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NCJ Number: 202958 Add to Shopping cart Find in a Library
Title: Depressed Mood, Gender, and Problem Drinking in Youth
Journal: Journal of Child & Adolescent Substance Abuse  Volume:12  Issue:4  Dated:2003  Pages:55-68
Author(s): Susan F. Tapert; Suzanne M. Colby; Nancy P. Barnett; Anthony Spirito; Damaris J. Rohsenow; Mark G. Myers; Peter M. Monti
Date Published: 2003
Page Count: 14
Sponsoring Agency: National Institute of Mental Health
Bethesda, MD 20852
US Dept of Health and Human Services
Rockville, MD 20892-9304
Grant Number: MH18399
Type: Report (Study/Research)
Format: Article
Language: English
Country: United States of America
Annotation: This article discusses the relationship of depressed mood and gender to treatment response in adolescents admitted to an Emergency Department (ED) for alcohol-related incidents.
Abstract: Both substance misuse and depressed moods are common during adolescence. It is unclear how mood may influence adolescents’ response to substance-related interventions. It is possible that mood may influence decisions to start drinking and to keep drinking. It was hypothesized that depressed mood would influence adolescents’ subsequent drinking behavior differently for males and females because adolescent females have higher levels of depression, may respond differently than males to depressive affect, and often show different treatment outcome than males. Adolescents treated at an ED were randomly assigned to a Motivational Interviewing condition or to standard hospital care. Participants were followed for 6 months with detailed measures of alcohol involvement and depressed mood. The results show that, for girls, reports of depressed mood symptoms at the time of an alcohol-related hospital visit were more predictive of drinking outcome 6 months later than the type of intervention administered. Depressed mood appeared to be prognostic of poorer outcome for late-adolescent females. Depressed mood had less of an influence on drinking behaviors among adolescent males in this sample. While increased levels of depression at baseline predicted more drinking at follow-up for teen boys, older adolescent males showed no relationship between scores on a self-report mood measure at the time of an ED visit and follow-up drinking. This study suggests that for 13- to 17-year-old females, a moderately elevated degree of depressed mood symptoms in response to an adverse life event may herald a decrease in drinking quantities. Clinicians can capitalize on this distress by accentuating the risks of heavy drinking, working cooperatively with the teen to set goals, and providing support to help the teen reach that goal. Depressed mood symptoms may indicate or heighten the risk for increases in drinking for early- to mid-adolescent boys and for late-adolescent females. Clinicians might target intervention efforts toward depressed youth in these demographic groups. 3 tables, 26 references
Main Term(s): Emotional disorders; Underage Drinking
Index Term(s): Alcohol abuse; Alcoholism causes; Critical incident stress; Juvenile mental health services; Mental health services; Psychological evaluation
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