Prevalence and comorbidity of major internalizing and externalizing problems among adolescents and adults presenting to substance abuse treatment
Prevalence and comorbidity of major internalizing and externalizing problems among adolescents and adults presenting to substance abuse treatment
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DOI：
10.1016/j.jsat.2006.12.031
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发表时间：
2008-01-01
影响因子：
3.9
通讯作者：
Funk, Rodney R.
中科院分区：
文献类型：
--
作者：
Chan, Ya-Fen;Dennis, Michael L.;Funk, Rodney R.
随着该领域遵循对物质、精神和行为问题引入标准化评估的建议，出现了一个一致的情况，即共存疾病很常见，疾病类型存在异质性，并且模式因年龄而异。本研究探讨了自我报告的物质使用和心理健康问题的患病率，合并症的模式，以及两者如何随年龄的变化而变化的人提出的物质滥用治疗。数据来自多地点研究中接受药物滥用治疗的4，930名青少年和1，956名成年人，他们接受了全球个人需求评估，并分为五个年龄组：< 15岁，15-17岁，18-25岁，26-39岁和40岁以上。三分之二的客户有一个共同发生的心理健康问题，在治疗入院前一年。在所有年龄段中，过去一年物质依赖的自我报告标准比那些没有其他共同发生的心理健康问题的人更有可能（比值比为2.9至8.8）。然而，同时发生的精神健康问题的流行率和模式因年龄而异。研究发现，年轻人（18-25岁）最容易受到同时发生的问题的影响。(c)2008年爱思唯尔公司All rights reserved.
As the field follows recommendations to introduce standardized assessments on substance, mental, and behavioral problems, a consistent picture has emerged that co-occurring disorders are common, that there is heterogeneity in the type of disorder, and that the pattern varies by age. This study examines the prevalence of self-reported substance use and mental health problems, the pattern of comorbidity, and how both vary by age among people presenting to substance abuse treatment. Data are from 4,930 adolescents and 1,956 adults admitted to substance abuse treatment in multisite studies who were assessed with the Global Appraisal of Individual Needs and categorized into five age groups: < 15, 15-17, 18-25, 26-39, and 40+ years. Two thirds of clients had a co-occurring mental health problem in the year prior to treatment admission. Across all ages, clients self-reporting criteria for past-year substance dependence were more likely than those who did not to have other co-occurring mental health problems (odds ratios of 2.9 to 8.8). The prevalence and patterns of co-occurring mental health problems, however, varied by age. Young adults (ages 18-25) were found to be most vulnerable to co-occurring problems. (c) 2008 Elsevier Inc. All rights reserved.