Development of psychiatric comorbidity with substance abuse in adolescents: Effects of timing and sex
Development of psychiatric comorbidity with substance abuse in adolescents: Effects of timing and sex
复制标题
DOI：
10.1207/s15374424jccp280302
复制
发表时间：
1999-09-01
期刊：
影响因子：
--
通讯作者：
Angold, A
中科院分区：
文献类型：
--
作者：
Costello, EJ;Erkanli, A;Angold, A
研究了儿童精神疾病对物质使用和滥用的流行和时间的影响，并测试了性别差异。每年对1,420名年龄在9岁、11岁和13岁的儿童进行一次代表性的人口抽样，对美国印第安人和有行为问题的青年进行过抽样;数据被加权回人口水平进行分析。到16岁时，超过一半的样本报告使用药物，6%有滥用或依赖。9岁开始饮酒，13岁开始吸烟。开始依赖的平均时间为14.8年，开始滥用的平均时间为15.1年。男孩开始使用药物的时间较早，但女孩则不然，她们后来出现了滥用或依赖。破坏性行为障碍和抑郁症与更高的比率和更早开始的物质使用和滥用在两种性别，但焦虑预测晚发病的吸烟。家庭毒品问题是最强的相关性的早期发病。尽管精神病理学的患病率存在差异，但男孩和女孩在早期物质使用和滥用及其与精神病理学的关系方面表现出更多的相似性而不是差异。
Examined the impact of childhood psychiatric disorders on the prevalence and timing of substance use and abuse and tested for sex differences. A representative population sample of 1,420 children ages 9, 11, and 13 at intake, were interviewed annually American Indians and youth with behavioral problems were oversampled; data were weighted back to population levels for analysis. By age 16, more than half the sample reported substance use, and 6% had abuse or dependence. Alcohol use began by age 9, and smoking in the 13th year. Mean onset of dependence was 14.8 years, and mean onset of abuse was 15.1 years. Substance use began earlier in boys, but not girls, who later developed abuse or dependence. Disruptive behavior disorders and depression were associated with a higher rate and earlier onset of substance use and abuse in both sexes, but anxiety predicted later onset of smoking. Family drug problems were the strongest correlate of early onset. Despite differences in prevalence of psychopathology, boys and girls showed more similarities than differences in the course of early substance use and abuse, and its associations with psychopathology.