Journal of Abnormal Child Psychology

, Volume 25, Issue 2, pp 121–132

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

  • Denise B. Kandel
  • Jeffrey G. Johnson
  • Hector R. Bird
  • Glorisa Canino
  • Sherryl H. Goodman
  • Benjamin B. Lahey
  • Darrel A. Regier
  • Mary Schwab-Stone
Article

Abstract

The relationships between specific quantities and frequencies of alcohol, cigarette, and illicit substance use and substance use (SUD) and other psychiatric disorders were investigated among 1,285 randomly selected children and adolescents, aged 9 to 18, and their parents, from the Methods for the Epidemiology of Child and Adolescent Mental Disorders (MECA) Study. Logistic regressions indicated that daily cigarette smoking, weekly alcohol consumption, and any illicit substance use in the past year were each independently associated with an elevated likelihood of diagnosis with SUD and other psychiatric disorders (anxiety, mood, or disruptive behavior disorders), controlling for sociodemographic characteristics (age, gender, ethnicity, family income). The associations between the use of specific substances and specific psychiatric disorders varied as a function of gender.

Substance use psychiatric disorders adolescents 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

REFERENCES

  1. American Psychiatric Association. Diagnostic and statistical manual of mental disorders (3rd ed., rev.). Washington, DC: Author.Google Scholar
  2. Bird, H. R., Gould, M., & Staghezza, B. (1992). Aggregating data from multiple informants in child psychiatry epidemiological research. Journal of the American Academy of Child and Adolescent Psychiatry, 31, 78–85.Google Scholar
  3. Bird, H. R., Schwab-Stone, M., Andrews, H., Goodman, S., Dulcan, M., Richters, J., Rubio-Stipec, M., Moore, R. E., Chiang, P., Hoven, C., Canino, G., Fischer, P., & Gould, M. S.(in press). Global measures of impairment for epidemiologic and clinical use with children and adolescents. International Journal of Methods in Psychiatric Research.Google Scholar
  4. Block, J. H., Gjerde, P. F., & Block, J. H. (1991). Personality antecedents of depressive tendencies in 18-year-olds: A prospective study. Journal of Personality and Social Psychology, 60, 726–738.Google Scholar
  5. Boyle, M. H., Offord, D. R., Racine, Y. A., Szatmari, P., Fleming, J. E., & links, P. S. (1992). Predicting substance use in late adolescence: Results from the Ontario Child Study follow-up. American Journal of Psychiatry, 149, 761–767.Google Scholar
  6. Boyle, M. H., Offord, D. R., Racine, Y. A., Fleming, J. E., Szatmari, P., & Links, P. S. (1993). Predicting substance use in early adolescence based on parent and teacher assessments of childhood psychiatric disorder. Results from the Ontario Child Study follow-up. Journal of Child Psychology and Psychiatry, 34, 535–544.Google Scholar
  7. Boyle, M. H., & Offord, D. R. (1991). Psychiatric disorder and substance use in adolescence. Canadian Journal of Psychiatry, 36, 699–705.Google Scholar
  8. Brook, J. S., Brook, D. W., Gordon, H. S., Whiteman, M., & Cohen, P. (1990). The psychosocial etiology of adolescent drug use: A family interactional approach. Genetic Sociology and Genetic Psychology Monitor, 166, 111–267.Google Scholar
  9. Brook, J. S., Whiteman, M. M., & Finch, S. (1992). Childhood aggression, adolescent delinquency, and drug use: A longitudinal study. Journal of Genetic Psychology, 153, 369–383.Google Scholar
  10. Bukstein, O. G., Brent, D. A., & Kaminer, Y. (1989). Comorbidity of substance use and other psychiatric disorders in adolescents. American Journal of Psychiatry, 146, 1131–1141.Google Scholar
  11. Canino, G., Bird, H. R., Rubio-Stipec, M., Woodbury, M. A., Ribera, J., Huertas, S. E., & Sesman, M. J. (1987). Reliability of child diagnosis in an Hispanic sample. Journal of American Academy of Child and Adolescent Psychiatry, 26, 560–565.Google Scholar
  12. Christie, K. A., Burke, J. D., Regier, D. A., Rae, D. S., Boyd, J. H., & Locke, B. Z. (1988). Epidemiological evidence for early onset of mental disorders and higher risk of drug abuse in young adults. American Journal of Psychiatry, 145, 971–975.Google Scholar
  13. Deykin, E. Y., Levy, J. C., & Wells, V. (1987). Adolescent depression, alcohol, and drug abuse. American Journal of Public Health, 77, 178–182.Google Scholar
  14. Dunn, L. M., & Dunn, L. M. (1981). Peabody Picture Vocabulary Test, revised. Circle Pines, MN: American Guidance Service.Google Scholar
  15. Fleiss, J. L. (1981). Statistical methods for rates and proportions (2nd ed.). New York: John Wiley & Sons.Google Scholar
  16. Friedman, A. S., Utada, A. T., Glickman, N. W., & Morrissey, M. R. (1987). Psychopathology as an antecedent to, and as a “consequence” of, substance use, in adolescence. Journal of Drug Education, 17, 233–244.Google Scholar
  17. Goodman, S. H., Hoven, C. W., Narrow, W. E., Cohen, P., Fielding, B., Alegria, M., Leaf, P. J., Kandel, D., Horwitz, S. M., Bravo, M., Moore, R., & Dulcan, M. (in press). Measurement of Risk for Mental Disorders and Competence in a Psychiatric Epidemiologic Community Survey: The NIMH Methods for the Epidemiology of Child and Adolescent Mental Disorders (MECA) Study. International Journal of Methods in Psychiatric Research.Google Scholar
  18. Grant, B. F., & Harford, T. C. (1989). The relationship between ethanol intake and DSM-III-R alcohol dependence. Journal of Studies on Alcohol, 51, 448–456.Google Scholar
  19. Hawkins, J. D., Catalano, R. F., & Miller, J. Y. (1992). Risk and protective factors for alcohol and other drug problems in adolescence and early adulthood. Psychological Bulletin, 112, 64–105.Google Scholar
  20. Hart, E. L., Lahey, B. B., Loeber, & Hanson (1994). Criterion validity of informants in the diagnosis of disruptive behavior disorders in children: A preliminary study. Journal of Consulting and Clinical Psychology, 62, 410–414.Google Scholar
  21. Henry, B., Feehan, M., McGee, R., Stanton, W., Moffitt, T. E., & Silva, P. (1993). The importance of conduct problems and depressive symptoms in predicting adolescent substance use. Journal of Abnormal Child Psychology, 21, 469–480.Google Scholar
