Neighbors B, Kempton T, Forehand R
Psychology Department, University of Georgia, Athens 30602.
Addict Behav. 1992;17(4):379-86. doi: 10.1016/0306-4603(92)90043-u.
The purpose of the current study was to examine the co-occurrence of substance abuse and three other psychiatric disorders (conduct disorder, depression, anxiety) in an incarcerated juvenile delinquent sample. Diagnostic interviews were utilized to place participants in one of three groups: No substance abuse, alcohol/marijuana abuse, or polysubstance abuse. Frequency of diagnosis and number of symptoms of three psychiatric disorders were then examined. The results indicated that the diagnosis of conduct disorder increased significantly with the occurrence of substance abuse. Also, the number of symptoms for conduct disorder, anxiety, and depression increased with substance abuse. With polysubstance abuse the probability of having more than one of the other psychiatric diagnoses was above 50%. Potential explanations for the findings, focusing on the developmental trajectory for conduct problems and self-medication for internalizing disorders, are discussed.
本研究的目的是在被监禁的青少年犯罪样本中，考察药物滥用与其他三种精神疾病（品行障碍、抑郁症、焦虑症）的共现情况。采用诊断访谈将参与者分为三组之一：无药物滥用、酒精/大麻滥用或多种物质滥用。然后考察三种精神疾病的诊断频率和症状数量。结果表明，品行障碍的诊断随着药物滥用的出现而显著增加。此外，品行障碍、焦虑症和抑郁症的症状数量随着药物滥用而增加。在多种物质滥用的情况下，患有不止一种其他精神疾病诊断的概率超过50%。文中讨论了这些发现的潜在解释，重点关注品行问题的发展轨迹和内化障碍的自我用药情况。
