Keywords
negative emotional states
risk/protective factors
youth at risk
special education centres
Abstract
Introduction: Substantial research evidence indicates that adolescents commonly use a variety of pharmaceuticals. Studies in this area carried out so far in Poland have focused on youth attending mainstream schools. However, there is a lack of research covering adolescents residing in special education centres (SEC). The purpose of the study was to assess the prevalence of medicine use for negative emotional states (nervousness, difficulties in falling asleep, and depressive mood), and to identify factors associated with the use of the aforementioned medications by SEC youth.
Material and methods: The study was conducted in 2018 on a random nationwide sample of SEC adolescents aged 12-19 (N=1730). The logistic regression analyses included sociodemographic variables, as well as factors related to the participant’s individual characteristics and to their social environment.
Results: Medicine use for negative emotional states was confirmed by about 24% - 30% of respondents. The prevalence of these medicine use among SEC youth was significantly higher than among adolescents from mainstream schools. The individual risk factors associated with medicine use were gender (female), current mental and somatic health problems, past suicide attempts and psychoactive substances use while self-control turned out to be protective factor. Among factors related to the respondents' social environment, positive relationships with peers were significant protective factor.
Conclusions: Preventive measures aimed at SEC youth should be focused on improving positive relationships with peers and developing self-control. Educational programs for youth, their parents and SEC staff to develop knowledge and skills regarding safe medicines intake would also be useful.
References
Hansen EH, Holstein BE, Due P, Currie CE. International survey of self-reported medicine use among adolescents. Ann Pharmacother. 2003 Mar; 37(3):361-6. doi: 10.1345/aph.1C111.
Gobina I, Välimaa R, Tynjälä J, Villberg J, Villerusa A, Iannotti RJ, Godeau E, Gabhainn SN, Andersen A, Holstein BE; HBSC Medicine Use Writing Group; Griebler R, Borup I, Kokkevi A, Fotiou A, Boraccino A, Dallago L, Wagener Y, Levin K, Kuntsche E. The medicine use and corresponding subjective health complaints among adolescents, a cross-national survey. Pharmacoepidemiol Drug Saf. 2011 Apr;20(4):424-31. doi: 10.1002/pds.2102.
Shehnaz SI, Agarwal AK, Khan N. A systematic review of self-medication practices among adolescents. J Adolesc Health. 2014 Oct;55(4):467-83. doi: 10.1016/j.jadohealth.2014.07.001.
Gualano MR, Bert F, Passi S, Stillo M, Galis V, Manzoli L, Siliquini R. Use of self-medication among adolescents: a systematic review and meta-analysis. Eur J Public Health. 2015 Jun;25(3):444-50. doi: 10.1093/eurpub/cku207.
Pisarska A, Ostaszewski K, Greń J, Bobrowski K. The prevalence and factors associated with medicine use among secondary school students. Mokotów Study 2020. Alcohol Drug Addict 2022; 35 (2): 113-139.
Holstein BE, Hansen EH, Due P. Social class variation in medicine use among adolescents. Eur J Public Health. 2004 Mar;14(1):49-52. doi: 10.1093/eurpub/14.1.49.
Kirkeby MJ, Hansen CD, Andersen JH. Socio-economic differences in use of prescribed and over-the-counter medicine for pain and psychological problems among Danish adolescents - a longitudinal study. Eur J Pediatr. 2014 Sep;173(9):1147-55. doi: 10.1007/s00431-014-2294-6.
Ledoux S, Choquet M, Manfredi R. Self-reported use of drugs for sleep or distress among French adolescents. J Adolesc Health. 1994 Sep;15(6):495-502. doi: 10.1016/1054-139x(94)90498-r.
Skurtveit S, Rosvold EO, Furu K. Use of psychotropic drugs in an urban adolescent population: the impact of health-related variables, lifestyle and sociodemographic factors--The Oslo Health Study 2000-2001. Pharmacoepidemiol Drug Saf. 2005 Apr;14(4):277-83. doi: 10.1002/pds.1078.
Pisarska A, Ostaszewski K. Medicine use among Warsaw ninth-grade students. Drugs: Education, Prevention and Policy 2011; 18 (5): 361-70.
Andersen A, Holstein BE, Hansen EH. Is medicine use in adolescence risk behavior? Cross-sectional survey of school-aged children from 11 to 15. J Adolesc Health. 2006 Sep;39(3):362-6. doi: 10.1016/j.jadohealth.2005.12.023.
Due P, Hansen EH, Merlo J, Andersen A, Holstein BE. Is victimization from bullying associated with medicine use among adolescents? A nationally representative cross-sectional survey in Denmark. Pediatrics 2007 Jul;120(1):110-7. doi: 10.1542/peds.2006-1481.
