Armstrong Tonya D, Costello E Jane
Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, USA.
J Consult Clin Psychol. 2002 Dec;70(6):1224-39. doi: 10.1037//0022-006x.70.6.1224.
A literature review on community studies of adolescent substance use, abuse, or dependence (SU/AID) and psychiatric comorbidity yielded 22 articles from 15 studies with information on rates, specificity, timing, and differential patterns of comorbidity by gender, race/ethnicity, and other factors. Results revealed that 60% of youths with SU/A/D had a comorbid diagnosis, and conduct disorder (CD) and oppositional defiant disorder (not attention-deficit/hyperactivity disorder) were most commonly associated with SU/A/D, followed by depression. Child psychopathology (particularly CD) was associated with early onset of substance use and abuse in later adolescence. The authors suggest that available data relevant to SU/A/D and psychiatric comorbidity can be used to better address such questions.
一项关于青少年物质使用、滥用或依赖（SU/AID）与精神疾病共病的社区研究的文献综述，从15项研究中筛选出22篇文章，这些文章包含了按性别、种族/民族及其他因素划分的共病率、特异性、时间及差异模式的信息。结果显示，60%患有SU/A/D的青少年有共病诊断，品行障碍（CD）和对立违抗障碍（而非注意力缺陷多动障碍）与SU/A/D最为常见，其次是抑郁症。儿童精神病理学（尤其是CD）与青少年后期物质使用和滥用的早发有关。作者们认为，与SU/A/D和精神疾病共病相关的现有数据可用于更好地解决此类问题。
