Predictors of comorbid alcohol and substance abuse in depressed adolescents

被引:68
作者
King, CA [1 ]
Ghaziuddin, N [1 ]
McGovern, L [1 ]
Brand, E [1 ]
Hill, E [1 ]
Naylor, M [1 ]
机构
[1] UNIV MICHIGAN,DEPT PSYCHIAT,ANN ARBOR,MI 48109
关键词
depression; alcohol abuse; adolescents; suicide risk;
D O I
10.1097/00004583-199606000-00014
中图分类号
B844 [发展心理学(人类心理学)];
学科分类号
040202 ;
摘要
Objective: To identify clinical profiles discriminating depressed adolescents on the basis of comorbid alcohol/substance use disorders and to determine whether or not profiles with high predictive power are gender-specific. Method: One hundred three adolescent inpatients with major depression (65 girls, 38 boys) participated in a comprehensive diagnostic evaluation. Independent assessments of depression, suicidality, and psychosocial adjustment were conducted using well-validated instruments. Results: Gender-specific clinical profiles were identified that predicted alcohol/substance abuse in depressed adolescents with high levels of sensitivity (90%). The significant discriminant function for depressed girls included the following predictors: longer depressive episodes, more conduct problems and psychosocial impairment, and more active involvement in relationships with boys. The significant discriminant function for depressed boys included conduct disorder, older age, and schoolwork problems. These profiles correctly identified most depressed adolescents with comorbid alcohol/substance abuse. Conclusions: Given that alcohol abuse and depression are associated with highly impaired social functioning and increased risk of self-harm, sensitivity in case identification is critical. Clinicians should conduct comprehensive assessments of alcohol/substance abuse in depressed adolescents with the identified clinical profiles.
引用
收藏
页码:743 / 751
页数:9
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