In order to investigate the comorbidity and the psychopathology off substance-abusing adolescent inpatients, we reiewed medical records of 28 psychiatric inpatients retrospectively and interviewed 17 psychiatric inpatients prospectively. Above subjects consist of 45 psychiatric inpatients admitted to Child-Adolescent unit at Seoul National Mental Hospital for treatment of substance abuse and other concurrent psychiatric disorders. The results were as follows : 1) The most frequently used substance was inhalants such as bond and butane gas, but female patients tended to perfer drug such as dextromethorphan. Motivations for initial substance use were maintenance o f friendship and relief o f unpleasant emotion. 2) Conduct disorder(88.9%), dysthymia(26.7%), attention deficit hyperactivity disorder(l3.3 and major depression (6.7 % ) were most frequent diagnoses. The patients with by-medical advice discharge had the higher percentage of depressive disorder(p<0.05), the longer duration of admission(p〈0.01) and the higher level of improvement(p〈0.005) than the patients with against-medical advice discharge. 3) CBCL was useful in comprehensive understanding about behavior and substance abuse of adolescents and also useful in classifying conduct disorder into 4 groups by its characteristic CBCL Profile pattern. 4) Children of alcohol-abusing parents and physically and sexually abused children and. adolescents may be high risk group for substance abuser in adolescents. From these results, careful evaluation and understanding of comorbidity and other risk factor are very important factor in the treatment and the prognosis of substance-abusing adolescent inpatients
서 론
연구 설계 및 통계
연 구 결 과
고 찰
요 약
참 고 문 헌