Cited by 67Posttraumatic Stress Disorder ResearchChild Abuse and TraumaSubstance Abuse Treatment and Outcomes

Posttraumatic Stress Disorder and Substance Use in Inner-City Adolescent Girls

Lipschitz, Deborah S., Rasmusson, Ann M., Anyan, Walter, Gueorguieva, Ralitza, Billingslea, Eileen M., Cromwell, Polly F., Southwick, Steven M.·2003·Journal of Nervous & Mental Disease

Abstract

The purpose of this study is to examine rates of nicotine, marijuana, and alcohol use as well as patterns of problematic substance use and posttraumatic stress disorder (PTSD) symptoms in inner-city adolescent girls. One hundred four adolescents who obtained medical care at a hospital-based adolescent clinic were systematically surveyed for trauma exposure, posttraumatic stress symptoms, and substance use. A subset (N = 54, 52%) of girls completed a semistructured psychiatric diagnostic interview (K-SADS-PL) to ascertain timing of PTSD symptoms relative to substance use. Compared with traumatized girls without PTSD, girls with full and partial PTSD were significantly more likely to use nicotine, marijuana, and/or alcohol on a regular basis. Fifteen girls met criteria for both PTSD and a substance-use disorder. For 80% of these girls, the age of onset of PTSD was either before or concurrent with the onset of their substance-use disorder. Inner-city adolescent girls with PTSD exhibit problematic substance use and may be at high risk of developing a comorbid substance-use disorder.

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Crossref · 10.1097/01.nmd.0000095123.68088.da

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Authors
Lipschitz, D. S., Rasmusson, A. M., Anyan, W., Gueorguieva, R., Billingslea, E. M., Cromwell, P. F., & Southwick, S. M.
Affiliations
Yale University (US)
Corresponding author
  • Lipschitz, Deborah S.
  • Rasmusson, Ann M.
  • Gueorguieva, Ralitza
  • Billingslea, Eileen M.
  • Southwick, Steven M.
Venue
Journal of Nervous & Mental Disease
Published
2003-11
Volume
191
Issue
11
Pages
714-721
ISSN
0022-3018 (ISSN-L)
OpenAlex
W2058567113
Cited by
67
References
20
Citations by year
2026: 1 · 2025: 1 · 2023: 1 · 2022: 2 · 2021: 2 · 2020: 1 · 2019: 4 · 2018: 4 · 2017: 2 · 2016: 4 · 2015: 8 · 2014: 3 · 2013: 4 · 2012: 3
FWCI
2.44
Type
journal article
Language
en
Open access
closed
Locations
  • The Journal of Nervous and Mental Disease (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • Yale University
  • National Institute of Mental Health (K23 MH01789, K23MH001789)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
  • Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
  • Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
Keywords
post-traumatic stress disorder, adolescent girls, inner-city adolescents, substance use, nicotine use, cannabis use, alcohol consumption, trauma exposure, comorbid substance use disorders, age of onset
MeSH terms
Adolescent, Adult, Female, Humans, Life Change Events, Surveys and Questionnaires, Severity of Illness Index, Stress Disorders, Post-Traumatic, Urban Population, Comorbidity, Substance-Related Disorders, Diagnostic and Statistical Manual of Mental Disorders

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