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  1. Article ; Online: 'Are The Times A-Changin'? Trends in adolescent substance use in Europe.

    Kraus, Ludwig / Seitz, Nicki-Nils / Piontek, Daniela / Molinaro, Sabrina / Siciliano, Valeria / Guttormsson, Ulf / Arpa, Sharon / Monshouwer, Karin / Leifman, Håkan / Vicente, Julian / Griffiths, Paul / Clancy, Luke / Feijão, Fernanda / Florescu, Silvia / Lambrecht, Patrick / Nociar, Alojz / Raitasalo, Kirsimarja / Spilka, Stanislas / Vyshinskiy, Konstantin /
    Hibell, Björn

    Addiction (Abingdon, England)

    2018  Volume 113, Issue 7, Page(s) 1317–1332

    Abstract: Aims: To estimate temporal trends in adolescents' current cigarette, alcohol and cannabis use in Europe by gender and region, test for regional differences and evaluate regional convergence.: Design and setting: Five waves of the European School ... ...

    Abstract Aims: To estimate temporal trends in adolescents' current cigarette, alcohol and cannabis use in Europe by gender and region, test for regional differences and evaluate regional convergence.
    Design and setting: Five waves of the European School Survey Project on Alcohol and Other Drugs (ESPAD) from 28 countries between 1999 and 2015. Countries were grouped into five regions [northern (NE), southern (SE), western (WE), eastern Europe (EE) and the Balkans (BK)].
    Participants: A total of 223 814 male and 211 712 female 15-16-year-old students.
    Measurements: Daily cigarette use, weekly alcohol use, monthly heavy episodic drinking (HED) and monthly cannabis use. Linear and quadratic trends were tested using multi-level mixed-effects logistic regression; regional differences were tested using pairwise Wald tests; mean absolute differences (MD) of predicted prevalence were used for evaluating conversion.
    Findings: Daily cigarette use among boys in EE showed a declining curvilinear trend, whereas in all other regions a declining linear trend was found. With the exception of BK, trends of weekly drinking decreased curvilinear in both genders in all regions. Among girls, trends in WE, EE and BK differed from trends in NE and SE. Monthly HED showed increasing curvilinear trends in all regions except in NE (both genders), WE and EE (boys each). In both genders, the trend in EE differed from the trend in SE. Trends of cannabis use increased in both genders in SE and BK; differences were found between the curvilinear trends in EE and BK. MD by substance and gender were generally somewhat stable over time.
    Conclusions: Despite regional differences in prevalence of substance use among European adolescents from 1999 to 2015, trends showed remarkable similarities, with strong decreasing trends in cigarette use and moderate decreasing trends in alcohol use. Trends of cannabis use only increased in southern Europe and the Balkans. Trends across all substance use indicators suggest no regional convergence.
    MeSH term(s) Adolescent ; Adolescent Behavior ; Balkan Peninsula/epidemiology ; Binge Drinking/epidemiology ; Binge Drinking/trends ; Cigarette Smoking/epidemiology ; Cigarette Smoking/trends ; Europe/epidemiology ; Europe, Eastern/epidemiology ; Female ; Humans ; Male ; Marijuana Use/epidemiology ; Marijuana Use/trends ; Underage Drinking/statistics & numerical data ; Underage Drinking/trends
    Language English
    Publishing date 2018-04-13
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 1141051-6
    ISSN 1360-0443 ; 0965-2140
    ISSN (online) 1360-0443
    ISSN 0965-2140
    DOI 10.1111/add.14201
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Prevalence of depression and anxiety in patients with cystic fibrosis and parent caregivers: results of The International Depression Epidemiological Study across nine countries.

    Quittner, Alexandra L / Goldbeck, Lutz / Abbott, Janice / Duff, Alistair / Lambrecht, Patrick / Solé, Amparo / Tibosch, Marijke M / Bergsten Brucefors, Agneta / Yüksel, Hasan / Catastini, Paola / Blackwell, Laura / Barker, Dave

    Thorax

    2014  Volume 69, Issue 12, Page(s) 1090–1097

    Abstract: Background: Individuals with chronic diseases and parent caregivers are at increased risk for symptoms of depression and anxiety. Prevalence of psychological symptoms was evaluated in adolescents and adults with cystic fibrosis (CF) and parent ... ...

