Universidad Loyola Andalucía.
Psicothema. 2021 Feb;33(1):36-43. doi: 10.7334/psicothema2020.297.
This study aims to evaluate sex differences in alcohol and cannabis use and mental health disorders (MHD) in adolescents, and to evaluate the predictive role of mental health disorders for alcohol and cannabis use disorders (AUD and CUD respectively).
A sample of 863 adolescents from the general population (53.7% girls, Mage = 16.62, SD = 0.85) completed a computerized battery including questions on substance use frequency, the Brief Symptom Inventory, the Cannabis Problems Questionnaire for Adolescents - Short version, the Rutgers Alcohol Problem Index and the DSM-IV-TR criteria for AUD and CUD. Bivariate analyses and binary logistic regressions were performed.
Girls presented significantly more mental health problems and a higher prevalence of comorbidity between SUD and MHD. Obsessive-compulsive symptoms and phobic anxiety indicated a higher risk of AUD, whereas depression and interaction between hostility and obsessive-compulsive disorder indicated a higher risk of CUD.
Comorbidity between SUD and MHD is high among adolescents, and significantly higher among girls.
本研究旨在评估青少年中酒精和大麻使用与心理健康障碍（MHD）之间的性别差异，并评估心理健康障碍对酒精和大麻使用障碍（AUD 和 CUD 分别）的预测作用。
本研究对来自普通人群的 863 名青少年（53.7%为女性，Mage = 16.62，SD = 0.85）进行了一项计算机化测试，测试内容包括物质使用频率、简明症状量表、青少年大麻问题问卷-短版、罗格斯酒精问题指数和 DSM-IV-TR 标准 AUD 和 CUD。进行了双变量分析和二元逻辑回归。
女孩表现出明显更多的心理健康问题和 SUD 与 MHD 之间更高的共病率。强迫症状和恐惧症焦虑表明 AUD 的风险更高，而抑郁和敌意与强迫障碍之间的相互作用表明 CUD 的风险更高。
青少年 SUD 和 MHD 之间的共病率较高，女孩的共病率明显更高。
