Pub Date : 2021-11-05DOI: 10.2174/2210676611666211105121616
M. Preyde, Shrenik Parekh, A. Markov, H. Carpenter, J. Heintzman
School re-entry following hospitalization for psychiatric care has been reported as difficult for many adolescent patients. Continuous quality improvement initiatives may improve programming to enhance school re-entry experiences. The purpose of this study was to explore the school re-entry perspectives of the youth discharged from a psychiatric inpatient unit after implementing programs that patients previously identified as needed. A survey was administered to the youth about one month after discharge to gather their perspective of their school re-entry, along with self-rated resilience and stress. Twenty-six youth (23%) participated in the post-discharge survey who reported a mean age of 15.6 years (SD 1.0), 77% identified as female, 13 (50%) provided very positive re-entry comments, eight (31%) reported moderately positive experiences, and five (19%) reported a very poor school re-entry. Mean perceived resilience (4.01, SD 0.6) and stress (3.42, SD 0.8) scores suggest youth thought they had good resilience and moderate stress. Most youth reported a good school re-entry. Considerable concerns remain for the 19% who reported a poor school re-entry who may benefit from specialized outpatient or day programming post-discharge before attempting a return to school. Future directions for research are provided.
{"title":"School Re-Entry of Adolescent Patients Discharged from Psychiatric Hospital: One Step in Continuous Quality Improvement","authors":"M. Preyde, Shrenik Parekh, A. Markov, H. Carpenter, J. Heintzman","doi":"10.2174/2210676611666211105121616","DOIUrl":"https://doi.org/10.2174/2210676611666211105121616","url":null,"abstract":"\u0000\u0000 School re-entry following hospitalization for psychiatric care\u0000has been reported as difficult for many adolescent patients. Continuous quality\u0000improvement initiatives may improve programming to enhance school re-entry\u0000experiences. The purpose of this study was to explore the school re-entry\u0000perspectives of the youth discharged from a psychiatric inpatient unit after\u0000implementing programs that patients previously identified as needed.\u0000\u0000\u0000\u0000A survey was administered to the youth about one month after discharge\u0000to gather their perspective of their school re-entry, along with self-rated resilience\u0000and stress.\u0000\u0000\u0000\u0000Twenty-six youth (23%) participated in the post-discharge survey who\u0000reported a mean age of 15.6 years (SD 1.0), 77% identified as female, 13 (50%)\u0000provided very positive re-entry comments, eight (31%) reported moderately\u0000positive experiences, and five (19%) reported a very poor school re-entry. Mean\u0000perceived resilience (4.01, SD 0.6) and stress (3.42, SD 0.8) scores suggest youth\u0000thought they had good resilience and moderate stress.\u0000\u0000\u0000\u0000Most youth reported a good school re-entry. Considerable concerns\u0000remain for the 19% who reported a poor school re-entry who may benefit from\u0000specialized outpatient or day programming post-discharge before attempting a\u0000return to school. Future directions for research are provided.\u0000","PeriodicalId":43326,"journal":{"name":"Adolescent Psychiatry","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2021-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44493882","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-08-23DOI: 10.2174/2210676611666210823093245
T. Petti, J. Chatlos
Issues related to the legalization of cannabis have significantly increased over the past 25 years. Federal policy has become minimally more flexible but essentially maintains marijuana’s dangerous drug status. Myriad laws and regulations characterize the legal status of cannabis across the US and internationally. Contradictory laws and regulations across states result from a lack of coherent federal policy, thus leaving states to address public health, cannabis industry and consumer pressures. Research prohibition has made public policy development difficult and informed by inadequately supported, restricted science. Consider key issues related to cannabis legalization and distinctions between gradients to access for medical purposes, decriminalization or adult recreational use. To consider the status of cannabis legalization on a state and global basis. A review of the background to cannabis legalization intends to provide insight into cannabis’ current legal status and options being considered for advocacy and policy development. The three major classifications of legalized marijuana are detailed; cannabidiol or hemp and synthetic cannabinoids are considered separately. The status of cannabis within the US and globally has often been discordant with reality and science, and rigid with pressures to effect change. The diversity of state and international laws is significant, even within the same designation into one of the three major classes or cannabidiol. Science-based standardized federal and state laws and regulations to meet the special needs of adolescents and emerging adults must be pursued.
