Skip to main content
Top
Published in: Social Psychiatry and Psychiatric Epidemiology 5/2008

01-05-2008 | ORIGINAL PAPER

Adolescent problem behaviours predicting DSM-IV diagnoses of multiple substance use disorder

Findings of a prospective birth cohort study

Authors: Mohammad Reza Hayatbakhsh, MD, PhD, Jake Moses Najman, PhD, FASSA, Konrad Jamrozik, DPhil, FAFPHM, Abdullah Al Mamun, PhD, William Bor, FRANZCP, Rosa Alati, PhD

Published in: Social Psychiatry and Psychiatric Epidemiology | Issue 5/2008

Login to get access

Abstract

Background

Whether there is an independent association between problem behaviours and substance use disorders (SUD) needs further investigation. This study examined prospective associations of adolescent psychopathology and problem behaviours with SUD in early adulthood, and whether these associations are confounded by other factors.

Method

Data were from a prospective study of 2,429 young Australian adults from birth to the age of 21 when data on SUD were collected. Adolescent psychopathology and behaviour were assessed at 14 years via the Youth Self Report instrument on eight sub-scales of emotional and behavioural problems.

Results

In multivariate analyses, attention problems, delinquency, and aggression were associated with both single and multiple SUD in early adulthood, with delinquent behaviour being the strongest predictor (OR = 2.0, 95% CI 1.4–2.9 for one SUD and OR = 3.6, 95% CI 2.4–5.0 for multiple SUDs).

