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- Title
Severity of Victimization and Co-Occurring Mental Health Disorders Among Substance Using Adolescents.
- Authors
Sabri, Bushra
- Abstract
Background: Co-occurring mental health disorders are widespread among substance using adolescents. Severity of victimization may be an important factor in explaining co-occurrence of mental health problems among adolescents with substance misuse problems. Purpose: The purpose of this study was to evaluate whether severe victimization experiences were shared risk factors for internalizing only, externalizing only, and co-occurring internalizing and externalizing disorders among victimized substance-using adolescents. Method: Data for this cross-sectional study were obtained from a multisite research project. Adolescents, ages 11-18, participated in a comprehensive screening program for substance abuse at 106 Substance Abuse and Mental Health Services Administration (SAMHSA) Center for Substance Abuse Treatment (CSAT)-funded grantee sites throughout the United States. Results: Longer duration/frequent victimization, more than one type of victimization, and recent victimization were related to co-occurring internalizing and externalizing disorders. Victimization by a trusted person, however, was only related to internalizing disorders. Conclusion: The findings show that some indicators of severe victimization experiences are shared risk factors for internalizing, for externalizing, and for co-occurring internalizing and externalizing problems, thus providing support for the common factors model of co-morbidity. These findings suggest that practitioners in substance abuse treatment must thoroughly assess for severe victimization experiences among adolescents presenting with co-occurring mental health issues. Treatment planning and interventions may focus on helping adolescents cope effectively with their victimization experiences and addressing their MH needs.
- Subjects
MARYLAND; SUBSTANCE abuse risk factors; PSYCHOLOGICAL adaptation; PSYCHOLOGY of adult child abuse victims; ANALYSIS of variance; CHI-squared test; CHILD Behavior Checklist; CONFIDENCE intervals; STATISTICAL correlation; EPIDEMIOLOGY; MENTAL illness; MULTIVARIATE analysis; RESEARCH funding; SCALES (Weighing instruments); STATISTICS; VICTIM psychology; COMORBIDITY; LOGISTIC regression analysis; DATA analysis; SECONDARY analysis; DRUG abusers; CROSS-sectional method; DESCRIPTIVE statistics; ADOLESCENCE
- Publication
Child & Youth Care Forum, 2012, Vol 41, Issue 1, p37
- ISSN
1053-1890
- Publication type
Article
- DOI
10.1007/s10566-011-9151-9