    Abstract Background: Individuals with chronic diseases and parent caregivers are at increased risk for symptoms of depression and anxiety. Prevalence of psychological symptoms was evaluated in adolescents and adults with cystic fibrosis (CF) and parent caregivers across nine countries.
    Methods: Patients with CF, ages 12 years and older, and caregivers of children with CF, birth to18 years of age, completed measures of depression and anxiety across 154 CF centres in Europe and the USA. Psychological symptoms were compared across countries using χ(2). Logistic regression examined extent of comorbid symptoms, predictors of depression and anxiety, and concordance between parent and adolescent symptomatology.
    Results: Psychological symptoms were reported by 6088 patients with CF and 4102 parents. Elevated symptoms of depression were found in 10% of adolescents, 19% of adults, 37% of mothers and 31% of fathers. Elevations in anxiety were found in 22% of adolescents, 32% of adults, 48% of mothers and 36% of fathers. Overall, elevations were 2-3 times those of community samples. Participants reporting elevated anxiety were more likely to report depression (ORs: adolescents=14.97, adults=13.64, mothers=15.52, fathers=9.20). Significant differences in reports of depression and anxiety were found by patient age and parent respondent. Concordance between 1122 parent-teen dyads indicated that adolescents whose parents reported depression were more likely to be elevated on depression (OR=2.32). Similarly, adolescents whose parents reported anxiety were more likely to score in the elevated range on the anxiety measure (OR=2.22).
    Conclusions: Symptoms of depression and anxiety were elevated in both patients with CF and parents across several European countries and the USA. Annual screening of psychological symptoms is recommended for both patients and parents.
    MeSH term(s) Adolescent ; Adult ; Anxiety/epidemiology ; Anxiety/etiology ; Caregivers/psychology ; Caregivers/statistics & numerical data ; Child ; Comorbidity ; Cystic Fibrosis/epidemiology ; Cystic Fibrosis/psychology ; Depression/epidemiology ; Depression/etiology ; Europe/epidemiology ; Family Health/statistics & numerical data ; Female ; Humans ; Male ; Middle Aged ; Parents/psychology ; Prevalence ; Psychiatric Status Rating Scales ; Risk Factors ; Turkey/epidemiology ; United States/epidemiology ; Young Adult
    Language English
    Publishing date 2014-12
    Publishing country England
    Document type Journal Article ; Multicenter Study ; Research Support, Non-U.S. Gov't
    ZDB-ID 204353-1
    ISSN 1468-3296 ; 0040-6376
    ISSN (online) 1468-3296
    ISSN 0040-6376
    DOI 10.1136/thoraxjnl-2014-205983
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Prevalence of depression and anxiety in patients with cystic fibrosis and parent caregivers

    Quittner, Alexandra L. / Goldbeck, Lutz / Abbott, Janice / Duff, Alistair / Lambrecht, Patrick / Solé, Amparo / Tibosch, Marijke M. / Brucefors, Agneta Bergsten / Yüksel, Hasan / Catastini, Paola / Blackwell, Laura / Barker, Dave

    Thorax

    Results of the international depression epidemiological study across nine countries

    2014  Volume 69, Issue 12, Page(s) 1090–1097

    Abstract: Background Individuals with chronic diseases and parent caregivers are at increased risk for symptoms of depression and anxiety. Prevalence of psychological symptoms was evaluated in adolescents and adults with cystic fibrosis (CF) and parent caregivers ... ...

    Abstract Background Individuals with chronic diseases and parent caregivers are at increased risk for symptoms of depression and anxiety. Prevalence of psychological symptoms was evaluated in adolescents and adults with cystic fibrosis (CF) and parent caregivers across nine countries. Methods Patients with CF, ages 12 years and older, and caregivers of children with CF, birth to 18 years of age, completed measures of depression and anxiety across 154 CF centres in Europe and the USA. Psychological symptoms were compared across countries using chi(2). Logistic regression examined extent of comorbid symptoms, predictors of depression and anxiety, and concordance between parent and adolescent symptomatology. Results Psychological symptoms were reported by 6088 patients with CF and 4102 parents. Elevated symptoms of depression were found in 10% of adolescents, 19% of adults, 37% of mothers and 31% of fathers. Elevations in anxiety were found in 22% of adolescents, 32% of adults, 48% of mothers and 36% of fathers. Overall, elevations were 2-3 times those of community samples. Participants reporting elevated anxiety were more likely to report depression (ORs: adolescents=14.97, adults=13.64, mothers=15.52, fathers=9.20). Significant differences in reports of depression and anxiety were found by patient age and parent respondent. Concordance between 1122 parent-teen dyads indicated that adolescents whose parents reported depression were more likely to be elevated on depression (OR=2.32). Similarly, adolescents whose parents reported anxiety were more likely to score in the elevated range on the anxiety measure (OR=2.22). Conclusions Symptoms of depression and anxiety were elevated in both patients with CF and parents across several European countries and the USA. Annual screening of psychological symptoms is recommended for both patients and parents.
    Keywords Angst ; Angststörungen ; Anxiety ; Anxiety Disorders ; Betreuungspersonen ; Caregivers ; Cystic Fibrosis ; Epidemiologie ; Epidemiology ; Major Depression ; Zystische Fibrose
    Language English
    Document type Article
    ZDB-ID 204353-1
    ISSN 1468-3296 ; 0040-6376
    ISSN (online) 1468-3296
    ISSN 0040-6376
    DOI 10.1136/thoraxjnl-2014-205983
    Database PSYNDEX

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