BACKGROUND: Few studies have prospectively examined psychosocial and psychiatric predictors of adolescent substance use disorders simultaneously. AIMS: To identify psychosocial and psychiatric predictors of substance use disorders in adolescence. METHOD: School children aged 12 years (s.d.=0.3) free from any substance use disorder at grade 7 (n=428) were assessed in three consecutive years, using a standardised psychiatric interview. Their baseline psychosocial information was also collected. The outcome was the onset age of a substance use disorder. The Cox regression model was used for data analysis. RESULTS: The most significant predictive factors for adolescent substance use disorder included male gender, attention-deficit hyperactivity disorder, conduct disorder and sibling use of tobacco. Three protective factors against such morbidity included living in a household with two parents, a good academic grade at grade 7 and objection to the use of substances. CONCLUSIONS: Early intervention for disruptive behaviour disorders and specific psychosocial risk factors might prevent substance use disorders in early adolescence.
BACKGROUND: Few studies have prospectively examined psychosocial and psychiatric predictors of adolescent substance use disorders simultaneously. AIMS: To identify psychosocial and psychiatric predictors of substance use disorders in adolescence. METHOD: School children aged 12 years (s.d.=0.3) free from any substance use disorder at grade 7 (n=428) were assessed in three consecutive years, using a standardised psychiatric interview. Their baseline psychosocial information was also collected. The outcome was the onset age of a substance use disorder. The Cox regression model was used for data analysis. RESULTS: The most significant predictive factors for adolescent substance use disorder included male gender, attention-deficit hyperactivity disorder, conduct disorder and sibling use of tobacco. Three protective factors against such morbidity included living in a household with two parents, a good academic grade at grade 7 and objection to the use of substances. CONCLUSIONS: Early intervention for disruptive behaviour disorders and specific psychosocial risk factors might prevent substance use disorders in early adolescence.
Authors: Jahan Fahimi; Adrian Aurrecoechea; Erik Anderson; Andrew Herring; Harrison Alter Journal: Pediatr Emerg Care Date: 2015-05 Impact factor: 1.454
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Authors: Joshua H West; Elaine J Blumberg; Norma J Kelley; Linda Hill; Carol L Sipan; Katherine E Schmitz; Bohdan Kolody; Christina D Chambers; Lawrence S Friedman; Melbourne F Hovell Journal: J Child Adolesc Subst Abuse Date: 2013-02-07
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