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The use of mental health services by adolescent smokers: A nationwide Israeli study

Published online by Cambridge University Press:  15 April 2020

G. Shoval ,
I. Mansbach-Kleinfeld ,
I. Farbstein ,
R. Kanaaneh ,
G. Lubin ,
A. Krivoy ,
A. Apter ,
A. Weizman  and
G. Zalsman
G. Shoval
Affiliation:
Child and Adolescent Psychiatry Division, Geha Mental Health Center, Tel Aviv University, P.O.Box 102, 49100Petah Tiqva, Israel Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
I. Mansbach-Kleinfeld
Affiliation:
Mental Health Services, Ministry of Health, Jerusalem, Israel
I. Farbstein
Affiliation:
Child and Adolescent Psychiatry, Ziv Hospital, Safed, Israel
R. Kanaaneh
Affiliation:
Child and Adolescent Psychiatry, Ziv Hospital, Safed, Israel
G. Lubin
Affiliation:
Mental Health Services, Ministry of Health, Jerusalem, Israel
A. Krivoy
Affiliation:
Child and Adolescent Psychiatry Division, Geha Mental Health Center, Tel Aviv University, P.O.Box 102, 49100Petah Tiqva, Israel Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
A. Apter
Affiliation:
Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel Schneider Center for Children in Israel, Petach Tiqva, Israel
A. Weizman
Affiliation:
Child and Adolescent Psychiatry Division, Geha Mental Health Center, Tel Aviv University, P.O.Box 102, 49100Petah Tiqva, Israel Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel Felsenstein Medical Research Center, Beilinson Campus, Rabin Medical Center, Petah Tiqva, Israel
G. Zalsman*
Affiliation:
Child and Adolescent Psychiatry Division, Geha Mental Health Center, Tel Aviv University, P.O.Box 102, 49100Petah Tiqva, Israel Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel Division of Molecular Imaging and Neuropathology, Department of Psychiatry, Columbia University, New York, NY, USA
*
*Corresponding author. Tel.: +972 3 9258 205; fax: +972 3 9241041. E-mail address:zalsman@post.tau.ac.il (G. Zalsman).
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Abstract

In this study, we aimed to evaluate the utilization of mental health services by adolescent smokers, the presence of untreated mental disorders in this young population and the associated emotional and behavioral difficulties. We performed a nationwide survey study of an Israeli representative sample of 906 adolescents and their mothers. Mental disorders were assessed using the Development and Well-Being Assessment (DAWBA) Inventory. Emotional and behavioral difficulties were evaluated using the Strengths and Difficulties Questionnaire (SDQ). Mental health services use and smoking habits were evaluated by relevant questionnaires. Adolescent smokers were using significantly more mental health services than non-smokers (79% vs. 63%, respectively, P < 0.001), independently of their mental health status or ethnic group. Adolescent smokers also reported more emotional and behavioral difficulties in most areas (P < 0.001), which are consistent with their mothers’ reports, except in the area of peer relationships. The treatment gap for the smoking adolescents was 53% compared to 69% in the non-smokers (P < 0.001). This is the first study characterizing the use of mental health services and the related emotional and behavioral difficulties in a nationally-representative sample of adolescents. The findings of a wide treatment gap and the rates of the associated emotional and behavioral difficulties are highly relevant to the psychiatric assessment and national treatment plans of adolescent smokers.

Keywords

SmokingParentsEpidemiologyAdolescentServicesSubstance abuse
Type
Original article
Information
European Psychiatry , Volume 28 , Issue 5 , June 2013 , pp. 269 - 275
Copyright
Copyright © European Psychiatric Association

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