  22. Johnson, J. G., Hyler, S. E., Skodol, A. E., Bornstein, R. F., & Sherman, M. (1995). Personality disorder symptomatology associated with adolescent depression and substance abuse. Journal of Personality Disorders, 9, 318–329Google Scholar
  23. Johnson, R. J., & Kaplan, H. B. (1990). Stability of psychological symptoms: Drug use consequences and intervening processes. Journal of Health and Social Behavior, 31, 277–291.Google Scholar
  24. Johnston, L. D., O'Malley, P. M., & Bachman, J. G. (1993). National survey results on drug use from the Monitoring the Future study, 1975–1992. Vol I: Secondary school students. Rockville, MD: National Institute on Drug Abuse.Google Scholar
  25. Kaminer, Y., & Bukstein, O. (19S9). Adolescent chemical use and dependence: Current issues in epidemiology, treatment, and prevention. Acta Psychiatrica Scandinavica, 79, 415–424.Google Scholar
  26. Kandel, D. B. (1995). Ethnic differences in drug use: Patterns and paradoxes. In G. Botvin, S. Schinke, & M. Orlandi (Eds.), Drug abuse prevention with multi-ethnic youth (pp. 81–103). Newbury Park, CA: Sage.Google Scholar
  27. Kandel, D. B., & Davies, M. (1986). Adult sequelae of adolescent depressive symptoms. Archives of General Psychiatry, 43, 255–262.Google Scholar
  28. Kandel, D. B., Davies, M., Karus, D., & Yamaguchi, K. (1986). The consequences in young adulthood of adolescent drug involvement: An overview. Archives of General Psychiatry, 43, 746–754.Google Scholar
  29. Kandel, D. B., & Yamaguchi, K. (1993). From beer to crack: Developmental patterns of drug involvement. American Journal of Public Health, 83, 851–855.Google Scholar
  30. Kessler, R. C. (1996). The epidemiology of co-occurring mental disorders and substance use disorders in the National Comorbidity Survey: Implications for prevention and service utilization. American Journal of Ortho Psychiatry.Google Scholar
  31. Kleinman, D. G. & Kupper, L. L. (1978). Applied Regression Analytsis and other Multivariable Methods, Boston, Duxbury Press.Google Scholar
  32. Lahey, B. B., Flagg, E. W., Bird, H. R., Schwab-Stone, M., Canino G., Dulcan, M. K., Leaf, P. J., Davies, M., Brogan, D., Bourdon, K., Horwitz, S. M., Rnbio-Stipec, M., Freeman, D. H., Lichtman, J., Shaffer, D., Goodman, S. H., Narrow, W. E., Weissman, M. M., Kandel, D. B., Jensen, P. S., Richters, J. E., & Regier, D. A. (1996). The NIMH Methods for the Epidemiology of Child and Adolescent Mental Disorders (MECA) Study: Background and Methodology. Journal of the American Academy of Child and Adolescent Psychiatry, 35, 855–864.Google Scholar
  33. Leaf, P. J., Alegria, M., Cohen, P., Goodman, S. H., Horwitz, S. M., Hoven, C. W., Narrow, W. E., Vaden-Kiernan, M., & Regier, D. A. (1996). Mental health service use in the community and schools: Results from the four community MECA Study. Journal of the American Academy of Child and Adolescent Psychiatry, 35, 889–897.Google Scholar
  34. Lewinsohn, P. M., Hops, H., Roberts, R. E., Seeley, J. R., & Andrews, J. A. (1993). Adolescent psychopathology: I. Prevalence and incidence of depression and other DSM-III-R disorders in high school students. Journal of Abnormal Psychology, 102, 133–144.Google Scholar
  35. MacDonald, R., Barry, K. L., & Fleming, M. F. (1992). Patterns of substance use among students meeting lifetime DSM-III criteria for alcohol misuse. International Journal of the Addictions, 27, 905–915.Google Scholar
  36. Newcomb, M. D., & Bentler, P. M. (1988). Impact of adolescent drug use and social support on problems of young adults: A longitudinal study. Journal of Abnormal Psychology, 97, 64–75.Google Scholar
  37. Piacentini, J., Cohen, P., & Cohen, J. (1992). Combining discrepant diagnostic information from multiple sources: Are complex algorithms better than simple ones? Journal of Abnormal Child Psychology, 20, 51–63.Google Scholar
  38. Ribera, J. C., Canino, G., Rubio-Stipec, M., Bravo, M., Bauermeister, J. J., Alegria, M., Woodbury, M., Huertas, S., Guevara, L. M., Bird, H. R., Freeman, D., & Shrout, P.E. (1996). The Diagnostic Interview Schedule for Children (DISC 2.1) in Spanish: Reliability in a Hispanic population. Journal of Child Psychology & Psychiatry & Allied Disciplines, 37, 197–204.Google Scholar
  39. Rubio-Stipec, M., Jensen, P., Canino, G., Bird, H., Dulcan, M., & Schwab-Stone, M. (in press). Parent and child contributions to child psychiatric diagnosis: Are both informants always necessary? Journal of Child Psychology and Psychiatry.Google Scholar
  40. Russell, J. M., Newman, S. C., & Bland, R. C. (1994). Drug abuse and dependence. Acta Psychiatrica Scandinavica 88, (Suppl., 376), 54–62.Google Scholar
  41. Schwab-Stone, M., Shaffer, D., Dulcan, M., Jensen, P., Fisher, P., Bird, H. R., Goodman, S., Lahey, B., Lichtman, J., Canino, G., Rubio-Stipec, M., & Rae, D. (1996). Criterion validity of the NIMHJ Diagnostic Interview Schedule for Children, Version 2.3. Journal of the American Academy of Child and Adolescent Psychiatry, 35, 878–888.Google Scholar
  42. Shaffer, D., Fischer, P., Dulcan, M. Davies, M., Piacentini, J., Schwab-Stone, M., Lahey, B. B., Bourdon, K., Jensen, P., Bird, H. R., Canino, G., & Regier, D. (1996). The NIMH Diagnostic Interview Schedule for Children (DISC-2): Description, acceptability, prevalences, and performance in the MECA Study. Journal of the American Academy of Child and Adolescent Psychiatry, 35, 865–877.Google Scholar
  43. Shaffer, D., Fould, M. S., Brasic, J., Ambrosini, P. J., Fisher, P., Bird, H. R., & Aluwahlia, S. (1983). A Children's Global Assessment Scale (CGAS). Archives of General Psychiatry, 40, 1228–1231.Google Scholar
  44. Substance Abuse and Mental Health Services Administration. (1993). National Household Survey on Drug Abuse: Population estimates 1992. Rockville, MD: Author.Google Scholar
  45. Turner, C. F., Lessler, J. T., & Gfroerer, J. C. (1992). Survey measurement of drug use: Methodological studies. Rockville, MD: National Institute on Drug Abuse.Google Scholar
  46. Weissman, M. et al. (1987). Assessing psychiatric disorders in children: Discrepancies between mother's and children's reports. Archives of General Psychiatry, 44, 747–753.Google Scholar