Chinneck A, Thompson K, Mahu IT, Davis-MacNevin P, Dobson K, Stewart SH. Personality and prescription drug use/misuse among first year undergraduates. Addict Behav. 2018 Dec;87:122-130. doi: 10.1016/j.addbeh.2018.07.001
Pisarska A. Stosowanie leków a samoocena zdrowia warszawskich gimnazjalistów (Relationship between use of medication and health self-evaluation among Warsaw middle school students). Alkoholizm i Narkomania 2010; 23 (1): 51-71.
Pisarska A. Stosowanie przez młodzież leków o działaniu psychoaktywnym: rozpowszechnienie i uwarunkowania. Rozprawa doktorska (The psychoactive medicine use among adolescents: prevalence and associates factors. Doctoral dissertation). Instytut Psychiatrii i Neurologii. Warszawa. 2011
Kędzierski P, Kulesza J. Analiza przyczyn umieszczania dzieci i młodzieży w placówkach resocjalizacyjnych i socjoterapeutycznych. Warszawa: Pracownia Resocjalizacji CMPPP; 2008
Rustecka-Krawczyk A. W poszukiwaniu czynników chroniących młodzież z grupy ryzyka. Dziecko Krzywdzone. Teoria, badania, praktyka 2012; 11(3): 46-61.
Grunbaum JA, Lowry R, Kann L. Prevalence of health-related behaviors among alternative high school students as compared with students attending regular high schools. J Adolesc Health. 2001 Nov;29(5):337-43. doi: 10.1016/s1054-139x(01)00304-4.
Kepper A, van den Eijnden R, Monshouwer K, Vollebergh W. Understanding the elevated risk of substance use by adolescents in special education and residential youth care: the role of individual, family and peer factors. Eur Child Adolesc Psychiatry. 2014 Jun;23(6):461-72. doi: 10.1007/s00787-013-0471-1.
Henderson M, Nixon C, McKee MJ, Smith D, Wight D, Elliott L. Poly-substance use and sexual risk behaviours: a cross-sectional comparison of adolescents in mainstream and alternative education settings. BMC Public Health. 2019 May 14;19(1):564. doi: 10.1186/s12889-019-6892-0.
Greń J, Bobrowski K, Ostaszewski K, Pisarska A. Prevalence of psychoactive substance use among students attending youth correctional centres. Alcohol Drug Addict. 2019; 32(4): 267-90.
Ostaszewski K. Zachowania ryzykowne młodzieży z perspektywy mechanizmów resilience. Warszawa: Instytut Psychiatrii i Neurologii; 2014.
Pisarska A, Bobrowski KJ, Greń J, Ostaszewski K. Risk and protective factors associated with alcohol and other psychoactive substance use among students attending youth correctional centres: study design and methodology. Alcohol Drug Addict 2019; 32(4): 247-66.
Measuring Healthy Days. Population Assessment of Health - related Quality of Life. U.S. Department of Health and Human Services. Centre for Disease Control and Prevention. National Center for Chronic Disease Prevention and Health Promotion. Division of Adult and Community Health. Atlanta, Georgia, 2000.
Ostaszewski K. Używanie substancji psychoaktywnych innych niż alkohol. In: Ostaszewski K, Bobrowski K, Borucka A, Okulicz-Kozaryn K, Pisarska A, Biechowska D, et al. (eds.). Monitorowanie zachowań ryzykownych, zachowań nałogowych, problemów zdrowia psychicznego 15-letniej młodzieży. Badania mokotowskie 2004–2016. Badania ukraińskie, obwód lwowski 2016. Warszawa: Instytut Psychiatrii i Neurologii; 2017, p. 21-37.
Johnston LD, O’Malley PM, Bachman JG. Monitoring the Future national survey results on drug use, 1975-2002. Volume I: Secondary school students (NIH Publication No.035375). Bethesda, MD: National Institute on Drug Abuse; 2003.
Sierosławski J. Używanie alkoholu i narkotyków przez młodzież szkolną. Raport z ogólnopolskich badań ankietowych zrealizowanych w 2003 roku. Warszawa: Instytut Psychiatrii i Neurologii; 2003 (typescript).
Patton JH, Stanford MS, Barratt ES. Factor structure of the Barratt impulsiveness scale. J Clin Psychol 1995 Nov; 51(6): 768-74. doi: 10.1002/1097-4679(199511)51:6<768::aid-jclp2270510607>3.0.co;2-1.
Porzak R. Profilaktyka w szkole. Lublin: Fundacja „Masz Szansę”; 2019.
Adlaf EM, Paglia A. The mental health and well-being of Ontario students. Findings from the OSDUS. Toronto: Centre for Addiction and Mental Health; 2001.