{"title":"Implications of Cannabis Legalization: A National and International Perspective.","authors":"T. Petti, J. Chatlos","doi":"10.2174/2210676611666210823093245","DOIUrl":"https://doi.org/10.2174/2210676611666210823093245","url":null,"abstract":"\u0000\u0000 Issues related to the legalization of cannabis have significantly increased over the past 25 years. Federal policy has become minimally more flexible but essentially maintains marijuana’s dangerous drug status. Myriad laws and regulations characterize the legal status of cannabis across the US and internationally. Contradictory laws and regulations across states result from a lack of coherent federal policy, thus leaving states to address public health, cannabis industry and consumer pressures. Research prohibition has made public policy development difficult and informed by inadequately supported, restricted science. \u0000\u0000\u0000\u0000\u0000Consider key issues related to cannabis legalization and distinctions between gradients to access for medical purposes, decriminalization or adult recreational use. \u0000\u0000\u0000\u0000\u0000 To consider the status of cannabis legalization on a state and global basis.\u0000\u0000\u0000\u0000\u0000 A review of the background to cannabis legalization intends to provide insight into cannabis’ current legal status and options being considered for advocacy and policy development. The three major classifications of legalized marijuana are detailed; cannabidiol or hemp and synthetic cannabinoids are considered separately. \u0000\u0000\u0000\u0000\u0000The status of cannabis within the US and globally has often been discordant with reality and science, and rigid with pressures to effect change. The diversity of state and international laws is significant, even within the same designation into one of the three major classes or cannabidiol.\u0000\u0000\u0000\u0000\u0000 Science-based standardized federal and state laws and regulations to meet the special needs of adolescents and emerging adults must be pursued. \u0000\u0000","PeriodicalId":43326,"journal":{"name":"Adolescent Psychiatry","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2021-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41465221","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-07-28DOI: 10.2174/2210676611666210728164953
J. Chatlos, T. Petti
Between 2010 and 2020, New Jersey went from treating cannabis as an illegal substance in all circumstances to allowing medical use and subsequently recreational use. The Medical Marijuana Program (MMP) was originally very strict and was progressively liberalized. After attempts to legalize recreational use failed in the legislature, voters passed a referendum to amend the New Jersey constitution to allow recreational use. Our objectives are to document this process and provide the perspectives of psychiatrists treating adolescents. We describe the legislative process and the multiple pressures for legalization and decriminalization. Issues germane to youth as a vulnerable population have been inadequately considered by policy makers, the media, and general population. Greater attention to the process and outcome to mitigate this finding is needed.
{"title":"The New Jersey Perspective on Cannabis Legalization","authors":"J. Chatlos, T. Petti","doi":"10.2174/2210676611666210728164953","DOIUrl":"https://doi.org/10.2174/2210676611666210728164953","url":null,"abstract":"\u0000\u0000Between 2010 and 2020, New Jersey went from treating cannabis as an illegal substance in all circumstances to allowing medical use and subsequently recreational use. \u0000\u0000The Medical Marijuana Program (MMP) was originally very strict and was progressively liberalized. After attempts to legalize recreational use failed in the legislature, voters passed a referendum to amend the New Jersey constitution to allow recreational use. Our objectives are to document this process and provide the perspectives of psychiatrists treating adolescents. \u0000\u0000\u0000\u0000 We describe the legislative process and the multiple pressures for legalization and decriminalization. \u0000\u0000\u0000\u0000Issues germane to youth as a vulnerable population have been inadequately considered by policy makers, the media, and general population. Greater attention to the process and outcome to mitigate this finding is needed. \u0000","PeriodicalId":43326,"journal":{"name":"Adolescent Psychiatry","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2021-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42599368","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-06-16DOI: 10.2174/2210676611666210616125845
Mark D. Elliott, Bryon Adinoffz
Adult-use cannabis legalization is being increasingly embraced by various jurisdictions in the United States (US) and internationally. As adolescents are particularly vulnerable to the negative consequences of cannabis, it is essential to ensure that the effects of adult-use legalization are minimized. This review aimed to synthesize the extant literature exploring the impact of adult-use legalization on adolescents and provide recommendations for future action. We focused on the following domains: 1) prevalence of use, 2) high-frequency use, 3) perceived harm, 4) perceived availability, 5) modes of use, 6) potency, 7) mental health and medical outcomes, and 8) legal consequences. Narrative review is focused on adult-use legalization in the US. Adolescent cannabis use prevalence in US legal (as well as illegal) states has remained essentially stable since the advent of adult-use legalization. Criminal penalties for adolescents have not decreased in legal states and maybe increasing; out-of-school suspensions for cannabis use may also be increasing. It is uncertain whether reported decreases in national rates of perceived harm and availability and increases in cannabis frequency and potency of use in adolescents differ between legal and illegal states. The impact of legalization on adolescent health outcomes remains uncertain. At this early stage of adult-use legalization, we recommend that jurisdictions implement real-time, detailed monitoring to assess adolescent outcomes. In addition, both criminal penalties and out-of-school suspensions for cannabis infractions should be minimized.