Conclusions

Problem behaviours, in particular delinquency and aggression in early adolescence predict long-term SUD. The results suggest that substance use prevention programs should target adolescents with early symptoms of psychopathology and problem behaviour.
Literature
1.
go back to reference Achenbach TM (1991a) Manual for the child behavior checklist/4–18 and 1991 profile. University of Vermont Department of Psychiatry, Burlington Achenbach TM (1991a) Manual for the child behavior checklist/4–18 and 1991 profile. University of Vermont Department of Psychiatry, Burlington
2.
go back to reference Achenbach TM (1991b) Manual for the youth self-report and 1991 profile. University of Vermont Department of Psychiatry, Burlington Achenbach TM (1991b) Manual for the youth self-report and 1991 profile. University of Vermont Department of Psychiatry, Burlington
3.
go back to reference Agrawal A, Gardner CO, Prescott CA, Kendler KS (2005) The differential impact of risk factors on illicit drug involvement in females. Soc Psychiatry Psychiatr Epidemiol 40:454–466PubMedCrossRef Agrawal A, Gardner CO, Prescott CA, Kendler KS (2005) The differential impact of risk factors on illicit drug involvement in females. Soc Psychiatry Psychiatr Epidemiol 40:454–466PubMedCrossRef
4.
go back to reference Akers RL (1984) Delinquent behaviour, drugs and alcohol. What is the relationship? Today’s Delinq 3:19–47 Akers RL (1984) Delinquent behaviour, drugs and alcohol. What is the relationship? Today’s Delinq 3:19–47
5.
go back to reference Alati R, Najman JM, Kinner SA, Mamun AA, Williams GM, O’Callaghan M, Bor W (2005) Early predictors of adult drinking: a birth cohort study. Am J Epidemiol 162:1098–1107PubMedCrossRef Alati R, Najman JM, Kinner SA, Mamun AA, Williams GM, O’Callaghan M, Bor W (2005) Early predictors of adult drinking: a birth cohort study. Am J Epidemiol 162:1098–1107PubMedCrossRef
6.
go back to reference Barnes H, Olson DH (1982) Parent-adolescent communication. In: Olson DH, McCubbin HI, Barnes H, Larsen A, Muxen M, Wilson M (eds) Family inventories: inventories used in a national survey of families across the family life cycle. Family Social Science, University of Minnesota, St Paul, pp 33–48 Barnes H, Olson DH (1982) Parent-adolescent communication. In: Olson DH, McCubbin HI, Barnes H, Larsen A, Muxen M, Wilson M (eds) Family inventories: inventories used in a national survey of families across the family life cycle. Family Social Science, University of Minnesota, St Paul, pp 33–48
7.
go back to reference Bedford A, Foulds G (1978) Manual of the delusions-symptoms-states inventory (DSSI). NFER-Nelson, Winsdor Bedford A, Foulds G (1978) Manual of the delusions-symptoms-states inventory (DSSI). NFER-Nelson, Winsdor
8.
go back to reference Biederman J, Faraone S, Milberger S, Guite J, Mick E, Chen L, Mennin D, Marrs A, Ouellette C, Moore P, Spencer T, Norman D, Wilens T, Kraus I, Perrin J (1996) A prospective 4-year follow-up study of attention-deficit hyperactivity and related disorders. Arch Gen Psychiatry 53:437–446PubMed Biederman J, Faraone S, Milberger S, Guite J, Mick E, Chen L, Mennin D, Marrs A, Ouellette C, Moore P, Spencer T, Norman D, Wilens T, Kraus I, Perrin J (1996) A prospective 4-year follow-up study of attention-deficit hyperactivity and related disorders. Arch Gen Psychiatry 53:437–446PubMed
9.
go back to reference Boyle MH, Offord DR, Racine YA, Szatmari P, Fleming JE, Links PS (1992) Predicting substance use in late adolescence: results from the Ontario child health study follow-up. Am J Psychiatry 149:761–767PubMed Boyle MH, Offord DR, Racine YA, Szatmari P, Fleming JE, Links PS (1992) Predicting substance use in late adolescence: results from the Ontario child health study follow-up. Am J Psychiatry 149:761–767PubMed
10.
go back to reference Brook JS, Whiteman M, Finch SJ, Cohen P (1996) Young adult drug use and delinquency: childhood antecedents and adolescent mediators. J Am Acad Child Adolesc Psychiatry 35:1584–1592PubMedCrossRef Brook JS, Whiteman M, Finch SJ, Cohen P (1996) Young adult drug use and delinquency: childhood antecedents and adolescent mediators. J Am Acad Child Adolesc Psychiatry 35:1584–1592PubMedCrossRef
11.
go back to reference Disney ER, Elkins IJ, McGue M, Iacono WG (1999) Effects of ADHD, conduct disorder, and gender on substance use and abuse in adolescence. Am J Psychiatry 156:1515–1521PubMed Disney ER, Elkins IJ, McGue M, Iacono WG (1999) Effects of ADHD, conduct disorder, and gender on substance use and abuse in adolescence. Am J Psychiatry 156:1515–1521PubMed
12.
