A longitudinal perspective on adolescent substance abuse

Swadi, Harith

doi:10.1007/bf02091901

Cited by 21 publications

(12 citation statements)

References 83 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Previous research in general populations describes early drinking as a risk factor for later alcohol dependence(31) and continued alcohol use. (32) However, this study shows that early drinking among survivors is even more predictive of later heavy drinking than among a general population sample. Despite often increased parental supervision and increased health concerns, those survivors who initiate drinking at a young age may be especially motivated to do so, and may be turning to alcohol out of anger or distress related to the diagnosis, treatment or other related family or social problems that were heightened in the context of cancer.…”

Section: Discussioncontrasting

confidence: 56%

See 1 more Smart Citation

Alcohol consumption patterns and risk factors among childhood cancer survivors compared to siblings and general population peers

et al. 2008

View full text Add to dashboard Cite

Aims-This study describes alcohol consumption among adult survivors of pediatric cancer compared to sibling controls and a national sample of healthy peers. Risk factors for heavy drinking among survivors are described.Design, Setting and Participants-Cross-sectional data were utilized from the Childhood Cancer Survivor Study including adult survivors of pediatric cancer (N=10,398), and a sibling cohort (n=3,034). Comparison data were drawn from the National Alcohol Survey (n=4,774).Measurement-Alcohol consumption, demographic, cancer diagnosis, treatment and psychosocial factors were measured.Findings-Compared to peers, survivors were slightly less likely to be risky (OR adj =0.9; CI 0.8-1.0) and heavy drinkers (OR adj =0.8; CI 0.7-0.9) and more likely to be current drinkers. Compared to siblings, survivors were less likely to be current, risky and heavy drinkers. Risk factors for survivors' heavy drinking included being age 18-21 (OR adj =2.0; 95% CI 1.5-2.6), male (OR adj =2.1; 95% CI 1.8-2.6), having high school education or less (OR adj =3.4; 95% CI 2.7-4.4), and drinking initiation before age 14 (OR adj =6.9; 95% CI 4.4-10.8). Among survivors, symptoms of depression, anxiety, or somatization, activity limitations and anxiety about cancer were associated with heavy drinking. Cognitively compromising treatment, brain tumors and older age at diagnosis were protective.Conclusions-Adult survivors of childhood cancer show only a modest reduction in alcohol consumption compared to peers despite their more vulnerable health status. Distress and poorer health are associated with survivor heavy drinking. Screening for alcohol consumption should be instituted in long-term follow-up care and interventions among survivors and siblings should be established to reduce risk for early drinking.

show abstract

Section: Discussioncontrasting

confidence: 56%

“…(31, 32) It is unclear whether these risk factors apply equally to cancer survivors. Cancer-related risk factors have been less explored but knowledge of these factors is equally crucial to improve early identification of survivors at elevated risk for heavy drinking.…”

Section: Introductionmentioning

confidence: 99%

Alcohol consumption patterns and risk factors among childhood cancer survivors compared to siblings and general population peers

et al. 2008

View full text Add to dashboard Cite

show abstract

“…In 1994 the second most commonly mentioned reason was “for kicks, for fun, to feel good,” which replaced “because friends do, trendy.” Pupils continue to see social and peer group pressures as the main influences on a decision to start taking drugs, a view endorsed by Swadi 13. The perception that drugs are taken “for kicks, for fun” shows that these young people are aware that drugs do have pleasurable effects, a point often ignored by educationalists.…”

Section: Discussionmentioning

confidence: 99%

“…Family background and parenting styles have been found to predict later adolescent drug misuse 13. Some drug prevention teams funded by the Home Office have successfully worked with “parent empowerment” groups.…”

Section: Discussionmentioning

confidence: 99%

Knowledge and experience of young people regarding drug misuse, 1969-94

Wright

Pearl

1995

BMJ

View full text Add to dashboard Cite

Objective-To monitor young people's knowledge and experience of illicit drugs between 1969 and 1994 at intervals offive years.Design-The same anonymously completed questionnaire was used throughout.Setting-Three Wolverhampton secondary schools representing three different socioeconomic groups.Subjects-392 pupils aged 14 to 15 completed the questionnaire in 1994. Previous sample sizes were 471 in 1969, 523 in 1974, 648 in 1979, 540 in 1984, and 380 in 1989. Main outcome measures-Self reported levels of knowledge and experience ofillicit drugs.Results-Over 25 years the proportion of pupils who knew someone taking drugs more than quadrupled from 15% (71/471) to 65% (254/392), and the proportion who had been offered drugs increased ninefold from 5% (24) to 45% (175). Both of these proportions more than doubled over the past five years. In 1994 the proportions of pupils mentioning "ecstasy" (methylenedioxymethamphetamine), amphetamines, and crack cocaine increased significantly (P<0.01) and the proportion mentioning opiates decreased significantly (P< 0.01). "Poppers" (amyl nitrite) were mentioned for the first time. "To feel big, to show off, look grown up" has continued to be the main perceived reason for taking drugs.Television has continued to be the main source of information.Conclusions-In the past five years in particular young people's exposure to illicit drugs has increased dramatically. Despite more education about drugs, pupils' knowledge remains limited. Social pressures remain the first perceived reason for taking drugs. The media have a responsibility not to glamorise drugs. Wolverhampton WV3 9DYJ Denham Wright, consultant in public health medicine (retired)

show abstract

“…Rohde et al, (1996) found that more than 80% of adolescents with alcohol abuse or dependency had some other form of psychopathology and that alcohol disorders in general followed rather than preceded the onset of other psychiatric disorders. Swadi (1992) concludes on the basis of reviewed studies that emotional symptoms of psychiatric disturbance are more likely to precede substance abuse, and that behavioral symptoms are more likely to coincide with or follow it. Weill and Le Bourhis (1994) noted that the heaviest drinkers in young adulthood were generally dissatisfied with life, unconstrained, and pessimistic five years earlier.…”

mentioning

confidence: 99%

Problem drinking and psychological well‐being: A five year follow‐up study for adolescence to young adulthood

Pitkänen

1999

Scandinavian J Psychology

View full text Add to dashboard Cite

The psychological well-being of 651 Finnish adolescents (approximately age 17) was followed to young adulthood (age 22) and examined in terms of their drinking styles at age 22. The young adults were grouped into four categories delineating drinking style (non-users, non-problem drinkers, presumptive problem drinkers, and problem drinkers), and each group was examined for evolved paths of psychological well-being. The psychological profile of the participants was comprised of seven variables: self-esteem, trait anxiety, somatic symptoms, eating concerns, and mature, neurotic, and immature defense styles. The comparison of the drinking style categories revealed that future problem drinkers had lower states of psychological well-being already in adolescence and that the differences became more pronounced during the transition to young adulthood. Poor psychological well-being is a risk for the development of later problem drinking, although the profile of this poor psychological state is somewhat different in women and men.

show abstract

A longitudinal perspective on adolescent substance abuse

Cited by 21 publications

References 83 publications

Alcohol consumption patterns and risk factors among childhood cancer survivors compared to siblings and general population peers

Alcohol consumption patterns and risk factors among childhood cancer survivors compared to siblings and general population peers

Knowledge and experience of young people regarding drug misuse, 1969-94

Problem drinking and psychological well‐being: A five year follow‐up study for adolescence to young adulthood

Contact Info

Product

Resources

About