Psychiatric comorbidity with problematic alcohol use in high school students
Psychiatric comorbidity with problematic alcohol use in high school students
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DOI：
10.1097/00004583-199601000-00018
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发表时间：
1996-01-01
影响因子：
13.3
通讯作者：
Seeley, JR
中科院分区：
文献类型：
--
作者：
Rohde, P;Lewinsohn, PM;Seeley, JR
目的：描述不同程度的问题性饮酒与青少年精神障碍的相关程度。方法：在1,507名年龄较大的青少年（14至18岁）的社区样本中检查了精神疾病的终生发生率，这些青少年根据他们的饮酒情况（即，戒酒者、实验者、社交饮酒者、问题饮酒者和滥用/依赖组）。结果如下：饮酒增加与抑郁症、破坏性行为障碍、药物使用障碍和每日吸烟的终生发生率增加相关。有一种趋势是，女孩饮酒的增加与焦虑症有关。超过80%的酒精滥用/依赖青少年有其他形式的精神病理学。一般来说，酒精障碍是在其他精神疾病发作之后而不是之前出现的。合并症与较早的酒精障碍发病年龄和更大的精神健康治疗利用的可能性有关。结论：在青少年中，有问题的酒精使用的精神共病率是惊人的，代表了一个重要的治疗挑战。
Objective: To delineate the degree to which various levels of problematic alcohol use are associated with psychiatric disorders in adolescents. Method: The lifetime occurrence of psychiatric disorders was examined in a community sample of 1,507 older adolescents (aged 14 through 18 years) who were categorized according to their alcohol use (i.e., abstainers, experimenters, social drinkers, problem drinkers, and abuse/dependence group). Results: Increased alcohol use was associated with the increased lifetime occurrence of depressive disorders, disruptive behavior disorders, drug use disorders, and daily tobacco use. There was a trend for increased alcohol use in girls to be associated with anxiety disorders. More than 80% of adolescents with alcohol abuse/dependence had some other form of psychopathology. Alcohol disorders, in general, followed rather than preceded the onset of other psychiatric disorders. Comorbidity was associated with an earlier age of alcohol disorder onset and with greater likelihood of mental health treatment utilization. Conclusions: Rates of psychiatric comorbidity with problematic alcohol use in adolescents are striking and represent an important therapeutic challenge.