Copyright information

© Plenum Publishing Corporation 1997

Authors and Affiliations

  • Denise B. Kandel
    • 1
    • 2
  • Jeffrey G. Johnson
    • 3
  • Hector R. Bird
    • 4
  • Glorisa Canino
    • 5
  • Sherryl H. Goodman
    • 6
  • Benjamin B. Lahey
    • 7
  • Darrel A. Regier
    • 8
  • Mary Schwab-Stone
    • 9
  1. 1.Department of Psychiatry and School of Public HealthColumbia University, College of Physicians and SurgeonsNew York
  2. 2.Department of the Epidemiology of Substance AbuseNew York State Psychiatric InstituteNew York
  3. 3.Biometrics ResearchNew York State Psychiatric InstituteNew York
  4. 4.Department of Child PsychiatryColumbia UniversityNew York
  5. 5.Behavioral Sciences InstituteUniversity of Puerto Rico, Medical Sciences CampusSan JuanPuerto Rico
  6. 6.Department of PsychologyEmory UniversityAtlanta
  7. 7.Department of PsychologyUniversity of ChicagoChicago
  8. 8.Division of Epidemiology and Services ResearchNational Institute on Mental HealthBethesda
  9. 9.Yale Child Study CenterYale University School of MedicineNew Haven

Personalised recommendations