Psychiatric and psychosocial predictors of substance use disorders among adolescents: Longitudinal study
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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 grade7(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.
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Another study found a decreased risk compared with controls in those with childhood anxiety disorders.
“and another study found a decreased risk compared with controls in those with childhood anxiety disorders.8”
From Childhood Psychiatric Disorders as Risk Factor for Subsequent Substance Abuse: A Meta-Analysis. (2017) · cites this paper as [8]
Table 3 (page not provided) reports a lower estimated risk of substance use disorder for adolescents with anxiety disorder than for those without it (hazard ratio 0.69 versus 1.00). But the 95% confidence interval (0.29–1.65) includes 1, and the Psychiatric predictors section says anxiety disorders did not significantly predict substance use disorder. The claim omits that uncertainty. (LLM, conf=0.87)
Experimental — accuracy not yet measuredOne study found the highest risk for substance-related disorders in childhood externalizing disorders.
“One study found the highest risk for substance-related disorders in childhood externalizing disorders, 8”
From Childhood Psychiatric Disorders as Risk Factor for Subsequent Substance Abuse: A Meta-Analysis. (2017) · cites this paper as [8]
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Self-citation
- Authors
- Gau, S. S. F., Chong, M.-Y., Yang, P., Yen, C.-F., Liang, K.-Y., & Cheng, A. T. A.
- Affiliations
- National Taiwan University (TW)
- Kaohsiung Chang Gung Memorial Hospital (TW)
- Kaohsiung Medical University (TW)
- Johns Hopkins University (US)
- Institute of Biomedical Sciences, Academia Sinica (TW)
- Corresponding author
- Cheng, Andrew T. A.
- Venue
- British Journal of Psychiatry
- Publisher
- Royal College of Psychiatrists
- Published
- 2007-01
- Volume
- 190
- Issue
- 1
- Pages
- 42-48
- ISSN
- 0007-1250 (ISSN-L)
- 1472-1465
- OpenAlex
- W2147653143
- Cited by
- 103
- References
- 35
- Citations by year
- 2025: 3 · 2024: 2 · 2023: 7 · 2022: 2 · 2021: 3 · 2020: 2 · 2019: 7 · 2018: 6 · 2017: 1 · 2016: 4 · 2015: 6 · 2014: 8 · 2013: 11 · 2012: 10
- FWCI
- 3.89
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- The British Journal of Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Social Sciences › Demography › Youth, Drugs, and Violence
- Keywords
- adolescent substance use disorders, psychosocial risk factors, attention deficit hyperactivity disorder, conduct disorder, academic performance, gender differences, age of onset, early intervention, disruptive behavior disorders
- MeSH terms
- Adolescent, Attention Deficit Disorder with Hyperactivity, Child, Female, Humans, Longitudinal Studies, Male, Risk Factors, Taiwan, Risk Assessment, Substance-Related Disorders
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