The co-occurrence of mental disorders among Dutch adolescents admitted for acute alcohol intoxication

Veld, Loes de; Hoof, Joris Jasper van; Wolberink, Inge M.; Lely, N. van der

doi:10.1007/s00431-020-03823-0

Cited by 7 publications

(6 citation statements)

References 38 publications

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“…Nearly half of the adolescents with AAI had a con rmed psychological disorder, with ADHD being the most prevalent. Prior studies have shown a strong association between alcohol exposure and the development of mental disorders, highlighting the need for comprehensive mental health assessments in this population (19,28). Among patients without a prior diagnosed psychological disorder, 15.1% had clinical scores on CBCL indicative of undiagnosed psychological disorders.…”

Section: Discussionmentioning

confidence: 99%

“…Among patients without a prior diagnosed psychological disorder, 15.1% had clinical scores on CBCL indicative of undiagnosed psychological disorders. It is crucial to identify these new mental health issues and determine the need for referral to specialized care to prevent recurrent hospital admissions and future regular alcohol consumption (19).…”

Section: Discussionmentioning

confidence: 99%

“…The nal consultation takes place 6 to 12 months after the emergency department attendance. Prior research demonstrated follow-up rates of this out-patient clinic were 91% for the consultation at the paediatrician and 67% at the follow-up by a child psychologist (19). This speci c study targets the adolescents that completed the consultation(s) with the child psychologist.…”

Section: Study Design and Settingmentioning

confidence: 99%

“…Follow-up assessment of adolescents who were admitted for AAI demonstrate a brief period of reduced alcohol consumption shortly after the incident (18). Moreover, during the follow-up assessment of adolescents with AAI it is possible to signalize mental disorders and to determine whether the patient requires referral to specialized mental healthcare (19).…”

Section: Introductionmentioning

confidence: 99%

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Psychological outpatient follow-up after hospitalization for adolescent acute alcohol intoxication

Pigeaud,

de Veld,

Blitterswijk

et al. 2024

Preprint

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Introduction: Alcohol-related emergency department attendance in adolescents should be considered as a valuable opportunity to address and mitigate future alcohol consumption. Therefore, a paediatric department of a major district hospital in the Netherlands developed an outpatient preventive program targeting adolescents admitted for acute alcohol intoxication. The primary aim of this study is to evaluate how adolescent drinking patterns participating in the preventive program developed over time. Methods This retrospective observational study was conducted in the Reinier de Graaf hospital, Delft, the Netherlands. The outpatient preventive program consists of three main components: an initial intervention, subsequent an extended counselling session and psychological interventions. The alcohol consumption was compared at three time points: before the admission for acute alcohol intoxication(T = 0), 4–6 weeks after hospital admission(T = 1) and 6–12 months after the hospital admission(T = 2). Moreover, sociodemographic variables, adolescent risk-taking behaviour and family and pedagogical factors were included in secondary analysis. Results In total, 310 patients underwent the outpatient preventive program from 2014–2022. Adolescents who experienced an alcohol intoxication hospital admittance exhibited more adolescent risk-taking behaviour compared to the Dutch average. Initially, these adolescents had significantly higher rates of alcohol consumption and drunkenness. Alcohol use decreased significantly in the month following intoxication, even below the Dutch average. Though, 6–12 months later, their alcohol consumption increased but remained statistically lower and involved less binge drinking than the Dutch average. Conclusions The findings of this study demonstrate that a preventive program following acute alcohol intoxication contributes to the reduction of adolescent alcohol use and associated risk-taking behaviours.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Study Design and Settingmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Psychological outpatient follow-up after hospitalization for adolescent acute alcohol intoxication

Pigeaud,

de Veld,

Blitterswijk

et al. 2024

Preprint

View full text Add to dashboard Cite

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“…Das Signifi kanzlevel wurde in den Berechnungen zu ANOVAS und binomialen Regressionen als p < .05 (zweiseitig) defi niert. Die Eff ektgrößen wurden nach der Defi nition von Cohen (Cohen, 2009)…”

Section: Statistische Auswertungunclassified

Substanzkonsum, Störungen durch Substanzkonsum und begleitende psychische Störungen bei Jugendlichen

