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Psychiatric Comorbidity Among Adolescents With Substance Use Disorders: Findings From the MECA Study

Year: 1999
Type: article
Study design: Observational Study
Abstract: OBJECTIVE: To investigate the extent to which adolescents in the community with current substance use disorders (SUD) experience co-occurring psychiatric disorders. METHOD: Diagnostic data were obtained from probability samples of 401 children and adolescents, aged 14 to 17 years, and their mothers/caretakers, who participated in the Methods for the Epidemiology of Child and Adolescent Mental Disorders (MECA) Study. RESULTS: The rates of mood and disruptive behavior disorders are much higher among adolescents with current SUD than among adolescents without SUD. Comparison with adult samples suggests that the rates of current comorbidity of SUD with psychiatric disorders are the same among adolescents as adults, and lower for lifetime disruptive disorders/antisocial personality disorder among adolescents than adults. CONCLUSIONS: The high rate of coexisting psychiatric disorders among adolescents with SUD in the community needs to be taken into account in prevention and treatment programs.
DOI: 10.1097/00004583-199906000-00016
Authors: DENISE B. KANDEL, JEFFREY G. JOHNSON, HECTOR R. BIRD, MYRNA M. WEISSMAN, SHERRYL H. GOODMAN, BENJAMIN B. LAHEY, DARREL A. REGIER, MARY E. SCHWAB-STONE
Institutions: Emory University, Yale University, University of Chicago, National Institute of Mental Health, New York State Psychiatric Institute, Columbia University
Language: English
Subfield: Epidemiology
Field: Medicine
Open Access status: hybrid
Estimated APC paid: $3,710
OpenAlex ID: W2051022393
FWCI: 7.652
Cites: 49
Cited by: 251
Related to: 10