Drug-dependent boys are more depressed compared to girls:: A comorbidity study of substance dependence and mental disorders

被引:9
作者
Ilomaki, Risto [2 ]
Sodervall, Jonna [1 ]
Ilomaki, Essi [2 ]
Hakko, Helina [1 ]
Rasanen, Pirkko [1 ,2 ]
机构
[1] Oulu Univ Hosp, Dept Psychiat, FI-90029 Oulu, Finland
[2] Univ Oulu, Dept Psychiat, Oulu, Finland
关键词
gender difference; alcohol/drug dependence; comorbidity;
D O I
10.1159/000130420
中图分类号
R194 [卫生标准、卫生检查、医药管理];
学科分类号
摘要
The present study investigated the comorbidity of alcohol and drug dependence with psychiatric disorders by gender in a clinical sample of 300 girls and 208 boys (age 12-17) admitted to psychiatric inpatient hospitalization between April 2001 and March 2006. Information on alcohol and drug dependence, psychiatric diagnoses and age at onset of these disorders was obtained from the Schedule for Affective Disorders and Schizophrenia for School Aged Children-Present and Lifetime. The results of logistic regression models revealed that behavioral disorders were associated with alcohol dependence among girls (odds ratio [OR] 7.1) and boys (OR 4.6). In addition, behavioral disorders were associated with drug dependence, the ORs being 18.4 in girls and 9.1 in boys. Although depressive disorders were associated with both alcohol (OR 3.1) and drug dependence (OR 3.8) among boys, no corresponding association was seen in girls. Our results suggest that physicians treating substance-dependent adolescents should focus not only on behavioral disorders, but also on the screening and treatment of underlying depressive disorders, especially among substance-dependent boys. Copyright (C) 2008 S. Karger AG, Basel.
引用
收藏
页码:161 / 168
页数:8
相关论文
共 41 条
[11]   Development of psychiatric comorbidity with substance abuse in adolescents: Effects of timing and sex [J].
Costello, EJ ;
Erkanli, A ;
Federman, E ;
Angold, A .
JOURNAL OF CLINICAL CHILD PSYCHOLOGY, 1999, 28 (03) :298-311
[12]   Specific fears and phobias - Epidemiology and classification [J].
Curtis, GC ;
Magee, WJ ;
Eaton, WW ;
Wittchen, HU ;
Kessler, RC .
BRITISH JOURNAL OF PSYCHIATRY, 1998, 173 :212-217
[13]   Adolescent substance abuse and psychiatric comorbidities [J].
Deas, Deborah .
JOURNAL OF CLINICAL PSYCHIATRY, 2006, 67 :18-23
[14]   Increased rates of psychosocial disorders in youth [J].
Fombonne, E .
EUROPEAN ARCHIVES OF PSYCHIATRY AND CLINICAL NEUROSCIENCE, 1998, 248 (01) :14-21
[15]  
Garland EJ, 2001, CAN FAM PHYSICIAN, V47, P1023
[16]   Temporal association between childhood psychopathology and substance use disorders: findings from a sample of adults with opioid or alcohol dependency [J].
Hahesy, AL ;
Wilens, TE ;
Biederman, J ;
Van Patten, SL ;
Spencer, T .
PSYCHIATRY RESEARCH, 2002, 109 (03) :245-253
[17]   Temporal relationship between the age of onset of phobic disorders and development of substance dependence in adolescent psychiatric patients [J].
Ilomäki, R ;
Hakko, H ;
Timonen, M ;
Lappalainen, J ;
Mäkikyrö, T ;
Räsänen, P .
DRUG AND ALCOHOL DEPENDENCE, 2004, 75 (03) :327-330
[18]   The reliability of self-reported age of onset of tobacco, alcohol and illicit drug use [J].
Johnson, TP ;
Mott, JA .
ADDICTION, 2001, 96 (08) :1187-1198
[19]   Psychiatric comorbidity among adolescents with substance use disorders: Findings from the MECA study [J].
Kandel, DB ;
Johnson, JG ;
Bird, HR ;
Weissman, MM ;
Goodman, SH ;
Lahey, BB ;
Regier, DA ;
Schwab-Stone, ME .
JOURNAL OF THE AMERICAN ACADEMY OF CHILD AND ADOLESCENT PSYCHIATRY, 1999, 38 (06) :693-699
[20]   Schedule for Affective Disorders and Schizophrenia for School-Age Children Present and Lifetime version (K-SADS-PL): Initial reliability and validity data [J].
Kaufman, J ;
Birmaher, B ;
Brent, D ;
Rao, U ;
Flynn, C ;
Moreci, P ;
Williamson, D ;
Ryan, N .
JOURNAL OF THE AMERICAN ACADEMY OF CHILD AND ADOLESCENT PSYCHIATRY, 1997, 36 (07) :980-988