, exacerbation of psychotic disorders in vulnerable people, cannabis use disorders, withdrawal syndrome, neurocognitive impairments, cardiovascular and respiratory and other diseases. Synthetic cannabinoid has rapidly spread for the last few years; they are chemical substances inducing similar psychoactive effects to cannabis. Although, cannabis users call these substances "cannabis", synthetic cannabinoids have different pharmacological properties, which make them dangerous substances leading to more serious complications. Physicians dealing with cannabis users should be aware of these differences between vegetal cannabis and synthetic cannabinoids.


Assuntos
Comportamento Aditivo , Canabinoides , Cannabis , Analgésicos , Dronabinol , Humanos
13.
Rev Lat Am Enfermagem ; 28: e3326, 2020.
Artigo em Português, Espanhol, Inglês | MEDLINE | ID: mdl-32876284

RESUMO

OBJECTIVE: to identify the prevalence and factors associated with workaholism among stricto sensu graduate nursing professors. METHOD: a cross-sectional study with 333 professors of master's/doctorate degrees from 47 Brazilian public universities. Participants answered a characterization questionnaire and the Dutch Work Addiction Scale, which were analyzed descriptively and by multiple logistic regression. RESULTS: the prevalence of workaholism was 10.5%. The factors associated with the dimensions of workaholism were: having a marital relationship, being dissatisfied with work and sleep, indicating low ability to concentrate and few leisure opportunities, belonging to Graduate Programs with grades 3, 4 and 5, receiving a research productivity grant, considering the influence of work on life as negative, showing difficulty in combining work with personal life, to present work-related anxiety, feel pressure for scientific publishing, elaborate more than 11 articles simultaneously, give more than 21 opinions in the last year, work an extra 11 hours a week in addition to the work schedule and dedicate less than 10 hours a week to graduate school. CONCLUSION: there is an indication of workaholism in the investigated professors, and the associated factors were related to working conditions and requirements. Universities must adhere to management models that include occupational health promotion.


Assuntos
Comportamento Aditivo , Brasil , Estudos Transversais , Atividades de Lazer , Editoração
15.
BMC Public Health ; 20(1): 1337, 2020 Sep 02.
Artigo em Inglês | MEDLINE | ID: mdl-32878612

RESUMO

BACKGROUND: People who are houseless (also referred to as homeless) perceive high stigma in healthcare settings, and face disproportionate disparities in morbidity and mortality versus people who are housed. Medical students and the training institutions they are a part of play important roles in advocating for the needs of this community. The objective of this study was to understand perceptions of how medical students and institutions can meet needs of the self-identified needs of the houseless community. METHODS: Between February and May 2018, medical students conducted mixed-methods surveys with semi-structured qualitative interview guides at two community-based organizations that serve people who are houseless in Portland, Oregon. Medical students approach guests at both locations to ascertain interest in participating in the study. Qualitative data were analyzed using thematic analysis rooted in an inductive process. RESULTS: We enrolled 38 participants in this study. Most participants were male (73.7%), white (78.9%), and had been houseless for over a year at the time of interview (65.8%). Qualitative themes describe care experiences among people with mental health and substance use disorders, and roles for medical students and health-care institutions. Specifically, people who are houseless want medical students to 1) listen to and believe them, 2) work to destigmatize houselessness, 3) engage in diverse clinical experiences, and 4) advocate for change at the institutional level. Participants asked healthcare institutions to use their power to change laws that criminalize substance use and houselessness, and build healthcare systems that take better care of people with addiction and mental health conditions. CONCLUSIONS: Medical students, and the institutions they are a part of, should seek to reduce stigma against people who are houseless in medical systems. Additionally, institutions should change their approaches to healthcare delivery and advocacy to better support the health of people who are houseless.


