Development of substance use and psychiatric comorbidity in an epidemiologic study of white and American Indian young adolescents The Great Smoky Mountains Study
Development of substance use and psychiatric comorbidity in an epidemiologic study of white and American Indian young adolescents The Great Smoky Mountains Study
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DOI：
10.1016/s0376-8716(96)01317-8
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发表时间：
1997-03-14
影响因子：
4.2
通讯作者：
Erkanli, A
中科院分区：
文献类型：
--
作者：
Federman, EB;Costello, EJ;Erkanli, A
在参加大烟山研究的青少年中，前瞻性地探讨了物质使用的进展以及物质使用和精神疾病的共病模式。这项研究是一项流行病学研究的白色和美国印第安青年生活在农村南部阿巴拉契亚。这项研究的结果表明，未经允许饮酒预示着随后使用非法药物和经常吸烟。吸烟与后来的酒精或药物使用无关。共病模式显示物质使用和行为障碍之间有很强的横截面关系，但不包括情绪障碍。在后来的访谈中，酒精的使用也与精神病诊断有关。白色和美洲印第安青年在吸烟和精神障碍的共病模式以及先前精神障碍和后来饮酒之间的关系方面存在一些差异。这些研究结果表明，未经许可饮酒可能是青少年非法使用药物和/或精神病诊断风险的重要标志。(C)1997 Elsevier Science爱尔兰有限公司
The progression of substance use and the patterns of comorbidity of substance use and psychiatric disorders are explored prospectively in young adolescents enrolled in the Great Smoky Mountains Study. This study is an epidemiologic study of white and American Indian youths living in rural Southern Appalachia. Results from this study indicate that alcohol use without permission predicts subsequent use of illicit drugs and regular tobacco use. Use of tobacco was not associated with either later alcohol or drug use. Patterns of comorbidity showed strong cross-sectional relationships between substance use and behavioral disorders, but not emotional disorders. Use of alcohol was also associated with psychiatric diagnosis at a later interview. There were some differences between white and American Indian youths in the pattern of comorbidity of tobacco use and psychiatric disorder and the relationship between prior psychiatric disorder and later alcohol use. These findings suggest that alcohol use without permission may be an important marker for youths who are at risk for illicit drug use and/or psychiatric diagnoses. (C) 1997 Elsevier Science Ireland Ltd.