Wiedmann

Atzendorf

Basedow

et al. 2022

Zeitschrift für Kinder- und Jugendpsychiatrie und Psychotherapi

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Zusammenfassung. Fragestellung: Nur wenige Kliniken für Kinder- und Jugendpsychiatrie (KJP) bieten eine ambulante Behandlung von Jugendlichen mit Substanzkonsumstörungen (SUDs) an. Daher fehlen Angaben, welche Konsummuster, SUDs und begleitenden psychischen Störungen diese Jugendlichen aufweisen. Methodik: N = 201 Patient_innen einer universitären Spezialambulanz (12–19 Jahre alt) wurden bezüglich Konsummustern, SUDs und aktuellen psychischen Störungen mittels Interview untersucht. Es wurden diesbezüglich deskriptive Darstellungen zu Prävalenzzahlen der SUDs, Konsummustern und begleitenden psychischen Störungen aufgeteilt nach Geschlecht und aktuellem Alter erstellt. Ergebnisse: Tabak (88 %) und Cannabis (86 %) waren die verbreitetsten Substanzen. Bei 67 % aller Patient_innen wurde mehr als eine SUD festgestellt. SUDs bezogen sich am häufigsten auf Cannabis (84 %), gefolgt von Tabak (77 %). 72 % aller Patient_innen zeigten eine die SUD begleitende psychische Störung, insbesondere Störungen des Sozialverhaltens (40 %), hyperkinetische Störungen (21 %) und depressive Störungen (18 %). Schlussfolgerungen: Ambulant behandelte jugendliche KJP-Patient_innen mit SUDs präsentieren sich häufig mit begleitenden psychischen Störungen. Angebotene Behandlungsprogramme sollten in der Behandlung von SUDs insbesondere Störungen des Sozialverhaltens, Depressionen und hyperkinetische Störungen berücksichtigen.

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Elevated creatinine kinase levels amongst Dutch adolescents with acute alcohol intoxication

2023

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This study aims to explore the prevalence of creatinine kinase elevation amongst a sample of Dutch adolescents admitted for acute alcohol intoxication. The data on all admitted adolescents < 18 years old with acute alcohol intoxication between 2008 and 2021 were collected from a Dutch major district general hospital, Reinier de Graaf Gasthuis, in Delft. Overall, 495 adolescents who were treated for symptoms of acute alcohol intoxication during this period were included in the study. When evaluating the blood samples of the included patients, elevated creatinine kinase levels were found in 60% of the cases, with a mean of 254 U/I (normal value ≤ 145 U/I). A confirmed diagnosis of rhabdomyolysis (increase in CK > fivefold the upper limit of normal) was present in 4.4% of cases. Moreover, using a linear regression this study found that a higher blood alcohol concentration was associated with higher creatinine kinase levels, when adjusted for positive drug screenings amongst the adolescents with acute alcohol intoxication (p = 0.027; β = 66.88; 95% CI 7.68 − 126.08). Conclusions: This is the first study focusing on how acute alcohol intoxication affects adolescents’ muscle tissue. The results could potentially help to prevent alcohol use within the sports world. It could also aid understanding of how acute alcohol intoxication influences the breakdown of adolescents’ muscle tissue. What is Known:• Alcohol, alongside pharmaceutical agents and illicit drugs, is a significant cause of rhabdomyolysis (increase in creatinine kinase > fivefold the upper limit of normal). • Creatinine kinase elevation in alcohol intoxicated patients may be as a result of direct “muscular” toxicity” (myotoxicity) or from prolonged immobilization and ischemic compression induced by coma. What is New:• Our retrospective cohort study is a pioneer in addressing the effect of acute alcohol intoxication amongst adolescents (< 18 years) upon muscle tissue (creatinine kinase level) within a large population. When evaluating the blood samples of the included population, elevated creatinine kinase levels were found in 60% of the cases, with a mean of 254 U/I (normal value ≤ 145 U/I).• There is an association between alcohol intoxication and elevated creatinine kinase levels amongst adolescents. Future research is needed to further understand the pathophysiology and causality of this interaction.

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The co-occurrence of mental disorders among Dutch adolescents admitted for acute alcohol intoxication

Cited by 7 publications

References 38 publications

Psychological outpatient follow-up after hospitalization for adolescent acute alcohol intoxication

Psychological outpatient follow-up after hospitalization for adolescent acute alcohol intoxication

Substanzkonsum, Störungen durch Substanzkonsum und begleitende psychische Störungen bei Jugendlichen

Elevated creatinine kinase levels amongst Dutch adolescents with acute alcohol intoxication

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