Assuntos
Assistência à Saúde , Pessoas em Situação de Rua , Transtornos Mentais , Defesa do Paciente , Relações Profissional-Paciente , Estigma Social , Estudantes de Medicina , Adulto , Atitude Frente a Saúde , Comportamento Aditivo , Feminino , Necessidades e Demandas de Serviços de Saúde , Pessoas em Situação de Rua/psicologia , Habitação , Humanos , Masculino , Transtornos Mentais/complicações , Saúde Mental , Pessoa de Meia-Idade , Oregon , Saúde da População , Pesquisa Qualitativa , Mudança Social , Apoio Social , Transtornos Relacionados ao Uso de Substâncias/complicações , Inquéritos e Questionários
16.
Rev Prat ; 70(3): 293-300, 2020 Mar.
Artigo em Francês | MEDLINE | ID: mdl-32877064

RESUMO

How to manage adult attention deficit hyperactivity disorder in patients with substance use disorders? Adult attention deficit hyperactivity disorder (ADHD) frequently occurs with anxiety disorders, mood disorders and above all addictive comorbidities. Its evaluation must be systematic during an addictology consultation. ADHD is a neurodevelopmental disorder characterized by a complex clinical picture combining cognitive, affective and behavioral dimensions that frequently underlies addictive disorder. Substance misuse frequently begins as an over-the-counter medication. The multidimensional diagnostic approach makes it possible to detect these complex interactions. The motivational therapeutic approach involving the comorbidity issue is crucial to support the patient in his change towards a control of his addictions.


Assuntos
Transtorno do Deficit de Atenção com Hiperatividade , Comportamento Aditivo , Transtornos Relacionados ao Uso de Substâncias , Adulto , Transtornos de Ansiedade , Transtorno do Deficit de Atenção com Hiperatividade/terapia , Comorbidade , Humanos
18.
PLoS One ; 15(9): e0238459, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32898191

RESUMO

BACKGROUND: Smartphone addiction is a growing social problem with adverse health outcomes. There are few comparative studies in Asia that examine factors associated with smartphone addiction. The current study aimed to address this research gap by presenting a comparative analysis of factors associated with smartphone addiction in Japan and Thailand, two countries heterogeneous in both their level of economic development and culture. METHODS: Participant data were collected using two population-based surveys. Participants were high school students in grade 11, aged 16-17 years old, and were selected using quota sampling in Japan in 2014 and random sampling in Thailand in 2016. The outcome of interest was smartphone addiction, measured using a modified version of the Young Diagnostic Questionnaire for Internet Addiction. Multiple logistic regression analysis was performed to determine factors associated with smartphone addiction (gender; nationality; family connectedness; and average time spent on smartphone per day). RESULTS: This study included a total of 7694 students, 6585 students from Japan and 1109 students from Thailand. The prevalence of smartphone addiction was 35.9% among Thai students and 12% among Japanese students. Thai students were more likely to have smartphone addiction than Japanese students (AOR 2.76; 95% CI: 2.37-3.30). Being female was associated with increased odds of smartphone addiction in both Japanese (AOR 1.53; 95% CI: 1.32-1.78) and Thai students (AOR 1.34; 95% CI: 1.01-1.78). The parental connectedness variables "my parents noticed when I was unhappy" (AOR 0.77; 95% CI: 0.62-0.96) and "my parents noticed when I did something good" (AOR 0.78, 95% CI: 0.61-0.99) were associated with lower odds of smartphone addiction among Japanese students. CONCLUSION: Smartphone addiction was more prevalent among Thai adolescents than Japanese adolescents, and more prevalent among females than males in both countries. Interventions for reducing smartphone addiction should take into account both context and gender, and should leverage the protective effect of parental connectedness.


Assuntos
Comportamento Aditivo/psicologia , Smartphone/tendências , Estudantes/psicologia , Adolescente , Comportamento do Adolescente , Comportamento Aditivo/epidemiologia , Comportamento Aditivo/fisiopatologia , Feminino , Humanos , Japão/epidemiologia , Masculino , Pais , Prevalência , Smartphone/estatística & dados numéricos , Inquéritos e Questionários , Tailândia/epidemiologia
19.
PLoS One ; 15(9): e0238804, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32915864

