Early Adolescent Substance Use and Mental Health Problems and Service Utilisation in a School-based Sample

Brownlie, E. B.; Beitchman, Joseph H.; Chaim, Gloria; Wolfe, David A.; Rush, Brian; Henderson, Joanna

doi:10.1177/0706743718784935

Cited by 36 publications

(21 citation statements)

References 50 publications

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“…Notably, a survey of 10,123 adolescents aged 13 to 18 years in the continental United States showed that 40% of participants with one disorder also met criteria for another lifetime disorder [ 5 ]. Substance use and mental health disorders, for example, commonly co‐occur [ 6 ] and are closely related to increased morbidity and mortality [ 7 ]. A recent meta-analysis of 41 studies conducted between 1985 and 2012 in 27 countries estimated a global point prevalence of mental disorders in children and adolescents of 13% [ 8 ].…”

Section: Introductionmentioning

confidence: 99%

Text Message Interventions in Adolescent Mental Health and Addiction Services: Scoping Review

MacDougall¹,

Jerrott²,

Clark³

et al. 2021

JMIR Ment Health

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Background The vast majority of adolescent mental health and substance use disorders go undiagnosed and undertreated. SMS text messaging is increasingly used as a method to deliver adolescent health services that promote psychological well-being and aim to protect adolescents from adverse experiences and risk factors critical for their current and future mental health. To date, there has been no comprehensive synthesis of the existing literature on the extent, range, and implementation contexts of these SMS text message interventions. Objective The objective of this scoping review was to map and categorize gaps in the current body of peer-reviewed research around the use of SMS text messaging–based interventions for mental health and addiction services among adolescents. Methods A scoping review was conducted according to Levac’s adaptation of Arksey and O’Malley’s methodological framework for scoping reviews in six iterative stages. A search strategy was cocreated and adapted for five unique databases. Studies were screened using Covidence software. The PICO (patient, intervention, comparator, outcome) framework and input from multiple stakeholder groups were used to structure and pilot a data extraction codebook. Data were extracted on study methodology and measures, intervention design, and implementation characteristics, as well as policy, practice, and research implications. Results We screened 1142 abstracts. Of these, 31 articles published between 2013 and 2020 were eligible for inclusion. Intervention engagement was the most common type of outcome measured (18/31), followed by changes in cognitions (16/31; eg, disease knowledge, self-awareness) and acceptability (16/31). Interventions were typically delivered in less than 12 weeks, and adolescents received 1-3 messages per week. Bidirectional messaging was involved in 65% (20/31) of the studies. Limited descriptions of implementation features (eg, cost, policy implications, technology performance) were reported. Conclusions The use of SMS text messaging interventions is a rapidly expanding area of research. However, lack of large-scale controlled trials and theoretically driven intervention designs limits generalizability. Significant gaps in the literature were observed in relation to implementation considerations, cost, clinical workflow, bidirectionality of texting, and level of personalization and tailoring of the interventions. Given the growth of mobile phone–based interventions for this population, a rigorous program of large-scale, well-designed trials is urgently required.

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Section: Introductionmentioning

confidence: 99%

Text Message Interventions in Adolescent Mental Health and Addiction Services: Scoping Review

MacDougall¹,

Jerrott²,

Clark³

et al. 2021

JMIR Ment Health

View full text Add to dashboard Cite

show abstract

“…Notably, a survey of 10,123 adolescents aged 13 to 18 years in the continental United States showed that 40% of participants with one disorder also met criteria for another lifetime disorder [5]. Substance use and mental health disorders, for example, commonly co-occur [6] and are closely related to increased morbidity and mortality [7]. A recent meta-analysis of 41 studies conducted between 1985 and 2012 in 27 countries estimated a global point prevalence of mental disorders in children and adolescents of 13% [8].…”

Section: Limits Of Face-to-face Mental Health and Addiction Care For mentioning

confidence: 99%

Text Message Interventions in Adolescent Mental Health and Addiction Services: Scoping Review (Preprint)

MacDougall¹,

Jerrott²,

Clark³

et al. 2019

Preprint

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BACKGROUND More than half of adult mental disorders have their onset before the age of 18 and nearly one third of children and adolescents with a mental illness are estimated to have more than one diagnosable disorder. Improving broad dissemination of developmentally appropriate treatment and scaling up evidence-based interventions is vital to addressing issues before adulthood. Interventions delivered using text messaging have been effective in promoting behavioural change in various clinical contexts, but the reach and implementation of text messaging interventions within child and adolescent mental health and addictions are not well understood. OBJECTIVE The objective of this scoping review was to map and categorize the current state of peer-reviewed research around the use of text messaging based interventions for mental health and addictions services among children and adolescents. METHODS A scoping review was conducted according to Levac’s adaptation of Arksey and O’Malley’s methodological framework for scoping reviews in six iterative stages. A search strategy was co-created and adapted for five unique databases. Studies were screened using Covidence software. The PICO (patient, intervention, comparator, outcome) framework as well as input from multiple stakeholder groups were used to structure and pilot a data extraction codebook. Data was extracted on study methodology and measures, intervention design, implementation characteristics, as well as policy, practice and research implications. RESULTS Seven hundred and thirty six abstracts were screened. Twenty-five articles published between 2013 to 2018 were eligible for inclusion. Intervention engagement was the most common type of outcome measured (15/25) followed by changes in cognitions (14/25) (e.g., disease knowledge, self-awareness) and acceptability (13/25). Interventions were typically delivered in <12 weeks and adolescents received 1-3 messages per week. Sixty-eight percent (17/25) involved bi-directional messaging. Limited description of implementation features (e.g., cost, policy implications, technology performance) were reported. CONCLUSIONS The use of text messaging interventions is a rapidly expanding area of research. However, lack of large-scale controlled trials and theoretically driven intervention designs limits generalizability. Significant gaps in the literature were observed in relation to implementation considerations, cost, clinical workflow, bi-directionality of texting, and level of personalization and tailoring of the interventions. Given the growth of mobile phone based interventions for this population a rigorous program of large-scale, well-designed trials is urgently required.

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“…Cannabis is the most commonly used recreational drug after alcohol and the highest prevalence of use is in teens and young adults ( Rush et al, 2008 ). A recent study of Canadian middle-school age youth showed that cannabis use was strongly associated with internalizing mental health problems (viz., depression, anxiety) with an odds ratio of approximately 6.5 ( Brownlie et al, 2019 ). There is some overlap in symptomatology between MDD and heavy cannabis use including anhedonia, changes in weight, sleep disturbance and psychomotor problems ( Feingold et al, 2017 ).…”

Section: Introductionmentioning

confidence: 99%

Emotion regulation in emerging adults with major depressive disorder and frequent cannabis use

Nichols

Penner

Ford

et al. 2021

NeuroImage: Clinical

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Highlights Linear mixed modelling was used to analyze fMRI data on an emotion task. Cannabis use and major depressive disorder interacted with emotion regulation. The biggest effects were observed in the left temporal lobe. Emotion regulation strategy and depressive symptoms also predicted activity. The combination of MDD and cannabis was more complex than strictly additive.

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Early Adolescent Substance Use and Mental Health Problems and Service Utilisation in a School-based Sample

Cited by 36 publications

References 50 publications

Text Message Interventions in Adolescent Mental Health and Addiction Services: Scoping Review

Text Message Interventions in Adolescent Mental Health and Addiction Services: Scoping Review

Text Message Interventions in Adolescent Mental Health and Addiction Services: Scoping Review (Preprint)

Emotion regulation in emerging adults with major depressive disorder and frequent cannabis use

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