Abstract
Smoking and drinking habits were studied among 1098 14–15-year-old adolescents using a mailed questionnaire. The subjects were drawn from a representative population of 5813 randomly selected 8-year-old children previously studied in the National Epidemiological Child Psychiatry Study in Finland in 1989. The questionnaire included items on the adolescents’ smoking habits and alcohol consumption. Regular smoking was more common among boys (and girls) who, in childhood, had been rated by their parents (Rutter Parent Questionnaire) (RA2) as disturbed, 14.6% (30.3%), than among the nondisturbed, 6.6% (8.4%). Similarly, more of the previously disturbed (according to the RA2) adolescent boys drank alcohol regularly, 19.7%, as compared to the nondisturbed boys, 9.3%. Among girls, regular alcohol consumption was more common among those who previously had behavioural or mixed type problems (according to the RA2), 70.7%, as compared to those who previously had emotional or no problems, 12.2%. More of the previously depressed girls smoked regularly, 45.1%, than those who had not been depressed, 7.9%. Behavioural and emotional problems in childhood seemed to predispose to smoking and drinking in adolescence. The parents were more sensitive than the teachers in recognising the long-lasting problems of their children.
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Ahlström S, Rimpelä M, Rimpelä A, Pohjanpää K, Siivola M (1994) Drinking habits of young people. Report on a cross-sectional study from 1997-1993. Reports from the Social Research Institute of Alcohol Studies 1994:187. Helsinki: Hakapaino oy. (In Finnish)
Almqvist F, Kumpulainen K, Ikäheimo K, Linna S-L, Henttonen I, Huikko E, Tuompo-Johansson E, Aronen E, Puura K, Piha J, Tamminen T, Räsänen E, Moilanen I (1999) Behavioural and emotional symptoms in 8–9 year-old children. European Child and Adolescent Psychiatry 8: Suppl. 1: (this issue)
Borden AM, Moffitt TE, Caspi A, Dickson N, Stanton WR, Silva PA (1998) Adult physical health outcomes of adolescent girls with conduct disorder, depression, and anxiety. Journal of the American Academy of Child and Adolescent Psychiatry 37:594–601
Barkley RA, Fischer M, Edelbrock CS, Smallish L (1990) the adolescent outcome of hyperactive children diagnosed by research criteria: I. An 8-year prospective follow-up study. Journal of the American Academy of Child and Adolescent Psychiatry 29:546–557
Barkley R, Horner MA, Scheibe KE (1997) Prevalence and implications of attention deficit disorder among adolescents in treatment for substance abuse. Journal of the American Academy of Child and Adolescent Psychiatry 36:30–36
Breslau N (1995) Psychiatric comorbidity of smoking and nicotine dependence. Behavior Genetics 25:95–101
Breslau N, Kilbay M, Andreski P (1993) Nicotine dependence and major depression: New evidence from prospective investigation. Archives of General Psychiatry 50:31–35
Bukstein OG, Brent DA, Kaminer Y (1989) Comorbidity of substance abuse and other psychiatric disorders in adolescents. American Journal of Psychiatry 146:1131–1141
Choi WS, Patten CA, Gillin JC, Kaplan RM, Pierce JP (1997) Cigarette smoking predicts development of depressive symptoms among U.S. adolescents. Annals of Behavioral Medicine 19:42–50
Covey LS, Tam D (1990) Depressive mood, the single-parent home, and adolescent cigarette smoking. American Journal of Public Health 80:1330–1333
Esser G, Schmidt MH, Woerner W (1990) Epidemiology and course of psychiatric disorders in school-age children — results of a longitudinal study. Journal of Child Psychology and Psychiatry 31:243–263
Fleming JE, Offord DR (1990) Epidemiology of childhood depressive disorders: A critical review. Journal of the American Academy of Child and Adolescent Psychiatry 29:571–580
Harrington R, Fudge H, Rutter M, Pickles A, Hill J (1991) Adult outcome of childhood and adolescent depression: II. Links with antisocial disorders. Journal of the American Academy of Child and Adolescent Psychiatry 30:434–439
