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Disease control and psychiatric comorbidity among adolescents with chronic medical conditions: a single-centre retrospective study
BACKGROUND: To investigate disease control, psychiatric comorbidity, substance use and their possible associations in adolescents with chronic medical conditions before transfer to adult healthcare. METHODS: We collected clinical data from the year preceding transfer of care and psychiatric data fro...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9906183/ https://www.ncbi.nlm.nih.gov/pubmed/36746523 http://dx.doi.org/10.1136/bmjpo-2022-001605 |
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author | Kallio, Mira Tornivuori, Anna Miettinen, Päivi Kolho, Kaija-Leena Culnane, Evelyn Sawyer, Susan Kosola, Silja |
author_facet | Kallio, Mira Tornivuori, Anna Miettinen, Päivi Kolho, Kaija-Leena Culnane, Evelyn Sawyer, Susan Kosola, Silja |
author_sort | Kallio, Mira |
collection | PubMed |
description | BACKGROUND: To investigate disease control, psychiatric comorbidity, substance use and their possible associations in adolescents with chronic medical conditions before transfer to adult healthcare. METHODS: We collected clinical data from the year preceding transfer of care and psychiatric data from the records of the paediatric hospital in Helsinki, Finland (population base 1.7 million). Participants were grouped into three disease and/or adherence control categories (good, some evidence of concern, poor) based on clinical data from the medical records of the year preceding the transfer of care. Participants completed the Adolescent’s Substance Use Measurement Questionnaire before transfer of care and were divided into four risk subgroups accordingly. RESULTS: In total, 253 adolescents (mean age 17.3 years, SD 1.2) from six paediatric subspecialties participated in this study. Disease control and/or adherence were rated as good in 28% (n=70), moderate in 42% (n=105) and poor in 30% (n=76) in the year before participants transferred to adult health services. A quarter of participants had at least one psychiatric diagnosis during adolescence. Adolescents with concomitant psychiatric diagnoses more often had poor disease control of their chronic medical condition than adolescents with only a medical condition (44% vs 26%; n=25 of 59 vs 51 of 194, respectively). More than half of adolescents (56%) were abstinent or used substances infrequently; 10% (n=26) reported hazardous substance use. CONCLUSIONS: Psychiatric comorbidity in adolescents with chronic medical conditions is common. Its negative association with disease control and possible substance use should be considered in the transition process to adult health services. |
format | Online Article Text |
id | pubmed-9906183 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-99061832023-02-08 Disease control and psychiatric comorbidity among adolescents with chronic medical conditions: a single-centre retrospective study Kallio, Mira Tornivuori, Anna Miettinen, Päivi Kolho, Kaija-Leena Culnane, Evelyn Sawyer, Susan Kosola, Silja BMJ Paediatr Open Adolescent Health BACKGROUND: To investigate disease control, psychiatric comorbidity, substance use and their possible associations in adolescents with chronic medical conditions before transfer to adult healthcare. METHODS: We collected clinical data from the year preceding transfer of care and psychiatric data from the records of the paediatric hospital in Helsinki, Finland (population base 1.7 million). Participants were grouped into three disease and/or adherence control categories (good, some evidence of concern, poor) based on clinical data from the medical records of the year preceding the transfer of care. Participants completed the Adolescent’s Substance Use Measurement Questionnaire before transfer of care and were divided into four risk subgroups accordingly. RESULTS: In total, 253 adolescents (mean age 17.3 years, SD 1.2) from six paediatric subspecialties participated in this study. Disease control and/or adherence were rated as good in 28% (n=70), moderate in 42% (n=105) and poor in 30% (n=76) in the year before participants transferred to adult health services. A quarter of participants had at least one psychiatric diagnosis during adolescence. Adolescents with concomitant psychiatric diagnoses more often had poor disease control of their chronic medical condition than adolescents with only a medical condition (44% vs 26%; n=25 of 59 vs 51 of 194, respectively). More than half of adolescents (56%) were abstinent or used substances infrequently; 10% (n=26) reported hazardous substance use. CONCLUSIONS: Psychiatric comorbidity in adolescents with chronic medical conditions is common. Its negative association with disease control and possible substance use should be considered in the transition process to adult health services. BMJ Publishing Group 2023-02-06 /pmc/articles/PMC9906183/ /pubmed/36746523 http://dx.doi.org/10.1136/bmjpo-2022-001605 Text en © Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) . |
spellingShingle | Adolescent Health Kallio, Mira Tornivuori, Anna Miettinen, Päivi Kolho, Kaija-Leena Culnane, Evelyn Sawyer, Susan Kosola, Silja Disease control and psychiatric comorbidity among adolescents with chronic medical conditions: a single-centre retrospective study |
title | Disease control and psychiatric comorbidity among adolescents with chronic medical conditions: a single-centre retrospective study |
title_full | Disease control and psychiatric comorbidity among adolescents with chronic medical conditions: a single-centre retrospective study |
title_fullStr | Disease control and psychiatric comorbidity among adolescents with chronic medical conditions: a single-centre retrospective study |
title_full_unstemmed | Disease control and psychiatric comorbidity among adolescents with chronic medical conditions: a single-centre retrospective study |
title_short | Disease control and psychiatric comorbidity among adolescents with chronic medical conditions: a single-centre retrospective study |
title_sort | disease control and psychiatric comorbidity among adolescents with chronic medical conditions: a single-centre retrospective study |
topic | Adolescent Health |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9906183/ https://www.ncbi.nlm.nih.gov/pubmed/36746523 http://dx.doi.org/10.1136/bmjpo-2022-001605 |
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