Czabała Cz J, Brykczyńska C, Bobrowski K, Ostaszewski K. Problemy zdrowia psychicznego w populacji gimnazjalistów warszawskich. Postępy Psychiatrii i Neurologii 2005; 14 (1): 1-9.
Pyżalski J. Agresja elektroniczna i cyberbullying jako nowe ryzykowne zachowania młodzieży. Kraków: Wydawnictwo Impuls; 2012.
Zimmerman M. Flint [Michigan] Adolescent Study (FAS): A longitudinal study of school dropout and substance use, 1994-1997. ICPSR 34598-v1. Ann Arbor, MI: Inter-university Consortium for Political and Social Research; 2014. http://doi.org/10.3886/ ICPSR34598.v1.
Okulicz-Kozaryn K, Pisarska A. Self-efficacy and substance use by adolescents. A pilot study. Alkoholizm i Narkomania 2001; 14(4): 565-77.
Moczko J. Wnioskowanie statystyczne w przypadku występowania brakujących danych. Przegląd Lekarski 2012; 69(10): 1035-39.
Pisarska A. Samoleczenie się 15-letniej młodzieży. In: Ostaszewski K (ed.) Monitorowanie zachowań ryzykownych, zachowań nałogowych, problemów zdrowia psychicznego 15-letniej młodzieży. Badania mokotowskie 2004–2016. Badania ukraińskie, obwód lwowski 2016. Warszawa: Instytut Psychiatrii i Neurologii; 2017, p. 77-96.
Szeredzińska R. Dzieci w rodzinie. Dziecko krzywdzone: teoria, badania, praktyka 2017; 16 (1): 32-67.
Wojtyniak B, Rabczenko D, Stokwiszewski J. Charakterystyka demograficzna i społeczna badanej populacji. In: Moskalewicz J, Wciórka J (eds.) Kondycja psychiczna mieszkańców Polski. Warszawa: Instytut Psychiatrii i Neurologii; 2021, p. 93-9.
Boyd A, Van de Velde S, Pivette M, Ten Have M, Florescu S, O'Neill S, Caldas-de-Almeida JM, Vilagut G, Haro JM, Alonso J, Kovess-Masféty V; EU-WMH investigators. Gender differences in psychotropic use across Europe: Results from a large cross-sectional, population-based study. Eur Psychiatry. 2015 Sep;30(6):778-88. doi: 10.1016/j.eurpsy.2015.05.001.
Kierus K, Nawrocka B, Białokoz-Kalinowska I, Piotrowska-Jastrzębska J D. The occidental and intentional intoxications as a reason of hospitalization in the Department of Paediatric and Developmental Disorders of Children and Adolescents, The Children Teaching Hospital of The Medical University in Bialystok in 2006-2010. Pediatria i Medycyna Rodzinna 2011; 4(7): 361-365.
Jackowska T, Grzelczyk-Wielgórska M. Acute poisoning as a cause of hospitalization of children and adolescents in the pediatric ward - 9-year analysis. Post Nauk Med 2014; 27: 628-632.
Skotnicka-Klonowicz G, Rutkowska A, Janota A, Lewartowska-Nyga D, Śmigielski J, Grochocińska P. Acute accidental and intentional poisonings in children and adolescents in material of Clinical Emergency Department for Children of University Hospital No 4 in Lodz. Probl. Hig. Epidemiol 2014: 95(2): 400-406.
Ostaszewski K, Pisarska A, Bobrowski K, Greń J. Polish youth with limited family support: Internalizing and externalizing problems. In: Mozes Sh, Israelashvili M (eds.) Youth without family to lean on: Global challenges and local interventions. Routledge; 2023, p. 318-31.
Sheridan DC, Hendrickson RG, Lin AL, Fu R, Horowitz BZ. Adolescent Suicidal Ingestion: National Trends Over a Decade. J Adolesc Health. 2017 Feb;60(2):191-195. doi: 10.1016/j.jadohealth.2016.09.012.
Morales-Suárez-Varela M, Llopis-González A, Caamaño-Isorna F, Gimeno-Clemente N, Ruiz-Rojo E, Rojo-Moreno L. Adolescents in Spain: use of medicines and adolescent lifestyles. Pharm World Sci. 2009 Dec;31(6):656-63. doi: 10.1007/s11096-009-9324-x.
Bobrowski KJ, Greń J, Ostaszewski K, Pisarska A. Factors related to the alcohol use among student attending youth correctional centres. Alcohol Drug Addict 2019; 32(4): 317-35.
Hoel S, Eriksen BM, Breidablik HJ, Meland E. Adolescent alcohol use, psychological health, and social integration. Scand J Public Health. 2004;32(5):361-7. doi: 10.1080/14034940410027894.