Psicopatología de los adolescentes residentes en hogares funcionales que precisan hospitalización psiquiátrica

  1. A. Fernández Rivas 1
  2. A. Gatón Moreno 2
  3. E. Sesma Pardo 1
  4. I. Kerexeta Lizeaga 1
  5. A. Díaz Cosgaya 1
  6. MA González Torres 1
  1. 1 Servicio de Psiquiatría, Hospital Universitario Basurto (Bilbao)
  2. 2 Red de Salud Mental de Vizcaya
Revista:
Revista de Psiquiatría Infanto-Juvenil

ISSN: 2660-7271,  1130-9512

Any de publicació: 2015

Volum: 32

Número: 4

Pàgines: 202-208

Tipus: Article

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Altres publicacions en: Revista de Psiquiatría Infanto-Juvenil

Resum

Introducción: Los adolescentes residentes en Hogares Funcionales presentan más riesgo de presentar Trastorno disocial y consumo de tóxicos. Método: Se estudió una muestra compuesta por todos los 431 adolescentes (12 y 17 años, 50,1% varones) que requirieron hospitalización en la Unidad de Psiquiatría Infanto-Juvenil del Hospital Universitario Basurto a lo largo de 68 meses consecutivos. Analizamos las características diferenciadoras respecto al motivo de ingreso, diagnóstico psiquiátrico, consumo de tabaco, alcohol y drogas, antecedentes psiquiátricos personales y familiares entre aquellos adolescentes ingresados que residían en hogares funcionales y los que residían con sus familias. Resultados: El motivo más frecuente de ingreso para el total de la muestra fue alteración de la conducta (60,7% para los menores residentes en hogares funcionales y 33% para los residentes con familia de origen), seguidos de descompensación psicótica (24,7%) para residentes en hogares funcionales, y trastorno de la conducta alimentaria (16,4%) para los residentes con sus familias (p<0,001). El diagnóstico psiquiátrico al alta más frecuente en ambos grupos fue trastorno psicótico (39,3% y 28,9%), siendo el trastorno disocial (37,1%) más prevalente en los adolescentes de hogares funcionales (p<0,001). Los residentes en hogares funcionales consumían más tabaco (59,6%) (p<0,001), cannabis (50,6%) (p<0,001), anfetaminas (15,7%) (p<0,01) y cocaína (14,6 %) (p<0,05), y tenían más antecedentes de tratamiento psiquiátrico previo (p<0,05) y antecedentes familiares psiquiátricos (p<0,001). Conclusiones: Los adolescentes que residen en hogares funcionales y precisan una hospitalización psiquiátrica representan un grupo de población en mayor riesgo de presentar trastorno disocial, consumir tabaco, cannabis y otras sustancias y poseer más antecedentes familiares psiquiátricos.

