Abstract：
OBJECTIVE: Adolescent electronic cigarette (EC) use has reached epidemic rates and has been linked to numerous mental health and psychosocial stressors (PS). There is limited qualitative data on PS for adolescents with e-cigarette, or vaping, product-use associated lung injury (EVALI), a severe complication of EC use.
METHODS: All patients hospitalized at Children\'s Medical Center in Dallas, Texas from 2018 to 2022 and met CDC case definitions for EVALI were included in the analysis. PS were extracted from the electronic health record and analyzed for recurring themes using the HEADSS assessment as a framework. Results were summarized using descriptive statistics, and representative quotations were selected to highlight each theme.
RESULTS: Forty-three adolescents (mean age 16.3 years; 62.8 % male; 39.5 % Non-Hispanic White, 60.5 % Hispanic) were included in the analysis, and 40 (93 %) reported PS. The most common themes were family (51 %; \"restraining order issued against 28-year-old brother\"), polysubstance use (77 %; \"experimenting with…ecstasy, LSD, CCC, misusing Adderall\"), and mental health (63 %; \"has been suicidal since he was \'a toddler\'\"). Less commonly, patients reported PS related to peers (28 %; \"spending the entire day at the cemetery where his best friend was buried\"), school (49 %; \"attending his second alternative school\"), and the legal system (19 %; \"placed in juvenile detention, released, and will be on probation\").
CONCLUSIONS: Adolescents with EVALI had PS that were chronic, severe, and involving multiple domains. These findings emphasize the importance of psychosocial screening in adolescents and coordinating interdisciplinary care with mental health and social services.
METHODS: All patients hospitalized at Children\'s Medical Center in Dallas, Texas from 2018 to 2022 and met CDC case definitions for EVALI were included in the analysis. PS were extracted from the electronic health record and analyzed for recurring themes using the HEADSS assessment as a framework. Results were summarized using descriptive statistics, and representative quotations were selected to highlight each theme.
RESULTS: Forty-three adolescents (mean age 16.3 years; 62.8 % male; 39.5 % Non-Hispanic White, 60.5 % Hispanic) were included in the analysis, and 40 (93 %) reported PS. The most common themes were family (51 %; \"restraining order issued against 28-year-old brother\"), polysubstance use (77 %; \"experimenting with…ecstasy, LSD, CCC, misusing Adderall\"), and mental health (63 %; \"has been suicidal since he was \'a toddler\'\"). Less commonly, patients reported PS related to peers (28 %; \"spending the entire day at the cemetery where his best friend was buried\"), school (49 %; \"attending his second alternative school\"), and the legal system (19 %; \"placed in juvenile detention, released, and will be on probation\").
CONCLUSIONS: Adolescents with EVALI had PS that were chronic, severe, and involving multiple domains. These findings emphasize the importance of psychosocial screening in adolescents and coordinating interdisciplinary care with mental health and social services.
摘要：
目的：青少年电子烟（EC）的使用已达到流行率，并已与许多心理健康和社会心理压力源（PS）有关。青少年电子烟的PS定性数据有限，或vaping，产品使用相关肺损伤（EVALI），EC使用的严重并发症。
方法：所有在达拉斯儿童医疗中心住院的患者，从2018年到2022年，德克萨斯州和符合CDC的EVALI病例定义被纳入分析。从电子健康记录中提取PS，并使用HEADSS评估作为框架分析重复出现的主题。结果采用描述性统计进行总结，并选择了代表性的语录来突出每个主题。
结果：43名青少年（平均年龄16.3岁；62.8％的男性；39.5％的非西班牙裔白人，60.5%的西班牙裔)被纳入分析，40人（93%）报告PS。最常见的主题是家庭（51％；“针对28岁兄弟的限制令”），多物质使用(77%；“试验...摇头丸，LSD,CCC,滥用Adderall\“)，和心理健康(63%；“自从他是一个蹒跚学步的孩子以来就有自杀倾向”)。不太常见，患者报告PS与同龄人有关（28％；“在埋葬他最好的朋友的墓地度过一整天”），学校(49%；“参加他的第二个替代学校”)，和法律制度(19%；“被关押在青少年拘留中，释放,并将处于缓刑状态”）。
结论：患有EVALI的青少年患有慢性PS，严重,涉及多个域。这些发现强调了在青少年中进行社会心理筛查以及将跨学科护理与心理健康和社会服务进行协调的重要性。
方法：所有在达拉斯儿童医疗中心住院的患者，从2018年到2022年，德克萨斯州和符合CDC的EVALI病例定义被纳入分析。从电子健康记录中提取PS，并使用HEADSS评估作为框架分析重复出现的主题。结果采用描述性统计进行总结，并选择了代表性的语录来突出每个主题。
结果：43名青少年（平均年龄16.3岁；62.8％的男性；39.5％的非西班牙裔白人，60.5%的西班牙裔)被纳入分析，40人（93%）报告PS。最常见的主题是家庭（51％；“针对28岁兄弟的限制令”），多物质使用(77%；“试验...摇头丸，LSD,CCC,滥用Adderall\“)，和心理健康(63%；“自从他是一个蹒跚学步的孩子以来就有自杀倾向”)。不太常见，患者报告PS与同龄人有关（28％；“在埋葬他最好的朋友的墓地度过一整天”），学校(49%；“参加他的第二个替代学校”)，和法律制度(19%；“被关押在青少年拘留中，释放,并将处于缓刑状态”）。
结论：患有EVALI的青少年患有慢性PS，严重,涉及多个域。这些发现强调了在青少年中进行社会心理筛查以及将跨学科护理与心理健康和社会服务进行协调的重要性。
