Delinquency, depression, and substance use disorder among child welfare-involved adolescent females.
Delinquency, depression, and substance use disorder among child welfare-involved adolescent females.
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涉及儿童福利的青春期女性的犯罪、抑郁和药物滥用障碍。
DOI：
10.1016/j.chiabu.2013.08.008
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发表时间：
2014
影响因子：
4.8
通讯作者：
Prince,JonathanD
中科院分区：
文献类型：
--
作者：
Lalayants,Marina;Prince,JonathanD
虽然青少年犯罪被称为有高于平均水平的抑郁症或物质使用障碍（SUD）的比率，对这一主题的研究是不一致的。目前尚不清楚抑郁症或SUD是否会导致青少年犯罪，青少年犯罪是否会导致抑郁症或SUD，或者是否存在双向性。利用全国儿童和青少年幸福感调查（第一波：2008-2009年;第二波：18个月后：N= 5872），我们使用逻辑回归来预测青少年犯罪的抑郁症（反之亦然），以及青少年犯罪的SUD（反之亦然）。在纳入控制变量后，我们发现，在第一波中发生轻微盗窃的女性的可能性是第二波的4倍多。（调整后的比值比[aOR] = 4.34; 95%CI：1.10-17.16），无轻微盗窃的女性在第二波中抑郁，而有公共秩序障碍的女性在第一波中抑郁的可能性几乎是第二波的3倍。（aOR= 2.74; 95% CI：1.03-7.30）为无公共场所骚乱者发生第二波SUD的危险因素。总体犯罪也预测抑郁症或SUD，SUD预测犯罪。从业人员可以通过关注整体犯罪或特定类型的犯罪（轻微盗窃抑郁症和公共秩序混乱的SUD）和提供干预措施（例如，认知行为心理治疗），已被证明是有效的预防抑郁症或SUD。此外，关于我们的发现，SUD预测青少年女性的犯罪，从业人员可以通过提供干预措施（例如，强化门诊治疗），这些治疗在解决SUD方面具有良好记录的有效性。
Although adolescents with delinquency are known to have higher-than-average rates of depression or substance use disorder (SUD), research on the topic is inconsistent. It remains unclear weather depression or SUD leads to delinquency, whether delinquency leads to depression or SUD, or whether there is bi-directionality. Utilizing the National Survey of Child and Adolescent Well-Being (Wave I: 2008–2009; Wave II: 18 months later:N= 5872), we used logistic regression to predict depression from delinquency (and vice versa), and SUD from delinquency (and vice versa). After inclusion of control variables, we found that females with minor theft in Wave I were more than 4 times as likely (adjusted odds ratio [aOR] = 4.34; 95% CI: 1.10–17.16) as females without minor theft to be depressed in Wave II, and those with public disorder in Wave I were almost 3 times as likely (aOR= 2.74; 95% CI: 1.03–7.30) as those without public disorder to have SUD in Wave II. Overall delinquency also predicted depression or SUD, and SUD predicted delinquency. Practitioners could address risk for depression or SUD among child welfare-involved adolescent females by focusing on overall delinquency or on specific types of delinquency (minor theft for depression and public disorder for SUD) and by offering interventions (e.g., cognitive-behavioral psychotherapy) that have been shown to be effective in preventing depression or SUD. In addition, with respect to our finding that SUD predicts delinquency among adolescent females, practitioners can help prevent delinquency by offering interventions (e.g., intensive outpatient treatments) that have well documented effectiveness in addressing SUD.