Literature DB >> 18519828

Depressed mood in childhood and subsequent alcohol use through adolescence and young adulthood.

Rosa M Crum1, Kerry M Green, Carla L Storr, Ya-Fen Chan, Nicholas Ialongo, Elizabeth A Stuart, James C Anthony.   

Abstract

CONTEXT: Despite prior evidence supporting cross-sectional associations of depression and alcohol use disorders, there is relatively little prospective data on the temporal association between depressed mood and maladaptive drinking, particularly across extended intervals.
OBJECTIVE: To assess the association between depressed mood in childhood and alcohol use during adolescence and young adulthood by mood level and sex and race/ethnicity subgroups.
DESIGN: Cohort study of individuals observed during late childhood, early adolescence, and young adulthood.
SETTING: Urban mid-Atlantic region of the United States. PARTICIPANTS: Two successive cohorts of students from 19 elementary schools have been followed up since entry into first grade (1985, cohort I [n = 1196]; 1986, cohort II [n = 1115]). The students were roughly equally divided by sex (48% female) and were predominantly African American (70%). Between 1989 and 1994, annual assessments were performed on students remaining in the public school system, and between 2000 and 2001, approximately 75% participated in an interview at young adulthood (n = 1692). MAIN OUTCOME MEASURES: Among participants who reported having used alcohol, Cox and multinomial regression analyses were used to assess the association of childhood mood level, as measured by a depression symptom screener, with each alcohol outcome (incident alcohol intoxication, incident alcohol-related problems, and DSM-IV alcohol abuse and dependence).
RESULTS: In adjusted regression analyses among those who drank alcohol, a high level of childhood depressed mood was associated with an earlier onset and increased risk of alcohol intoxication, alcohol-related problems during late childhood and early adolescence, and development of DSM-IV alcohol dependence in young adulthood.
CONCLUSIONS: Early manifestations associated with possible depressive conditions in childhood helped predict and account for subsequent alcohol involvement extending across life stages from childhood through young adulthood.

Entities:  

Mesh:

Year:  2008        PMID: 18519828      PMCID: PMC4151267          DOI: 10.1001/archpsyc.65.6.702

Source DB:  PubMed          Journal:  Arch Gen Psychiatry        ISSN: 0003-990X


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