ArticleBMC psychiatry2022
Prevalence and comorbidity in a Swedish adolescent community sample - gambling, gaming, substance use, and other psychiatric disorders.
Article in BMC psychiatry, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.
- A systematic review exploring characteristics of youth with severe and enduring mental health problems (SEMHP).European child & adolescent psychiatry · 2024Pooled it
- Patterns of Gambling and Other Risky Behaviors among Adolescents. A Latent Class Analysis Study on the 2021/22 Health Behaviors in School Children Survey Data.Journal of gambling studies · 2026Article
- Gender Differences in On-Site and Online Gambling Among Finnish Adolescents: Associations with School-, Family-, and Peer-Related Factors and Other Risk Behaviors.International journal of environmental research and public health · 2026Article
- Substance use amongst individuals with internet gaming disorder and gaming disorder: A scoping review.Journal of behavioral addictions · 2026Article
- Is Addiction Research Addicted to Artificial Intelligence? Mapping the Intersection of Artificial Intelligence, Substance Use and Mental Health Through a Bibliometric Analysis.Drug and alcohol review · 2026Review
- Gambling and screening for gambling problems in high school students before and after legal gambling age: associations with gender and gambling-related attitudes.Frontiers in public health · 2026Article
- The Swedish longitudinal Gothenland Millennium Cohort for studying wellbeing from early adolescence through adulthood.BMJ open · 2025Article
- Prevalence and Distinct Correlates of Smartphone Addiction, Depressive Symptoms, and Their Comorbidity in College Students.Psychiatry investigation · 2025Article
- Distribution of mental health diagnoses in relation to sexual orientation and gender discontent in a late adolescent community population.BMC psychiatry · 2025Article
- Burden of gaming disorder among adolescents: A systemic review and meta-analysis.Public health in practice (Oxford, England) · 2025Review
- Exploring parent-child relationships in a Swedish child and adolescent psychiatry - cohort of adolescents with internet gaming disorder.BMC psychology · 2025Article
- Latent classes of substance use and delinquency in a Swedish national sample of adolescents and associated risk factors.PloS one · 2025Article
- Internet, App-Based, and Casino Gambling: Associations Between Modality, Problem Gambling, and Substance Use.Journal of gambling studies · 2024Article
- Concussion history associated with adolescent psychological distress but not hazardous gambling: a cross-sectional study.BMC psychology · 2024Article
- Emotional dysregulation in relation to substance use and behavioral addictions: Findings from five separate meta-analyses.International journal of clinical and health psychology : IJCHPArticle
Corrections and comments
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Authors and funding
2 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThis study investigates a broad spectrum of psychiatric disorders, substance use disorders, gambling, and internet gaming disorders in Swedish 18-year-old boys and girls with the aim of estimating the prevalence of disorders and comorbidity.
methodsWe used a two-phase design with screening to detect candidates for clinical interviews. Screening included 949 adolescents (55.6% girls), out of which 758 adolescents (57.0% girls) were selected for interview with at least one of four instruments: M.I.N.I., ADDIS, NODS and IGDS. Of these, 387 (61.2% girls) were interviewed. Gender separated prevalence was estimated on the assumption that those selected but not interviewed had the same distribution as those interviewed based on similar outcomes above screening cut-offs. Comorbidity between types of disorders was estimated on similar assumptions. In addition, comorbidity between dyads of the ten most common specified disorders was calculated based on recorded data without these assumptions.
resultsWe estimated that 14.6% met the criteria of a substance use disorder (SUD), mostly concerning alcohol and more frequent in girls than in boys. Those meeting the criteria lifetime of at least one of 16 other psychiatric disorders were 26.7%, more than twice as frequent in girls compared to boys, and with depression being the most common disorder. Gambling and gaming disorders were found almost exclusively in boys, of which 5.8% met the criteria for gambling, and 2.3% for gaming disorders. Of girls with a SUD, 40% also had a psychiatric disorder, while on the other hand more than 28% of girls with a psychiatric disorder also had a SUD. In boys with a SUD, 22% had another psychiatric disorder, while 15% of those with a psychiatric disorder also had a SUD.
conclusionsPsychiatric comorbidity is common in SUDs in adolescents, which calls for screening and diagnostic efforts in young patients presenting with symptoms of SUDs. Girls with SUDs are at higher risk of also suffering from psychiatric conditions. Gambling and gaming disorders appear in a substantial minority of adolescents and warrant further study of their comorbidity. Since prevalences and comorbidity were estimated on the assumptions mentioned, some caution in interpreting the results is needed.
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