Diagnostic Prevalence Rates from Early to Mid-Adolescence among Indigenous Adolescents: First Results from a Longitudinal Study
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Objective Investigate change in prevalence rates for mental and substance abuse disorders between early and mid-adolescence among a cohort of indigenous adolescents. Method The data are from a lagged, sequential study of 651 indigenous adolescents from a single culture in the northern Midwest United States and Canada. At waves 1 (ages 10-12 years) and 4 (ages 13-15 years), one adult caretaker and one tribally enrolled adolescent completed a computer-assisted personal interview that included Diagnostic Interview Schedule for Children-Revised assessment for 11 diagnoses. Multivariate analyses investigate effects of wave 1 adolescent diagnosis and wave 1 biological mother diagnosis (University of Michigan Composite International Diagnostic Interview) on wave 4 diagnostic outcomes. Results The findings show a increase in prevalence rates for substance abuse disorders and conduct disorders between ages 10 and 12 years and 13 and 15 years among indigenous adolescents, with these disorders affecting more than one fourth of the children. The rate of lifetime conduct disorder is about twice that expected in general population studies (23.4% versus 5%-10%), and the rate of lifetime substance abuse disorder (27.2%) is three times that reported in the 2004 National Survey on Drug Use and Health (9.4%) for individuals 12 years or older. Prevalence rates for any single mental or substance use disorder (44.8 lifetime) for the 13- to 15-year-olds are similar to the lifetime prevalence rates reported in the National Comorbidity Survey-Replication (46.4%) for individuals 18 years and older. Conclusions A mental health crisis exists on the indigenous reservations and reserves that participated in this study. Current service systems are overwhelmed and unable to meet the demands placed upon them.
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Maternal mental illness and SUD is correlated with offspring's substance use.
“Maternal mental illness and SUD is correlated with offspring’s substance use [59].”
From Substance and Behavioral Addictions among American Indian and Alaska Native Populations (2022) · cites this paper as [59]
The Results (Substance use disorders; page not provided) report that maternal internalizing disorder was associated with nearly doubled odds of adolescent SUD. They do not report an association between maternal SUD and adolescent SUD; the Results (Externalizing disorders; page not provided) instead associate maternal SUD with adolescent externalizing disorders. The claim therefore supports the maternal mental-illness component but not the maternal-SUD component. (LLM, conf=0.86)
Experimental — accuracy not yet measuredEarly onset of substance use predicted subsequent and potentially higher rates of use.
“Additionally, early onset of substance use predicted subsequent and potentially higher rates of use [58,59]”
From Substance and Behavioral Addictions among American Indian and Alaska Native Populations (2022) · cites this paper as [59]
The Results (Substance use disorders) report that adolescents with a substance use disorder at Wave 1 were 8.65 times more likely to meet disorder criteria at Wave 4, supporting the claim about subsequent problems. The paper measures substance use disorders rather than rates or amounts of substance use, so it does not establish that early onset predicted higher rates of use. (LLM, conf=0.85)
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“Additionally, early onset of substance use predicted subsequent and potentially higher rates of use [58,59], as individuals’ substance tolerance increases over time and early use sets up a pattern of addiction that may be challenging to stop.”
BackgroundEmergency Department Utilization for Mental Health in American Indian Children
Pickner, W. J., Puumala, S. E., Chaudhary, K. R., Burgess, K. M., Payne, N. R., & Kharbanda, A. B. (2016) · The Journal of Pediatrics · doi:10.1016/j.jpeds.2016.03.064 · Cited by 4 · see citing works
- Authors
- Whitbeck, L. B., Yu, M., Johnson, K. D., Hoyt, D. R., & Walls, M. L.
- Affiliations
- University of Nebraska–Lincoln (US)
- Corresponding author
- Whitbeck, Les B.
- Venue
- Journal of the American Academy of Child & Adolescent Psychiatry
- Publisher
- Elsevier BV
- Published
- 2008-08
- Volume
- 47
- Issue
- 8
- Pages
- 890-900
- ISSN
- 0890-8567 (ISSN-L)
- PMC
- PMC2643437
- OpenAlex
- W1964273507
- Cited by
- 91
- References
- 1
- Citations by year
- 2025: 2 · 2024: 1 · 2023: 2 · 2022: 4 · 2021: 3 · 2020: 7 · 2019: 4 · 2018: 2 · 2017: 3 · 2016: 10 · 2015: 7 · 2014: 7 · 2013: 8 · 2012: 10
- FWCI
- 7.08
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of the American Academy of Child & Adolescent Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Lincoln (University of Nebraska) (submittedVersion)
- Funders
- National Institute on Alcohol Abuse and Alcoholism (R01AA020299)
- National Institute of Mental Health (MH 57110, R01MH057110, R01MH067281)
- National Institute on Drug Abuse (DA 13580, R01DA013580)
- Topics
- Social Sciences › Health › Indigenous Health, Education, and Rights
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Keywords
- Indigenous youth, substance use disorders, conduct disorder, mental illness, prevalence rates, longitudinal change, maternal mental health, Indian reservations, mental health services, comorbidities
- MeSH terms
- Adolescent, Mental Disorders, Child, Female, Follow-Up Studies, Health Status, Humans, Indians, North American, Male, Surveys and Questionnaires, Prevalence, Substance-Related Disorders
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