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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Crowley TJ, Macdonald MJ, Whitmore EA, Mikulich SK (1998) Cannabis dependence, withdrawal, and reinforcing effects among adolescents with conduct symptoms and substance use disorders. Drug Alcohol Depend 50:27–37
Brook JS, Cohen P, Brook DW (1998) Longitudinal study of co-ocurring psychiatric disorders and substance abuse. J Am Acad Child Adolesc Psychiatry 37:322–330
Ferdinand RF, Blüm M, Verhulst FC (2001) Psychopathology in adolescence predicts substance use in young adulthood. Adicction 96:861–870
Patton GC, Selzer R, Coffey C, Carlin JB, Wolfe R (1999) Onset of adolescent eating disorders: population based cohort study over 3 years. BMJ 318(7186):765–768
Bukstein OG, Glancy LJ, Kaminer Y (1992) Patterns of affective comorbidity in a clinical population of dually diagnosed adolescent substance abuser. J Am Acad Child Adolesc Psychiatry 31:1041–1045
Costello EJ, Erkanli A, Federman E, Angold A (1999) Development of psychiatric comorbidity with substance abuse in adolescents: effects of timing and sex. J Clin Child Psychol 28(3):298–311
Pedersen W, Mastekaasa A, WichstrǾm L (2001) Conduct problems and early cannabis initiation: a longitudinal study of gender differences. Adicction 6:415–431
Henry B, Feehan M, McGee R, Stanton W, Moffitt TE, Silva P (1993) The importance of conduct problems and depressive symptoms in predicting adolescent substance use: prevalence research and future directions. J Abnorm Child Psychol 21:469–480
Rolls BJ, Fedoroff IC, Guthrie JF (1991) Gender differences in eating behaviour and body weight regulation. Health Psychol 10(2):133–142
Shapiro S, Newcomb M, Loeb TB (1997) Fear of fat, disregulated-restrained eating, and body-esteem: prevalence and gender differences among eight- to ten-year-old children. J Clin Child Psychol 24:358–365
Beato-Fernandez L, Rodriguez-Cano T (2001) Gender differences regarding psychopathological, family and social characteristics in adolescents with abnormal eating behavior. Eat Behav 6(4):337–344
Toro J, Gila A, Castro J, Pombo C, Guete O (2005) Body image, risk factors for eating disorders and sociocultural influences in Spanish adolescents. Eat Weight Disord 10(2):91–97
Kovacs M, Obrosky DS, Sherrill J (2003) Developmental changes in the phenomenology of depression in girls compared to boys from childhood onward. J Affect Disord 74:33–48
Rohde P, Lewisnsohn PM, Seely JR (1991) Comorbidity of unipolar depression. II. Comorbidity with other mental disorders in adolescents and adults. J Abnorm Psychol 10:214–222
Beato-Fernandez L, Rodríguez-Cano T, Belmonte-Llario A, Martinez Delgado C (2004) Risk factors for eating disorders in adolescents. A Spanish community-based longitudinal study. Eur Child Adolesc Psychiatry 13:287–294
Fergunson DM, Horwood LJ (1997) Early onset cannabis use and psychosocial adjustment in young adults. Adicction 92:279–296
Goldberg DP, Hillier VF (1979) A scaled version the General Health Questionnaire. Psychol Med 9:139–145
Lobo A, Pérez Echevarría MJ, Artal J (1986) Validity of the scaled version of the General Health Questionnaire (GHQ-28) in a Spanish population. Psychol Med 16:135–140
Garner RM, Garfinkel PE (1979) The eating attitudes test: an index of the symptoms of anorexia nervosa. Psychol Med 9:273–279
Castro J, Toro J, Salamero M (1991) The eating attitudes test: Validation of the Spanish version. Psychol Assess 7:175–190
Henderson M, Freeman CPL (1987) A self-rating scale for bulimia the BITE. Br J Psychiatry 150:18–24
Cervera S, Gual MP, Lasa L, Prat O, Zandio M, Hernández C (1995) Protocolo de atención a pacientes con trastornos de la conducta alimentaria. Clínica Universitaria de Navarra, España
Cooper PJ, Taylor MJ, Cooper Z, Fairburn CG (1987) The development and validation of the body shape questionnaire. Int J Eat Disord 6:485–494
Raich RM, Deus J, Muñoz MJ, Pérez O, Requena A (1991) Estudio de actitudes alimentarias en una muestra de adolescentes. Rev Psiq Fac Med Barna 18:305–315
Rosenberg M (1965) Society and the adolescent self-image. Princenton University Press, Princenton, NJ
Baños RM, Guillen V (2000) Psychometric characteristics in normal and social phobic samples for a Spanish version of the Rosenberg Self-Esteem Scale. Psychol Rep 87:269–274
Smilkstein G (1979) The family Apgar: a proposal for a family function test and its use by physicians. J Fam Pract 6:1231–1239
Bellon JA, Delgado A, Luna del Castillo JD, Lardeli P (1996) Validez y fiabilidad del cuestionario de función familiar Apgar-familiar. Aten Primaria 18(6):289–296
Norusis MJ (1994) SPSS for windows: base system user’s guide and advanced statistics, release 6.1. SPSS, Chicago
Williams RJ, Ricciardelli LA (2003) Negative perceptions about self-control and identification with gender-role stereotypes related to binge eating, problem drinking, and to co-morbidity among adolescents. J Adolesc Health 32:66–72
Striegel-Moore RH, Huydic ES (1993) Problem drinking and symptoms of disordered eating in female high school students. Int J Eat Disord 14(4):417–425
McGee R, Williams S, Poulton R (2000) A longitudinal study of cannabis use and mental health from adolescence to early adulthood. Addiction 95(4):491–503
Wonderlich SA, Mitchell JE (1997) Eating disorders and comorbidity: empirical, conceptual and clinical implications. Psychopharmacol Bull 33(3):381–390
Stice E, Shaw HE (2002) Role of body dissatisfaction in the onset and maintenance of eating pathology: a synthesis of research findings. J Psychosom Res 53(5):985–993
De Wit DJ, Offord DR, Wong M (1997) Patterns of onset and cessation of drug use over the early part of the life course. Health Educ Behav 24:746–758
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Grant sponsor of this study is Junta de Comunidades Castilla-La Mancha
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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