Isohanni M, Moilanen I, Rantakallio P (1991) Determinants of teenage smoking, with special reference to non-standard family background. British Journal of Addiction 86: 391–398
Isohanni M, Oja H, Moilanen I, Koiranen M (1994) Teenage alcohol drinking and non-standard family background. Social Science and Medicine 38:1565–1574
Kandel DB, Davies M (1986) Adult sequelae of adolescent depressive symptoms. Archives of General Psychiatry 43:255–262
Kandel DB, Johnson JG, Bird HR, Canino G, Goodman SH, Lahey BB, Regier DA, Schwab-Stone M (1997) Psychiatric disorders associated with substance use among children and adolescents: findings from the Methods for the Epidemiology of Child and Adolescent Mental Disorders (MECA) Study. Journal of Abnormal Child Psychology 25:121–132
Keller MB, Lavori PW, Beardslee WR, Wunder J, Schwartz CE, Roth J, Biederman J (1992) The disruptive disorder in children and adolescents: Comorbidity and clinical course. Journal of the American Academy of Child and Adolescent Psychiatry 31:205–209
King CA, Ghaziuddin N, McGovern L, Brand E, Hill E, Naylor M (1996) Predictors of comorbid alcohol and substance abuse in depressed adolescents. Journal of the American Academy of Child and Adolescent Psychiatry 35:743–751
Kovacs M (1985) The Children’s Depression Inventory (CDI) Psychopharmacology Bulletin 21: 995–998
Lavik NJ, Onstad S (1986) Drug use and psychiatric symptoms in adolescence. Acta Psychiatrica Scandinavica 73:437–440
Linna S-L, Moilanen I, Ebeling H, Almqvist F, Piha J, Räsänen E, Tamminen T (1999) Psychiatric symptoms in children with intellectual disability. European Child and Adolescent Psychiatry 8: Suppl. 1 (this issue)
Mainous AG 3rd, Martin CA, Oler MJ, Richardson ET, Haney AS (1996) Substance use among adolescents: fulfilling a need state. Adolescence 31:807–815
Milberger S, Biederman J, Faraone SV, Chen L, Jones J (1997) ADHD is associated with early initiating of cigarette smoking in children and adolescents. Journal of the American Academy of Child and Adolescent Psychiatry 36:37–44
Moilanen I, Tirkkonen T, Järvelin MR, Linna SL, Almqvist F, Piha J, Räsänen E, Tamminen T (1998) Follow-up of enuresis from childhood to adolescence. British Journal of Urology 8:Supplement 3:94–97
Norusis MJ (1988). SPSS/PC+ V2.0 Base Manual for the IBM/XT/AT and PS/2. Chicago: SPSS Inc.
Patton GC, Carlin JB, Coffey C, Wolfe R, Hibbert M, Bowes G (1998) Depression, anxiety, and smoking initiation: a prospective study over 3 years. American Journal of Public Health 88:1518–1522
Rimpelä M, Pohjanpää K, Terho P, Pienmäki-Jylhä P, Poikajärvi K (1995) Huumeet nuoren arjessa. (Drugs in the everyday life of youth). Helsinki: Stakes. (In Finnish)
Rimpelä M, Luopa P, Jokela J (1997) Kouluterveys 1997 — tutkimus: Päihteet ja nuoret Oulun seudulla. (School health 1997 — study: Substance use and adolescents in the area of Oulu). Helsinki: Stakes
Rutter M (1967) A children’s behaviour questionnaire for completion by teachers: Preliminary findings. Journal of Child Psychology and Psychiatry 8:1–11
Rutter M, Tizard J and Whitmore K (1981) Education, Health and Behavior. New York: Krieger, Huntington
Todd RD, Geller B, Neuman R, Fox LW, Hickok J. (1996) Increased prevalence of alcoholism in relatives of depressed and bipolar children. Journal of the American Academy of Child and Adolescent Psychiatry 35:716–724
Walton MA, Gomberg ES (1994) Determinants of early alcohol and drug use among young women in alcoholism treatment. Journal of Substance Abuse 6:367–379
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Ebeling, H., Moilanen, I., Linna, S.L. et al. Smoking and drinking habits in adolescence — Links with psychiatric disturbance at the age of 8 years. European Child & Adolescent Psychiatry 8 (Suppl 4), S68–S76 (1999). https://doi.org/10.1007/PL00010703
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DOI: https://doi.org/10.1007/PL00010703