{"title":"Implications of Adult-Use Cannabis Legalization from the Perspective of Adolescent Health","authors":"Mark D. Elliott, Bryon Adinoffz","doi":"10.2174/2210676611666210616125845","DOIUrl":"https://doi.org/10.2174/2210676611666210616125845","url":null,"abstract":"\u0000\u0000Adult-use cannabis legalization is being increasingly embraced by various jurisdictions in the United States (US) and internationally. As adolescents are particularly vulnerable to the negative consequences of cannabis, it is essential to ensure that the effects of adult-use legalization are minimized. \u0000\u0000\u0000\u0000This review aimed to synthesize the extant literature exploring the impact of adult-use legalization on adolescents and provide recommendations for future action. We focused on the following domains: 1) prevalence of use, 2) high-frequency use, 3) perceived harm, 4) perceived availability, 5) modes of use, 6) potency, 7) mental health and medical outcomes, and 8) legal consequences.\u0000\u0000\u0000\u0000Narrative review is focused on adult-use legalization in the US.\u0000\u0000\u0000\u0000Adolescent cannabis use prevalence in US legal (as well as illegal) states has remained essentially stable since the advent of adult-use legalization. Criminal penalties for adolescents have not decreased in legal states and maybe increasing; out-of-school suspensions for cannabis use may also be increasing. It is uncertain whether reported decreases in national rates of perceived harm and availability and increases in cannabis frequency and potency of use in adolescents differ between legal and illegal states. The impact of legalization on adolescent health outcomes remains uncertain.\u0000\u0000\u0000\u0000At this early stage of adult-use legalization, we recommend that jurisdictions implement real-time, detailed monitoring to assess adolescent outcomes. In addition, both criminal penalties and out-of-school suspensions for cannabis infractions should be minimized.\u0000","PeriodicalId":43326,"journal":{"name":"Adolescent Psychiatry","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2021-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41882283","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-06-16DOI: 10.2174/2210676611666210616144139
J. Chatlos, T. Petti
Knowledge of the effects of cannabis and the endocannabinoid system (ECS) has significantly increased in recent years. This information has been brought into debates and decisions regarding the medical use of cannabis and recreational use of cannabis and cannabinoid products, often with non-science-based conclusions. Health-related effects, especially those related to children, adolescents, and young adults, must be a critical part of the decisions about the legalization of cannabis, and current knowledge is a necessity. The aim of this study was to provide an overview of cannabis use epidemiology in the United States. and provide current research information about the effects of cannabis use to be used in decisions about cannabis use and legalization, highlighting impacts on children, adolescents, and young adults. Key features of cannabis-related to health benefits and adverse effects were identified to provide a representative collage detailing the knowledge base of health, disease, and public welfare. Emphasis is paid on to the most current research findings and adverse effects related to youth and young adults. Helpful and harmful cannabis effects explain contradictory positions taken regarding further legalization of cannabis products. Federal research prohibition has handicapped a timely science-based informed discussion. Concerns are expressed for the protection of adolescents and emerging adults, regardless of cannabis’ legal status. The special vulnerabilities and needs of adolescents and emerging adults need to be considered in current and future discussions in public policy and legislation at all levels of government related to any further legalization of cannabis products. (N=247 words).