Referències bibliogràfiques

  • Aarons, G. A., Monn, A. R., Hazen, A. L., Connelly, C. D, Leslie, L. K. Landsverk, J. A., Hough, R. L., & Brown, S. A. Substance involvement among youths in child welfare: The role of common and unique risk factors. The American Journal of Orthopsychiatry 2008, 78(3), 340-349.
  • Auslander, W.F., McMillen, J.C., Elze, D., Thompson, R., Jonson-Reid, M., & Stiffman, A. Mental health problems and sexual abuse among adolescents in foster care: Relationship to HIV risk behaviors and intentions. AIDS & Behavior 2002, 6, 351-359.
  • Barth, R.P., Wildfire, J., & Green, R.L. Placement into foster care and the interplay of urbanicity, child behaviour problems, and poverty. American Journal of Orthopsychiatry 2006, 76(3), 358-666.
  • Blome, W. What happens to foster kids: Educational experiences of a random sample of foster care youth and matched group of non-foster care youth. Child and Adolescent Social Work Journal 1997, 14, 41-53.
  • Defensor del pueblo (España) 2009. Centros de protección de menores con trastornos de conducta y en situación de dificultad social. http://www.defensordelpueblo.es/documentacion/informesmonograficos/informe_menores_09.pdf.
  • Elze, D. E., Auslander, W., McMillen, C., Edmond, T., & Thompson, R. Untangling the impact of sexual abuse on HIV risk behaviour among youths in foster care. AIDS Education and Prevention 2001, 13, 377-389.
  • Farrington D. P. Psychosocial predictors of adult antisocial personality and adult convictions. Behav Sci Law 2000. 43, 133-164.
  • Fendrich, M., Warner, V., & Weissman, M.M. Family risk factors, parental depression, and psychopathology in offspring. Developmental Psychology 1990, 26, 40-50.
  • Fosco G., Stormshak E., Dishion. T., Winter C. Family relationships and parental monitoring during middle school as predictors of early adolescent problem behavior. J Chin Child Adolesc Psychol. 2012, 41 (2): 202-213.
  • Hazen, A.L., Connelly, C. D., Roesch, S., Hough, R. L., & Landsverk, J. Child maltreatment profiles and adjustment problems in high-risk adolescents. Journal of Interpersonal Violence 2009, 24, 361-378.
  • Heinze HJ, Toro PA, Urberg KA. Antisocial Behavior and affiliation with deviant peers. Journal of Clinical Child and Adolescent Psychology 2004, 33, 336-346.
  • Heflinger, C. A., Simpkins, C. G. & Combs-Orme, T. Using the CBCL to determine the clinical status of children in state custody. Children and Youth Services Review 2000, 22, 55-73.
  • Jaffee, S. R., Caspi, A., Moffitt, T. E., & Taylor, A. Physical maltreatment victims to antisocial child: Evidence of and environmentally process. Journal of Abnormal Psychology 2004, 113, 44-55.
  • Keil, V., & Price J. M. Externalizing behaviour disorders in child welfare settings: Definition, prevalence, and implications for assessment and treatment. Children and Youth Services Review 2006, 28, 761-779.
  • Landsverk, J. (ed.). Foster care and pathways to mental health services. Lincoln: University of Nebraska Press; 1999.
  • Maschi, T., Bradley, C. A., & Morgen, K. Unraveling the link between trauma and delinquency: The mediating role of negative affect and delinquent peer exposure. Youth Violence and Juvenile Justice 2008, 6, 136-157.
  • McGue M & Iacono WG. The association of early adolescent problem behaviour with adult psychopathology. Am J Psychiatry 2005, 162: 1118-1124.
  • Pecora, P. J., Jensen, P. S., Romanelli, L. H., Jackson, L. J. & Ortiz, A. Mental health services for children placed in foster care: an overview of current challenges. Child Welfare 2009, 88, 5-26.
  • Pilowsky, D. Psychopathology among children placed in family foster care. Psichiatry Services 1995, 46, 906-910.
  • Pilowsky, D. J., & Wu, L. T. Psychiatric symptoms and substance use disorders in a nationally representative sample of American adolescents involved with foster care. Journal of Adolescent Health 2006, 38(4), 351-358.
  • Proctor, L. J., Skriner, L. C., Roesch, S., & Litrownik, A. J. Trajectories of behavioral adjustment following early placement in foster care: predicting stability and change over eight years. J Am Acad Child Adolesc Psychiatry 2010. 49(5). 464-473.
  • Raghavan, R., Lama, G., Kohl, P., & Hamilton, B. Interstate variations in psychotropic medication use among a national sample of children in the child welfare system. Child Maltreatment 2010, 15:121-131.
  • Reijneveld S.A., Crone M.R., & Meer G. Early detection of children at risk for antisocial behaviour using data from routine preventive child healthcare. BMC Pediatrics 2012. 12: 24.
  • Steele J.S., & Buch, KF. Medical and Mental Health of children entering the utah foster care system. Pediatrics 2008. 122, 3.
  • Thompson, R.G. & Auslander, W.F. Risk factores for alcohol and marijuana use among adolescents in foster care. Journal of substance abuse treatment 2007, 32, 61-69.
  • Thompson, R.G. & Auslander, W.F. Substance use and mental health problems as predictors of HIV sexual risk behaviors among adolescents in foster care. Heath & Social Work 2011, 36, 33-43.
  • Thompson, R.G.,& Hasin, D. S. Cigarette, marijuana, and alcohol use and prior drug treatment among newly homeless young adults in New York City: Relationship to a history of foster care. Drug and Alchol Dependence 2011, 117, 66-69.
  • Thomposon, R. G., & Hasin, D. Psychiatric disorders and treatment among newly homeless young adults with histories of foster care. Psychiatric services 2012. 63(9), 906-912.
  • Traube, D.E., James, S., Zhang, J.,& Landsverk, J. A national study of risk and protective factors for substance use among youth in the child welfare system. Addictive Behaviors 2012, 37, 641-650.
  • Vaughn, M. G., Ollie, M. T. McMillien, J. C., Scott, L., & Munson, M. Substance use and abuse among older youth in foster care. Addictive Behaviors 2007, 32(9),1929-1935.
  • Williamson, D.E., Ryan, N.D., Birmaher, R.E., Kaufman, J., Rao, U., & Puig-Antich, J, J. A case-control family history study of depression in adolescents. Journal of the American Academy of Child and Adolescent Psychiatry 1995, 34, 1596-1607.
  • Yampolskaya S., & Chuang E. Effects of Mental Health Disorders on the Risk of Juvenile Justice System Involvement and Recidivism Among Children Placed in Out-of-Home Care. American Journal of Orthopsychiatry 2012. 4, 585-593.
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