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The impact of co-occurring mood and anxiety disorders among substance-abusing youth.
J Affect Disord. 2007 Nov; 103(1-3):105-12.JA

Abstract

BACKGROUND

Co-occurring mood and anxiety disorders are highly prevalent amongst substance-using young adolescents, and have been associated with a range of adverse outcomes. Few studies however have examined the impact of affective disorders in samples of older adolescents and young adults attending youth drug treatment services.

METHODS

One hundred young people (mean age 19.4 years) were recruited from two youth drug treatment services in Melbourne, Australia. A structured interview and questionnaires assessing drug use, psychopathology, risk-taking behaviours and quality of life were administered at a mutually convenient location.

RESULTS

Fifty percent of the sample met criteria for at least one current mental health disorder. Excluding individuals with a current psychotic illness (n=3), 49% met criteria for a current mood or anxiety disorder, with 68% reporting a lifetime history. There were high rates of current Major Depressive Disorder (MDD; 27%) and Post-traumatic Stress Disorder (PTSD; 26%) within the sample. Participants with these disorders were more likely to have a higher number of comorbid disorders, report more substance-related problems and a poorer quality of life.

LIMITATIONS

Cross-sectional design, lack of biological assays.

CONCLUSIONS

In older adolescence and emerging adulthood, young drug users with comorbid affective disorders have greater mental health and substance use morbidity than those with substance use problems alone. These findings have important clinical implications for the management and rehabilitation of young people with substance use disorders.

Authors+Show Affiliations

ORYGEN Research Centre, Department of Psychiatry, University of Melbourne, Australia. dan.lubman@mh.org,auNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

17291589

Citation

Lubman, Dan I., et al. "The Impact of Co-occurring Mood and Anxiety Disorders Among Substance-abusing Youth." Journal of Affective Disorders, vol. 103, no. 1-3, 2007, pp. 105-12.
Lubman DI, Allen NB, Rogers N, et al. The impact of co-occurring mood and anxiety disorders among substance-abusing youth. J Affect Disord. 2007;103(1-3):105-12.
Lubman, D. I., Allen, N. B., Rogers, N., Cementon, E., & Bonomo, Y. (2007). The impact of co-occurring mood and anxiety disorders among substance-abusing youth. Journal of Affective Disorders, 103(1-3), 105-12.
Lubman DI, et al. The Impact of Co-occurring Mood and Anxiety Disorders Among Substance-abusing Youth. J Affect Disord. 2007;103(1-3):105-12. PubMed PMID: 17291589.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The impact of co-occurring mood and anxiety disorders among substance-abusing youth. AU - Lubman,Dan I, AU - Allen,Nicholas B, AU - Rogers,Nich, AU - Cementon,Enrico, AU - Bonomo,Yvonne, Y1 - 2007/02/08/ PY - 2006/10/25/received PY - 2006/12/21/revised PY - 2007/01/08/accepted PY - 2007/2/13/pubmed PY - 2008/2/8/medline PY - 2007/2/13/entrez SP - 105 EP - 12 JF - Journal of affective disorders JO - J Affect Disord VL - 103 IS - 1-3 N2 - BACKGROUND: Co-occurring mood and anxiety disorders are highly prevalent amongst substance-using young adolescents, and have been associated with a range of adverse outcomes. Few studies however have examined the impact of affective disorders in samples of older adolescents and young adults attending youth drug treatment services. METHODS: One hundred young people (mean age 19.4 years) were recruited from two youth drug treatment services in Melbourne, Australia. A structured interview and questionnaires assessing drug use, psychopathology, risk-taking behaviours and quality of life were administered at a mutually convenient location. RESULTS: Fifty percent of the sample met criteria for at least one current mental health disorder. Excluding individuals with a current psychotic illness (n=3), 49% met criteria for a current mood or anxiety disorder, with 68% reporting a lifetime history. There were high rates of current Major Depressive Disorder (MDD; 27%) and Post-traumatic Stress Disorder (PTSD; 26%) within the sample. Participants with these disorders were more likely to have a higher number of comorbid disorders, report more substance-related problems and a poorer quality of life. LIMITATIONS: Cross-sectional design, lack of biological assays. CONCLUSIONS: In older adolescence and emerging adulthood, young drug users with comorbid affective disorders have greater mental health and substance use morbidity than those with substance use problems alone. These findings have important clinical implications for the management and rehabilitation of young people with substance use disorders. SN - 0165-0327 UR - https://www.unboundmedicine.com/medline/citation/17291589/The_impact_of_co_occurring_mood_and_anxiety_disorders_among_substance_abusing_youth_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0165-0327(07)00012-2 DB - PRIME DP - Unbound Medicine ER -