{"title":"Implications of Cannabis Legalization: A Medical Perspective","authors":"J. Chatlos, T. Petti","doi":"10.2174/2210676611666210616144139","DOIUrl":"https://doi.org/10.2174/2210676611666210616144139","url":null,"abstract":"\u0000\u0000Knowledge of the effects of cannabis and the endocannabinoid system (ECS) has significantly increased in recent years. This information has been brought into debates and decisions regarding the medical use of cannabis and recreational use of cannabis and cannabinoid products, often with non-science-based conclusions. Health-related effects, especially those related to children, adolescents, and young adults, must be a critical part of the decisions about the legalization of cannabis, and current knowledge is a necessity. \u0000The aim of this study was to provide an overview of cannabis use epidemiology in the United States. \u0000and provide current research information about the effects of cannabis use to be used in decisions about cannabis use and legalization, highlighting impacts on children, adolescents, and young adults. \u0000\u0000\u0000\u0000Key features of cannabis-related to health benefits and adverse effects were identified to provide a representative collage detailing the knowledge base of health, disease, and public welfare. Emphasis is paid on to the most current research findings and adverse effects related to youth and young adults. \u0000\u0000\u0000\u0000Helpful and harmful cannabis effects explain contradictory positions taken regarding further legalization of cannabis products. Federal research prohibition has handicapped a timely science-based informed discussion. Concerns are expressed for the protection of adolescents and emerging adults, regardless of cannabis’ legal status.\u0000\u0000\u0000\u0000The special vulnerabilities and needs of adolescents and emerging adults need to be considered in current and future discussions in public policy and legislation at all levels of government related to any further legalization of cannabis products. (N=247 words).\u0000","PeriodicalId":43326,"journal":{"name":"Adolescent Psychiatry","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2021-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41661240","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-06-10DOI: 10.2174/2210676611666210610120637
Stavroula Ropi, G. Kolaitis, F. Zaravinos-Tsakos, C. Androutsos, V. Dafoulis, M. Belivanaki, C. Tzavara, V. Rotsika, S. Christogiorgos
Quality of family functioning and levels of parental expressed emotion (criticism, hostility, or emotional overinvolvement) are prospectively associated with the course and outcome of a range of childhood psychiatric disorders. This study examined family functioning, expressed emotion, and quality of life, in a clinical sample of 40 adolescents presenting with schizophrenia spectrum or affective psychotic disorders. Expressed emotion, family functioning, and quality of life were measured using the family questionnaire, family assessment device, and the KIDSCREEN 27, respectively. Parents scored high on both parts of the family questionnaire, the critical comments and emotional over-involvement. Higher expressed emotion was associated with more emotional difficulties of both parents, especially depressive features. Economic difficulties of the family were found to be negatively associated with the adolescents’ psychological wellbeing. Overall, the study points out the need for appropriate family interventions, which will assist the caregivers in developing communication and problem-solving strategies and will contribute to the reduction of high levels of hostile or critical expressed emotion and emotional over-involvement within the family.
{"title":"Family functioning, expressed emotion and quality of life in adolescents with early onset schizophrenia spectrum and affective psychotic disorders","authors":"Stavroula Ropi, G. Kolaitis, F. Zaravinos-Tsakos, C. Androutsos, V. Dafoulis, M. Belivanaki, C. Tzavara, V. Rotsika, S. Christogiorgos","doi":"10.2174/2210676611666210610120637","DOIUrl":"https://doi.org/10.2174/2210676611666210610120637","url":null,"abstract":"\u0000\u0000Quality of family functioning and levels of parental expressed emotion (criticism, hostility, or emotional overinvolvement) are prospectively associated with the course and outcome of a range of childhood psychiatric disorders. \u0000\u0000\u0000\u0000\u0000This study examined family functioning, expressed emotion, and quality of life, in a clinical sample of 40 adolescents presenting with schizophrenia spectrum or affective psychotic disorders.\u0000\u0000\u0000\u0000\u0000 Expressed emotion, family functioning, and quality of life were measured using the family questionnaire, family assessment device, and the KIDSCREEN 27, respectively. \u0000\u0000\u0000\u0000\u0000Parents scored high on both parts of the family questionnaire, the critical comments and emotional over-involvement. Higher expressed emotion was associated with more emotional difficulties of both parents, especially depressive features. Economic difficulties of the family were found to be negatively associated with the adolescents’ psychological wellbeing. \u0000\u0000\u0000\u0000\u0000Overall, the study points out the need for appropriate family interventions, which will assist the caregivers in developing communication and problem-solving strategies and will contribute to the reduction of high levels of hostile or critical expressed emotion and emotional over-involvement within the family.\u0000\u0000","PeriodicalId":43326,"journal":{"name":"Adolescent Psychiatry","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2021-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44568439","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-06-01DOI: 10.2174/221067661102211125164243
T. Petti
This thematic issue presents multiple perspectives on the timely topic of further cannabis legalization, including adult recreational use. Balanced consideration was sought for arguments favoring and against further cannabis legalization and regulation to inform clinicians taking care of children, adolescents, and emerging adults (CAEA) in their clinical practice, as well as advocates and policymakers seeking a concise, informative overview, including political issues in their deliberations. By April 2021, thirty-six states legalized marijuana for medical use, now eighteen of that number for adult recreational use (though one is being challenged in court (Margolies 2021), and two where cannabis use is illegal. The United States’ (USA) federal government is expected to again consider legalization at the national level. Four countries have legalized adult use, others have decriminalized cannabis possession, while other forms of legalized possession and use exist in portions of other countries. The literature in this area, including research and policy-related foci, is burgeoning, and this issue is expected to assist clinicians and others to better understand the issues.