go back to reference Ferdinand RF, Blum M, Verhulst FC (2001) Psychopathology in adolescence predicts substance use in young adulthood. Addiction 96:861–870PubMedCrossRef Ferdinand RF, Blum M, Verhulst FC (2001) Psychopathology in adolescence predicts substance use in young adulthood. Addiction 96:861–870PubMedCrossRef
13.
go back to reference Gau SSF, Chong M-Y, Yang P, Yen C-F, Liang K-Y, Cheng ATA (2007) Psychiatric and psychosocial predictors of substance use disorders among adolescents: longitudinal study. Br J Psychiatry 190:42–48PubMedCrossRef Gau SSF, Chong M-Y, Yang P, Yen C-F, Liang K-Y, Cheng ATA (2007) Psychiatric and psychosocial predictors of substance use disorders among adolescents: longitudinal study. Br J Psychiatry 190:42–48PubMedCrossRef
14.
go back to reference Gilliom M, Shaw DS (2004) Codevelopment of externalizing and internalizing problems in early childhood. Dev Psychopathol 16:313–333PubMedCrossRef Gilliom M, Shaw DS (2004) Codevelopment of externalizing and internalizing problems in early childhood. Dev Psychopathol 16:313–333PubMedCrossRef
15.
go back to reference Hayatbakhsh MR, Najman JM, Jamrozik K, Mamun AA, Alati R (2006) Do parents’ marital circumstances predict young adults’ DSM-IV cannabis use disorders? A prospective study. Addiction 101:1778–1786PubMedCrossRef Hayatbakhsh MR, Najman JM, Jamrozik K, Mamun AA, Alati R (2006) Do parents’ marital circumstances predict young adults’ DSM-IV cannabis use disorders? A prospective study. Addiction 101:1778–1786PubMedCrossRef
16.
go back to reference Hofstra MB, Van Der Ende JAN, Verhulst FC (2001) Adolescents’ self-reported problems as predictors of psychopathology in adulthood: 10-year follow-up study. Br J Psychiatry 179:203–209PubMedCrossRef Hofstra MB, Van Der Ende JAN, Verhulst FC (2001) Adolescents’ self-reported problems as predictors of psychopathology in adulthood: 10-year follow-up study. Br J Psychiatry 179:203–209PubMedCrossRef
17.
go back to reference Hogan JW, Roy J, Korkontzelou C (2004) Handling drop-out in longitudinal studies. Stat Med 23:1455–1497PubMedCrossRef Hogan JW, Roy J, Korkontzelou C (2004) Handling drop-out in longitudinal studies. Stat Med 23:1455–1497PubMedCrossRef
18.
go back to reference Huizink AC, Ferdinand RF, van der Ende J, Verhulst FC (2006) Symptoms of anxiety and depression in childhood and use of MDMA: prospective, population based study. BMJ 332:825–828PubMedCrossRef Huizink AC, Ferdinand RF, van der Ende J, Verhulst FC (2006) Symptoms of anxiety and depression in childhood and use of MDMA: prospective, population based study. BMJ 332:825–828PubMedCrossRef
19.
go back to reference Iacono WG, Carlson SR, Taylor J, Elkins IJ, McGue M (1999) Behavioral disinhibition and the development of substance-use disorders: findings from the Minnesota twin family study. Dev Psychopathol 11:869–900PubMedCrossRef Iacono WG, Carlson SR, Taylor J, Elkins IJ, McGue M (1999) Behavioral disinhibition and the development of substance-use disorders: findings from the Minnesota twin family study. Dev Psychopathol 11:869–900PubMedCrossRef
20.
go back to reference Khantzian EJ (1985) The self-medication hypothesis of addictive disorders: focus on heroin and cocaine dependence. Am J Psychiatry 142:1259–1264PubMed Khantzian EJ (1985) The self-medication hypothesis of addictive disorders: focus on heroin and cocaine dependence. Am J Psychiatry 142:1259–1264PubMed
21.
go back to reference King SM, Iacono WG, McGue M (2004) Childhood externalizing and internalizing psychopathology in the prediction of early substance use. Addiction 99:1548–1559PubMedCrossRef King SM, Iacono WG, McGue M (2004) Childhood externalizing and internalizing psychopathology in the prediction of early substance use. Addiction 99:1548–1559PubMedCrossRef
22.
go back to reference Loeber R, Stouthamer-Loeber M, Raskin White H (1999) Developmental aspects of delinquency and internalizing problems and their association with persistent juvenile substance use between ages 7 and 18. J Clin Child Psychol 28:322–332PubMedCrossRef Loeber R, Stouthamer-Loeber M, Raskin White H (1999) Developmental aspects of delinquency and internalizing problems and their association with persistent juvenile substance use between ages 7 and 18. J Clin Child Psychol 28:322–332PubMedCrossRef
23.
go back to reference Marshal MP, Molina BS, Pelham WE Jr. (2003) Childhood ADHD and adolescent substance use: an examination of deviant peer group affiliation as a risk factor. Psychol Addict Behav 17:293–302PubMedCrossRef Marshal MP, Molina BS, Pelham WE Jr. (2003) Childhood ADHD and adolescent substance use: an examination of deviant peer group affiliation as a risk factor. Psychol Addict Behav 17:293–302PubMedCrossRef
