Journal of the American Academy of Child & Adolescent Psychiatry
SPECIAL COMMUNICATIONRelationship Between Depression and Substance Use Disorders in Adolescent Women During the Transition to Adulthood
Section snippets
Sample
Participants were recruited from the senior classes of 3 local public high schools, chosen to be demographically representative of Los Angeles County high schools with respect to ethnicity, proportion graduating, and proportion attending college after graduation (Los Angeles County Office of Education, 1991). During the spring semester, research staff entered 12th grade classrooms at each school and distributed screening questionnaires to all female students present. Five-hundred thirteen women
Prevalence of SUD During the 5 Years After High School Graduation
Of 150 women providing follow-up information, 21 (14%) reported SUD during follow-up. Of these, 13 had a first episode of SUD, yielding a first incidence rate of 9.6% over 5 years. The RCSAST measure yielded a prevalence rate of 13.6% for significant substance-related problems at 5 years after graduation. Risk for SUD occurred throughout the follow-up period. After accounting for differential follow-up interval within the sample, by the end of first year the probability of SUD diagnosis was
DISCUSSION
The study examined the continuity of SUD in adolescent women during the post-high school transition. Moreover, cross-sectional and longitudinal reciprocal relationships between depression and SUD were examined using both categorical and dimensional measures. There was a strong continuity of SUD from adolescent to early adult years. Depression and SUD were related concurrently. Furthermore, SUD increased the risk for MDD over 5 years, but the reverse was not true. SUD was associated with
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This research was supported in part by the William T. Grant Foundation (Dr. Hammen) and NIMH Scientist Development Award MH01419 (Dr. Rao).