Skip to main content

Development of psychiatric comorbidity with substance abuse in adolescents: effects of timing and sex.

Publication ,  Journal Article
Costello, EJ; Erkanli, A; Federman, E; Angold, A
Published in: J Clin Child Psychol
September 1999

Examined the impact of childhood psychiatric disorders on the prevalence and timing of substance use and abuse and tested for sex differences. A representative population sample of 1,420 children, ages 9, 11, and 13 at intake, were interviewed annually. American Indians and youth with behavioral problems were oversampled; data were weighted back to population levels for analysis. By age 16, more than half the sample reported substance use, and 6% had abuse or dependence. Alcohol use began by age 9, and smoking in the 13th year. Mean onset of dependence was 14.8 years, and mean onset of abuse was 15.1 years. Substance use began earlier in boys, but not girls, who later developed abuse or dependence. Disruptive behavior disorders and depression were associated with a higher rate and earlier onset of substance use and abuse in both sexes, but anxiety predicted later onset of smoking. Family drug problems were the strongest correlate of early onset. Despite differences in prevalence of psychopathology, boys and girls showed more similarities than differences in the course of early substance use and abuse, and its associations with psychopathology.

Duke Scholars

Altmetric Attention Stats
Dimensions Citation Stats

Published In

J Clin Child Psychol

DOI

ISSN

0047-228X

Publication Date

September 1999

Volume

28

Issue

3

Start / End Page

298 / 311

Location

United States

Related Subject Headings

  • Substance-Related Disorders
  • Sex Factors
  • Risk Factors
  • Prevalence
  • Mental Disorders
  • Male
  • Longitudinal Studies
  • Humans
  • Female
  • Family Health
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Costello, E. J., Erkanli, A., Federman, E., & Angold, A. (1999). Development of psychiatric comorbidity with substance abuse in adolescents: effects of timing and sex. J Clin Child Psychol, 28(3), 298–311. https://doi.org/10.1207/S15374424jccp280302
Costello, E. J., A. Erkanli, E. Federman, and A. Angold. “Development of psychiatric comorbidity with substance abuse in adolescents: effects of timing and sex.J Clin Child Psychol 28, no. 3 (September 1999): 298–311. https://doi.org/10.1207/S15374424jccp280302.
Costello EJ, Erkanli A, Federman E, Angold A. Development of psychiatric comorbidity with substance abuse in adolescents: effects of timing and sex. J Clin Child Psychol. 1999 Sep;28(3):298–311.
Costello, E. J., et al. “Development of psychiatric comorbidity with substance abuse in adolescents: effects of timing and sex.J Clin Child Psychol, vol. 28, no. 3, Sept. 1999, pp. 298–311. Pubmed, doi:10.1207/S15374424jccp280302.
Costello EJ, Erkanli A, Federman E, Angold A. Development of psychiatric comorbidity with substance abuse in adolescents: effects of timing and sex. J Clin Child Psychol. 1999 Sep;28(3):298–311.

Published In

J Clin Child Psychol

DOI

ISSN

0047-228X

Publication Date

September 1999

Volume

28

Issue

3

Start / End Page

298 / 311

Location

United States

Related Subject Headings

  • Substance-Related Disorders
  • Sex Factors
  • Risk Factors
  • Prevalence
  • Mental Disorders
  • Male
  • Longitudinal Studies
  • Humans
  • Female
  • Family Health