RESUMO

BACKGROUND: Problematic internet use (PIU) among youth has become a public health concern. Previous studies identified socio-demographic background risk factors for PIU. The effects of online activities on youth PIU behavior are not well investigated. METHODS: This cross-sectional study assessed the roles of online activities for PIU behavior of undergraduate students in Bahir Dar University, North West Ethiopia. Data were collected from 812 randomly selected regular program students recruited from 10 departments. Respondents completed a pre-tested structured questionnaire. Hierarchical logistic regression models were used for analyses. RESULTS: The results indicated that social networking (75.5%), entertainment (73.6%), academic works (70.9%), and online gaming (21.6%) are the important online activities students are engaging in the internet. About 33% and 1.8% of students showed symptoms of mild and severe PIU, respectively. Taking online activities into account improved the model explaining PIU behavior of students. Online activities explained 46% of the variance in PIU. Using the internet for social networking (AOR = 7.078; 95% CI: 3.913-12.804) and online gaming (AOR = 2.175; 95% CI: 1.419-3.335) were risk factors for PIU. CONCLUSIONS: The findings revealed that more than a third of the respondents showed symptoms of PIU. Online activities improved the model explaining PIU behavior of students. Thus, university authorities need to be aware of the prevalence of PIU and introduce regulatory mechanisms to limit the usage of potentially addictive online activities and promoting responsible use of the internet.


Assuntos
Internet/estatística & dados numéricos , Estudantes/psicologia , Estudantes/estatística & dados numéricos , Universidades/estatística & dados numéricos , Adolescente , Adulto , Comportamento Aditivo/epidemiologia , Estudos Transversais , Etiópia , Feminino , Humanos , Masculino , Análise de Regressão , Fatores de Risco , Inquéritos e Questionários , Adulto Jovem
20.
PLoS One ; 15(9): e0238858, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32915870

RESUMO

Economic evaluations of new youth mental health interventions require preference-based outcome measures that capture the broad benefits these interventions can have for adolescents. The Abbreviated Self Completion Teen-Addiction Severity Index (ASC T-ASI) was developed to meet the need for such a broader measure. It assesses self reported problems in seven important domains of adolescents' lives, including school performance and family relationships, and is intended for use in economic evaluations of relevant interventions. The aim of the current study was to present the ASC T-ASI and examine its validity as well as its ability to distinguish between adolescents with and without problems associated with substance use and delinquency. The validation study was conducted in a sample of adolescents (n = 167) aged 12-18 years, who received in- or outpatient care in a youth mental health and (enclosed) care facility in the Netherlands. To examine its feasibility, test-retest reliability, and convergent validity, respondents completed the ASC T-ASI, as well as the EQ-5D-3L and SDQ at baseline and after a two-week interval using a counterbalanced method. The ASC T-ASI descriptive system comprises seven domains: substance use, school, work, family, social relationships, justice, and mental health, each expressing self reported problems on a five-point Likert scale (ranging from having 'no problem' to having a 'very large problem'). The majority of respondents (>70%) completed the ASC T-ASI within 10 minutes and appraised the questions as (very) easy and (very) comprehensible. Test-retest reliability was adequate (Kw values 0.26-0.55). Correlations with the supplementary measures were moderate to high (rs 0.30-0.50), suggesting convergent validity. The ASC T-ASI is a promising and valid measure for assessing self reported problems in important domains in adolescents' lives, allowing benefits beyond health and health-related quality of life to be included in economic evaluations of youth mental health interventions. Future studies of the ASC T-ASI should consider the comprehensiveness of its domains and sensitivity to change.


Assuntos
Comportamento Aditivo/diagnóstico , Comportamento Aditivo/epidemiologia , Análise Custo-Benefício , Economia Médica , Índice de Gravidade de Doença , Transtornos Relacionados ao Uso de Substâncias/diagnóstico , Transtornos Relacionados ao Uso de Substâncias/epidemiologia , Adolescente , Comportamento Aditivo/economia , Feminino , Humanos , Masculino , Países Baixos/epidemiologia , Avaliação de Resultados em Cuidados de Saúde , Psicometria , Qualidade de Vida , Reprodutibilidade dos Testes , Transtornos Relacionados ao Uso de Substâncias/economia , Inquéritos e Questionários
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