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Yıl:2021; Cilt: 28; Sayı: 2>> Özet
TAM METİN
Çocuk ve Gençlik Ruh Sağlığı Dergisi; 2021;28(2):151-158
Madde Kullanım Bozukluğu Tanısıyla ÇEMATEM’de Tedavi Gören Ergen Hastaların Sosyodemografik ve Klinik Özellikleri: Bursa Örneklemi
H Şirin, ME Uzun
Sağlık Bilimleri Üniversitesi,İstanbul
Amaç: Çocuk ve Ergen Madde Bağımlılığı Tedavi Merkezi yataklı kliniğinde madde kullanım bozukluğu tanısıyla yatarak tedavi gören ergen hastaların sosyodemografik ve klinik özellikleri, madde kullanım eğilimleri incelenerek bilgilerimizi artırmayı amaçladık. Gereç ve Yöntem: Bursa Yüksek İhtisas Eğitim ve Araştırma Hastanesi Çocuk ve Ergen Madde Bağımlılığı Tedavi Merkezi yataklı kliniğinde 2014-2019 yılları arasında madde kullanım bozukluğu tanısı nedeniyle yatırılan erkek ergen hastaların dosyaları geriye dönük olarak incelenmiştir. Bulgular: 2014-2019 yılları arasında madde kullanım bozukluğu tanısı ile yatırılarak tedavi gören 250 erkek ergen hasta değerlendirilmiştir. Hastaların yaş ortalamasının 16,24±1,05 yıl, maddeye başlama yaş ortalamasının 12,83±1,86 yıl olduğu bulunmuştur. Çoklu madde kullanımının %80 (n=200) oranıyla fazla olduğu, en çok tercih edilen maddelerin %36,7 (n=90) oranla sentetik kannabinoidler ve %35,1 (n=86) oranla sentetik uyarıcılar olduğu belirlenmiştir. Hastaların %44,4 ‘ünün (n=111) uçucu solventler ile madde kullanımına başladığı, %89,6’sının (n=224) sigara kullanımı, %71,6’sının (n=179) alkol kullanımı olduğu bulunmuş ve %83,2’sinin (n=208) kasıtlı kendine zarar verme davranışları olduğu, %62,4 ‘ünün (n=156) davranım bozukluğu, %29,2’sinin (n=73) anksiyete bozukluğu eş tanısı aldığı saptanmıştır. Sonuç: Çalışmamızın verilerine göre, madde kullanım bozukluğu tanısı olan ergenlerde çoklu madde kullanımının fazla olduğu, tercih maddesi olarak en çok sentetik kannabinoidlerin kullanıldığı, ilk madde kullanımına ise daha çok uçucu solventler ile başlandığı belirlenmiştir. Kasıtlı kendine zarar verme davranışlarının, sigara kullanımının, alkol kullanımının ve davranım bozukluğu tanısının sık eşlik edebildiği düşünülmüştür. Çalışmamız sadece yatılı tedavi gören hasta örneklemini oluşturmaktadır. Ergenlerde madde kullanım bozukluğu ile ilgili yapılacak çok merkezli uzun izlem çalışmaları bilgilerimize yol gösterici olacaktır.
Sociodemographic and Clinical Characteristics of Adolescent Patients Treated in ÇEMATEM With the Diagnosis of Substance Use Disorders: Bursa Sample
of adolescent patients who were hospitalized for substance use disorder in the inpatient clinic of the Child and Adolescent Substance Abuse Treatment Center. Materials and Methods: The files of male adolescent patients, hospitalized in the inpatient clinic of Bursa Yüksek Ihtisas Training and Research Hospital Child and Adolescent Substance Abuse Treatment Center between 2014 and 2019 due to a diagnosis of substance use disorder, were retrospectively analyzed. Results: Two hundred 50 male adolescent patients who were hospitalized with the diagnosis of substance use disorder between 2014 and 2019 were evaluated. The average age of the patients was found to be 16.24±1.05 years and the average age at starting substance use was 12.83±1.86 years. It was determined that multiple substance use was high with the rate of 80% (n=200), the most preferred substances were synthetic cannabinoids with the rate of 36.7% (n=90) and synthetic stimülants with the rate of 35.1% (n=86). It was found that 44.4% of the patients (n=111) started substance use with volatile solvents, 89.6% (n=224) smoked and 71.6% (n=179) drank alcohol and it was determined that 83.2% (n=208) of the patients had deliberate self-harming behaviors, 62.4% (n=156) had conduct disorder, and 29.2% (n=73) had anxiety disorder comorbidity. Conclusion: According to the data of the study, it was determined that the use of multiple substances was high in adolescents with a diagnosis of substance use disorder, synthetic cannabinoids were mostly used as the preferred substance and the first substance use was mostly started with volatile solvents. It is thought that deliberate self-harm behaviors, smoking, alcohol use and diagnosis of conduct disorder may accompany frequently. This study constitutes only the sample of patients receiving inpatient treatment. Multi-center long follow-up studies on substance use disorders in adolescents will guide our knowledge.

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