The impact of co-occurring mood and anxiety disorders among substance-abusing youth
The impact of co-occurring mood and anxiety disorders among substance-abusing youth
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DOI：
10.1016/j.jad.2007.01.011
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发表时间：
2007-11-01
影响因子：
6.6
通讯作者：
Bonomo, Yvonne
中科院分区：
文献类型：
--
作者：
Lubman, Dan I.;Allen, Nicholas B.;Bonomo, Yvonne
背景资料：同时发生的情绪和焦虑障碍在使用药物的青少年中非常普遍，并与一系列不良后果有关。然而，很少有研究探讨了情感障碍的影响，在样本中的年龄较大的青少年和年轻的成年人参加青年药物treatment services.Methods：100名年轻人（平均年龄19.4岁）被招募从两个青年药物治疗服务在墨尔本，澳大利亚。一个结构化的访谈和问卷调查评估药物使用，精神病理学，冒险行为和生活质量进行管理，在一个相互方便的location.Results：百分之五十的样本符合标准，至少有一个当前的心理健康障碍。排除当前患有精神病的个体（n = 3），49%符合当前情绪或焦虑障碍的标准，68%报告了终身病史。在样本中，目前重度抑郁症（MDD; 27%）和创伤后应激障碍（PTSD; 26%）的发病率很高。与这些疾病的参与者更有可能有更多的共病障碍，报告更多的物质相关的问题和较差的生活quality of life.Limitations：横断面设计，缺乏生物assessments.Conclusions：在老年人和成年初显期，年轻的药物使用者与共病情感障碍有更大的心理健康和物质使用的发病率比那些单独使用物质的问题。这些研究结果具有重要的临床意义的管理和康复的年轻人与物质使用障碍。(C)2007 Elsevier B. V.保留所有权利。
Background: Co-occurring mood and anxiety disorders are highly prevalent amongst substance-using young adolescents, and have been associated with a range of adverse outcomes. Few studies however have examined the impact of affective disorders in samples of older adolescents and young adults attending youth drug treatment services.Methods: One hundred young people (mean age 19.4 years) were recruited from two youth drug treatment services in Melbourne, Australia. A structured interview and questionnaires assessing drug use, psychopathology, risk-taking behaviours and quality of life were administered at a mutually convenient location.Results: Fifty percent of the sample met criteria for at least one current mental health disorder. Excluding individuals with a current psychotic illness (n = 3), 49% met criteria for a current mood or anxiety disorder, with 68% reporting a lifetime history. There were high rates of current Major Depressive Disorder (MDD; 27%) and Post-traumatic Stress Disorder (PTSD; 26%) within the sample. Participants with these disorders were more likely to have a higher number of comorbid disorders, report more substance-related problems and a poorer quality of life.Limitations: Cross-sectional design, lack of biological assays.Conclusions: In older adolescence and emerging adulthood, young drug users with comorbid affective disorders have greater mental health and substance use morbidity than those with substance use problems alone. These findings have important clinical implications for the management and rehabilitation of young people with substance use disorders. (C) 2007 Elsevier B.V. All rights reserved.