{"title":"Perspectives on the Further Legalization of Cannabis","authors":"T. Petti","doi":"10.2174/221067661102211125164243","DOIUrl":"https://doi.org/10.2174/221067661102211125164243","url":null,"abstract":"This thematic issue presents multiple perspectives on the timely topic of further cannabis legalization, including adult recreational use. Balanced consideration was sought for arguments favoring and against further cannabis legalization and regulation to inform clinicians taking care of children, adolescents, and emerging adults (CAEA) in their clinical practice, as well as advocates and policymakers seeking a concise, informative overview, including political issues in their deliberations. By April 2021, thirty-six states legalized marijuana for medical use, now eighteen of that number for adult recreational use (though one is being challenged in court (Margolies 2021), and two where cannabis use is illegal. The United States’ (USA) federal government is expected to again consider legalization at the national level. Four countries have legalized adult use, others have decriminalized cannabis possession, while other forms of legalized possession and use exist in portions of other countries. The literature in this area, including research and policy-related foci, is burgeoning, and this issue is expected to assist clinicians and others to better understand the issues.","PeriodicalId":43326,"journal":{"name":"Adolescent Psychiatry","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48412451","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-05-26DOI: 10.2174/2210676611666210526112502
A. Klomek, Kineret Koren
Bullying others among school-aged youth is a worldwide phenomenon that has a variety of adverse outcomes, depression being one of them. The objective of the current study was to examine whether perceived parenting styles moderated the relationship between bullying others and depression among adolescents. It was hypothesized that perceived authoritarian parenting would increase the association between bullying others and depression than non-authoritarian parents. The sample included 116 adolescents aged 12-17, with a mean age of 13.87. The percentage of male participants was 47.41% . We used self-report questionnaires, which measured the different variables in the study (bullying, perceptions of parenting styles, and depression). A positive correlation between bullying others and depressive symptoms was found. Bullying others and perceived authoritarian parenting style were also correlated, and a positive correlation was found between perceived authoritarian parenting style and depressive symptoms. The moderation effect of perceived parenting style on the association between bullying others and depressive symptoms was found significant. Among adolescents perceiving their parents as authoritarian, the association between bullying others and depressive symptoms was found to be stronger. In contrast, among adolescents perceiving their parents as non-authoritarian, the association was low. Results of this study have important clinical implications by understanding the parenting component in the association between bullying others and depression. Our results suggest that the psychological outcomes for bullies may depend, among other things, on their perception of parents' parenting style.
