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NCJRS Abstract

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NCJ Number: 221377 Find in a Library
Title: Relation of Substance Use to Trauma and Conduct Disorder in an Adolescent Psychiatric Population
Journal: Journal of Child & Adolescent Substance Abuse  Volume:17  Issue:1  Dated:2007  Pages:29-49
Author(s): Allison Schettini Evans; Anthony Spirito; Mark Celio; Jennifer Dyl; Jeffrey Hunt
Date Published: 2007
Page Count: 21
Type: Report (Study/Research)
Format: Article
Language: English
Country: United States of America
Annotation: This study examined whether established links between adolescent substance use and conduct problems as well as trauma-related symptoms could be better understood with additive and interactive processes.
Abstract: Among 192 adolescents admitted to a psychiatric inpatient unit, levels of substance abuse were greater for those with both conduct disorder (CD) and posttraumatic stress disorder (PTSD) compared with either CD only or PTSD only. This difference was best explained by interactive rather than additive processes. Females were more likely to report elevated levels of state anger, trait anger, angry reactions, anger held in, anger out, and anger expressed compared with males. The findings suggest the need to assess and treat a history of or ongoing trauma experiences and behavioral problems in working with adolescents who have a substance abuse disorder, especially when there is a combination of trauma and conduct problems. Study participants were 192 consecutive admissions (61 males and 131 females, 11-17 year-olds) to an adolescent psychiatric inpatient unit in southern New England. This was the first inpatient hospitalization for 51 percent of the patients. A standard intake evaluation was used to collect the study data. Variables measured pertained to psychiatric diagnoses, trauma symptoms, and anger symptoms. Medical records were reviewed by a trained research assistant in order to code demographic information, suicidal ideation/behavior upon admission, homicidal ideation upon admission, history of physical abuse, and history of sexual abuse. 5 tables and 59 references
Main Term(s): Juvenile drug use
Index Term(s): Comparative analysis; Drug abuse causes; Drug treatment; Mental disorders; Post-trauma stress disorder (PTSD); Problem behavior
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