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Are there Gender-Specific Pathways from Early Adolescence Psychological Distress Symptoms Toward the Development of Substance Use and Abnormal Eating Behavior?

Child Psychiatry and Human Development volume 37, pages 193–203 (2007)Cite this article

Abstract

The aim of the present longitudinal community study was to test whether psychological distress at 13 years of age predicted reported substance use problems in boys and abnormal eating behavior in girls 2 years later. The sample consisted of 500 male and 576 female students. The use of substances was evaluated using a semi-structured interview, psychological distress with the General Health Questionnaire (GHQ) and eating psychopathology with the Eating Attitudes Test (EAT-40), and the Bulimic Investigatory Test Edinburgh (BITE). Controlling the effect of initial substance use problems, psychological distress predicted later reported substance use problems in males. Girls with an initial score above the cut-off point on the GHQ were two times more likely to be at risk of having an eating disorder 2 years later. Therefore, psychological distress might take different developmental pathways in males and females, leading toward eating problems in the latter versus substance use in the former.

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Acknowledgments

Grant sponsor of this study is Junta de Comunidades Castilla-La Mancha

Author information

Affiliations

  1. Eating Disorders Unit, Department of Psychiatry, Ciudad Real Hospital, Carretera de Valdepeñas, 5, Portal 3, 4° B, 13004, Ciudad Real, Spain

    Luis Beato-Fernández

  2. Department of Psychiatry, Ciudad Real Hospital, Carretera de Valdepeñas, 5, Portal 3, 4° B, 13004, Ciudad Real, Spain

    Teresa Rodríguez-Cano & Esther Pelayo-Delgado

  3. Carlos Albizu University, San Juan Campus, 151 Tanca Street, San Juan, 00901, Puerto Rico

    Myralys Calaf

Authors
  1. Luis Beato-Fernández
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  2. Teresa Rodríguez-Cano
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  3. Esther Pelayo-Delgado
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  4. Myralys Calaf
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Corresponding author

Correspondence to Luis Beato-Fernández.

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Beato-Fernández, L., Rodríguez-Cano, T., Pelayo-Delgado, E. et al. Are there Gender-Specific Pathways from Early Adolescence Psychological Distress Symptoms Toward the Development of Substance Use and Abnormal Eating Behavior?. Child Psychiatry Hum Dev 37, 193–203 (2007). https://doi.org/10.1007/s10578-006-0029-2

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  • DOI: https://doi.org/10.1007/s10578-006-0029-2

Keywords

  • Adolescents
  • Spanish
  • Substance use
  • Eating behavior
  • Gender
  • General psychiatric morbidity