{"title":"The Moderating Role of Parenting Styles in Adolescents’ Bullying and Depression","authors":"A. Klomek, Kineret Koren","doi":"10.2174/2210676611666210526112502","DOIUrl":"https://doi.org/10.2174/2210676611666210526112502","url":null,"abstract":"\u0000\u0000Bullying others among school-aged youth is a worldwide phenomenon that has a variety of adverse outcomes, depression being one of them. \u0000\u0000\u0000\u0000The objective of the current study was to examine whether perceived parenting styles moderated the relationship between bullying others and depression among adolescents. It was hypothesized that perceived authoritarian parenting would increase the association between bullying others and depression than non-authoritarian parents. \u0000\u0000\u0000\u0000The sample included 116 adolescents aged 12-17, with a mean age of 13.87. The percentage of male participants was 47.41% . We used self-report questionnaires, which measured the different variables in the study (bullying, perceptions of parenting styles, and depression). \u0000\u0000\u0000\u0000A positive correlation between bullying others and depressive symptoms was found. Bullying others and perceived authoritarian parenting style were also correlated, and a positive correlation was found between perceived authoritarian parenting style and depressive symptoms. The moderation effect of perceived parenting style on the association between bullying others and depressive symptoms was found significant. Among adolescents perceiving their parents as authoritarian, the association between bullying others and depressive symptoms was found to be stronger. In contrast, among adolescents perceiving their parents as non-authoritarian, the association was low.\u0000\u0000\u0000\u0000Results of this study have important clinical implications by understanding the parenting component in the association between bullying others and depression. Our results suggest that the psychological outcomes for bullies may depend, among other things, on their perception of parents' parenting style.\u0000","PeriodicalId":43326,"journal":{"name":"Adolescent Psychiatry","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2021-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45920793","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-04-19DOI: 10.2174/2210676611666210419101102
M. Preyde, Katelyn Whitworth, Marco DiCroce, A. Markov, Shrenik Parekh, J. Heintzman
To explore the proportion of patients with a Substance Use Disorder (SUD), their proportion of overall admissions and their psychosocial histories at a regional child and adolescent inpatient psychiatric unit. A retrospective chart review was conducted on all admissions of patients with a SUD. Abstracted patient data included demographic information, diagnoses, psychosocial histories, living situation at the time of admission, legal involvement and charges, whether an alternate level of care was needed and discharge plans. From September 2018 to February 2020, of the 540 patients admitted, 126 (23.3%) had a SUD recorded in their charts and accounted for 34.6% of the total number of admissions. Their mean age was 15.85 (SD 1.10; range 13 to 18) years and most were identified as female (n=81; 64%) which is consistent with the number of female patients admitted during the study period (n=366 female of 540 admitted; X2=0.56, p= 0.45). Common psychiatric diagnoses included mood, trauma and stressor-related and anxiety disorders. Most patients (124; 98.4%) had a history of psychosocial adversity, 90 (71.4%) patients had a parent with a mental illness or a SUD, 55 (44%) reported being bullied, 54 (43%) reported being sexually assaulted and several (n=41;33%) had experienced precarious living situations. Adolescent inpatients with a SUD were also managing a complex array of clinical and psychosocial challenges. Upon discharge from hospital, some patients were placed on waitlists and many patients were referred to specialized treatment far from home highlighting the need for additional, comprehensive programs for SUD and the constellation of psychosocial problems associated with these disorders.
{"title":"Clinical, Discharge and Psychosocial Profiles of Adolescents with Substance Use Disorder Accessing Inpatient Psychiatry in Ontario, Canada","authors":"M. Preyde, Katelyn Whitworth, Marco DiCroce, A. Markov, Shrenik Parekh, J. Heintzman","doi":"10.2174/2210676611666210419101102","DOIUrl":"https://doi.org/10.2174/2210676611666210419101102","url":null,"abstract":"\u0000\u0000To explore the proportion of patients with a Substance Use Disorder (SUD), their proportion of overall admissions and their psychosocial histories at a regional child and adolescent inpatient psychiatric unit.\u0000\u0000\u0000\u0000A retrospective chart review was conducted on all admissions of patients with a SUD. Abstracted patient data included demographic information, diagnoses, psychosocial histories, living situation at the time of admission, legal involvement and charges, whether an alternate level of care was needed and discharge plans.\u0000\u0000\u0000\u0000From September 2018 to February 2020, of the 540 patients admitted, 126 (23.3%) had a SUD recorded in their charts and accounted for 34.6% of the total number of admissions. Their mean age was 15.85 (SD 1.10; range 13 to 18) years and most were identified as female (n=81; 64%) which is consistent with the number of female patients admitted during the study period (n=366 female of 540 admitted; X2=0.56, p= 0.45). Common psychiatric diagnoses included mood, trauma and stressor-related and anxiety disorders. Most patients (124; 98.4%) had a history of psychosocial adversity, 90 (71.4%) patients had a parent with a mental illness or a SUD, 55 (44%) reported being bullied, 54 (43%) reported being sexually assaulted and several (n=41;33%) had experienced precarious living situations. \u0000\u0000\u0000\u0000 Adolescent inpatients with a SUD were also managing a complex array of clinical and psychosocial challenges. Upon discharge from hospital, some patients were placed on waitlists and many patients were referred to specialized treatment far from home highlighting the need for additional, comprehensive programs for SUD and the constellation of psychosocial problems associated with these disorders. \u0000","PeriodicalId":43326,"journal":{"name":"Adolescent Psychiatry","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2021-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41704231","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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