Psychiatric and psychosocial predictors of substance use disorders among adolescents: Longitudinal study

Susan S.F. Gau, Mian Yoon Chong, Pincheng Yang, Cheng Fang Yen, Kung Yee Liang, Andrew T.A. Cheng

Research output: Contribution to journalArticlepeer-review

Abstract

Background: Few studies have prospectively examined psychosocial and psychiatric predictors of adolescent substance use disorders simultaneously. Aims: To identify psychosocial and psychiatric predictors of substance use disorders in adolescence. Method: School children aged 12 years (s.d.=0.3) free from any substance use disorder at grade 7 (n=428) were assessed in three consecutive years, using a standardised psychiatric interview. Their baseline psychosocial information was also collected. The outcome was the onset age of a substance use disorder. The Cox regression model was used for data analysis. Results: The most significant predictive factors for adolescent substance use disorder included male gender, attention-deficit hyperactivity disorder, conduct disorder and sibling use of tobacco. Three protective factors against such morbidity included living in a household with two parents, a good academic grade at grade 7 and objection to the use of substances. Conclusions: Early intervention for disruptive behaviour disorders and specific psychosocial risk factors might prevent substance use disorders in early adolescence.

Original languageEnglish (US)
Pages (from-to)42-48
Number of pages7
JournalBritish Journal of Psychiatry
Volume190
Issue numberJAN.
DOIs
StatePublished - Jan 2007

ASJC Scopus subject areas

  • Psychiatry and Mental health

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