24.
go back to reference Moffitt TE, Caspi A, Dickson N, Silva P, Stanton W (1996) Childhood-onset versus adolescent-onset antisocial conduct problems in males: natural history from aged 3 to 18 years. Dev Psychopathol 8:399–424CrossRef Moffitt TE, Caspi A, Dickson N, Silva P, Stanton W (1996) Childhood-onset versus adolescent-onset antisocial conduct problems in males: natural history from aged 3 to 18 years. Dev Psychopathol 8:399–424CrossRef
25.
go back to reference Najman JM, Anderson MJ, Bor W, O’Callaghan MJ, Williams GM (2000) Postnatal depression-myth and reality: maternal depression before and after the birth of a child. Soc Psychiatry Psychiatr Epidemiol 35:19–27PubMedCrossRef Najman JM, Anderson MJ, Bor W, O’Callaghan MJ, Williams GM (2000) Postnatal depression-myth and reality: maternal depression before and after the birth of a child. Soc Psychiatry Psychiatr Epidemiol 35:19–27PubMedCrossRef
26.
go back to reference Najman JM, Bor W, O’Callaghan M, Williams GM, Aird R, Shuttlewood G (2005) Cohort profile: the mater-University of Queensland Study of Pregnancy (MUSP). Int J Epidemiol 34:992–997PubMedCrossRef Najman JM, Bor W, O’Callaghan M, Williams GM, Aird R, Shuttlewood G (2005) Cohort profile: the mater-University of Queensland Study of Pregnancy (MUSP). Int J Epidemiol 34:992–997PubMedCrossRef
27.
go back to reference Ristkari T, Sourander A, Ronning J, Helenius H (2006) Self-reported psychopathology, adaptive functioning and sense of coherence, and psychiatric diagnosis among young men. Soc Psychiatry Psychiatr Epidemiol 41:523–531PubMedCrossRef Ristkari T, Sourander A, Ronning J, Helenius H (2006) Self-reported psychopathology, adaptive functioning and sense of coherence, and psychiatric diagnosis among young men. Soc Psychiatry Psychiatr Epidemiol 41:523–531PubMedCrossRef
28.
go back to reference Spanier GB (1976) Measuring dyadic adjustment: new scales for assessing the quality of marriage and similar dyads. J Marriage Fam 38:15–28CrossRef Spanier GB (1976) Measuring dyadic adjustment: new scales for assessing the quality of marriage and similar dyads. J Marriage Fam 38:15–28CrossRef
29.
go back to reference Verhulst FC, Prince J, Vervuurt-Poot C, de Jong J (1989) Mental health in Dutch adolescents: self-reported competencies and problems for ages 11–18. Acta Psychiatr Scand Suppl 356:1–48PubMedCrossRef Verhulst FC, Prince J, Vervuurt-Poot C, de Jong J (1989) Mental health in Dutch adolescents: self-reported competencies and problems for ages 11–18. Acta Psychiatr Scand Suppl 356:1–48PubMedCrossRef
30.
go back to reference Weinberg NZ, Glantz MD (1999) Child psychopathology risk factors for drug abuse: overview. J Clin Child Psychol 28:290–297PubMedCrossRef Weinberg NZ, Glantz MD (1999) Child psychopathology risk factors for drug abuse: overview. J Clin Child Psychol 28:290–297PubMedCrossRef
31.
go back to reference White HR, Xie M, Thompson W, Loeber R, Stouthamer-Loeber M (2001) Psychopathology as a predictor of adolescent drug use trajectories. Psychol Addict Behav 15:210–218PubMedCrossRef White HR, Xie M, Thompson W, Loeber R, Stouthamer-Loeber M (2001) Psychopathology as a predictor of adolescent drug use trajectories. Psychol Addict Behav 15:210–218PubMedCrossRef
32.
go back to reference Woodward LJ, Fergusson DM (2001) Life course outcomes of young people with anxiety disorders in adolescence. J Am Acad Child Adolesc Psychiatry 40:1086–1093PubMedCrossRef Woodward LJ, Fergusson DM (2001) Life course outcomes of young people with anxiety disorders in adolescence. J Am Acad Child Adolesc Psychiatry 40:1086–1093PubMedCrossRef
33.
go back to reference World Health Organization (1997) CIDI-Auto version 2.1: administrator’s guide and reference. Training and Reference Centre for WHO CIDI, Sydney World Health Organization (1997) CIDI-Auto version 2.1: administrator’s guide and reference. Training and Reference Centre for WHO CIDI, Sydney
Metadata
Title
Adolescent problem behaviours predicting DSM-IV diagnoses of multiple substance use disorder
Findings of a prospective birth cohort study
Authors
Mohammad Reza Hayatbakhsh, MD, PhD
Jake Moses Najman, PhD, FASSA
Konrad Jamrozik, DPhil, FAFPHM
Abdullah Al Mamun, PhD
William Bor, FRANZCP
Rosa Alati, PhD
Publication date
01-05-2008
Publisher
Steinkopff-Verlag
Published in
Social Psychiatry and Psychiatric Epidemiology / Issue 5/2008
Print ISSN: 0933-7954
Electronic ISSN: 1433-9285
DOI
https://doi.org/10.1007/s00127-008-0325-1

Other articles of this Issue 5/2008

Social Psychiatry and Psychiatric Epidemiology 5/2008 Go to the issue