Posttraumatic Stress Disorder and Substance Use in Inner-City Adolescent Girls
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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PTSD commonly co-occurs with other psychiatric conditions such as major depressive disorder, anxiety disorder, substance abuse, and ADHD.
“In addition, PTSD commonly co-occurs with other psychiatric conditions, such as major depressive disorder,7 anxiety disorder,7 substance abuse8 and attention deficit hyperactivity disorder (ADHD).9”
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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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