Reebye P, Moretti M M, Lessard J C
Response Program, Maples Adolescent Treatment Centre, Burnaby, British Columbia.
Can J Psychiatry. 1995 Aug;40(6):313-9. doi: 10.1177/070674379504000606.
To examine the rate of comorbidity between conduct disorder and substance use disorder in a clinical sample using the Diagnostic Interview for Children and Adolescents--Revised.
Examined the pattern of conduct disorder symptoms, including type, number, and severity, in conduct-disordered youth diagnosed with, and without a comorbid substance use disorder.
The examination revealed no significant differences in the incidence of comorbidity between younger (aged 10 to 13) and older (above age 13) youth. Among youth who met criteria for conduct disorder, 52% also met criteria for a substance use disorder. Odds ratios indicated that the probability of comorbidity of conduct and substance use disorders was higher in the younger group.
Substance abuse and dependence tend to develop rapidly following first use, suggesting that a slim window of opportunity exists to prevent substance disorders once drug use has begun.
使用修订版儿童与青少年诊断访谈，在一个临床样本中研究品行障碍与物质使用障碍之间的共病率。
研究被诊断患有和未患有共病物质使用障碍的品行障碍青少年的品行障碍症状模式，包括类型、数量和严重程度。
检查发现，年龄较小（10至13岁）和年龄较大（13岁以上）的青少年在共病发生率上没有显著差异。在符合品行障碍标准的青少年中，52%也符合物质使用障碍的标准。优势比表明，品行障碍与物质使用障碍共病的可能性在较年轻组中更高。
物质滥用和依赖在首次使用后往往迅速发展，这表明一旦开始吸毒，预防物质障碍的机会窗口很窄。
