Mental and substance use disorders from early adolescence to young adulthood among indigenous young people: final diagnostic results from an 8-year panel study

Whitbeck, Les B.; Sittner, Kelley J.; Crawford, Devan M.; Walls, Melissa L.; Gentzler, Kari C.; Hoyt, Dan R.

doi:10.1007/s00127-014-0825-0

Cited by 29 publications

(33 citation statements)

References 23 publications

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“…Whitebeck et al reported similar declines in late adolescents’ substance use in an indigenous sample that did not experience an income shock. 35 As in their study, it is possible that cultural changes to promote greater resilience within the tribe could have contributed to the decline in cannabis use in late adolescence.…”

Section: Discussionmentioning

confidence: 83%

Cannabis Use and Disorder From Childhood to Adulthood in a Longitudinal Community Sample With American Indians

Copeland

Hill

Costello

et al. 2017

Journal of the American Academy of Child & Adolescent Psych

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Objective Recent changes in DSM criteria require new documentation of the prevalence and developmental sequences of cannabis use disorder. Our goal was to study the early course of DSM-5 cannabis use disorder (CUD) and its overlap with DSM-IV and consumption constructs in a community-representative sample with American Indians. Method Data came from the prospective-longitudinal, population-based Great Smoky Mountains Study in North Carolina (N = 1,420, including n = 349 American Indians). Cannabis use and disorder were assessed during yearly interviews from ages 9 to 16, and again at ages 19, 21, 26, and 30 (up to 11 assessments per participant between 1993 and 2015). Results By age 30, approximately 70% of participants had used cannabis, 34% had used daily, and 18% had met criteria for DSM-5 CUD. Approximately 1 in 4 cannabis users met criteria for CUD at some point. Those who met criteria initiated use over two years earlier (at age 13.3) compared to other users. Despite higher risks due to increased poverty, American Indians’ patterns of use were similar to the rest of the sample. Concordance between DSM-5 CUD and DSM-IV abuse/dependence was substantial, but was even higher between DSM-5 CUD and daily use. Conclusion It was common to have either used cannabis daily or to have met criteria for DSM-5 CUD by adulthood. DSM-5 CUD was an improvement over DSM-IV diagnostic constructs by raising the threshold for diagnosis.

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Section: Discussionmentioning

confidence: 83%

Cannabis Use and Disorder From Childhood to Adulthood in a Longitudinal Community Sample With American Indians

Copeland

Hill

Costello

et al. 2017

Journal of the American Academy of Child & Adolescent Psych

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“…Additional details regarding the sample and study methodology are available in Whitbeck et al (2014). 12 …”

Section: Methodsmentioning

confidence: 99%

“…11 In the present sample, past-year prevalence of CD has been reported to peak at age 14 at 15.7% and decrease to 1.3% by age 18. 12 …”

Section: Introductionmentioning

confidence: 99%

Conduct Disorder and Alcohol Use Disorder Trajectories, Predictors, and Outcomes for Indigenous Youth

Greenfield

Sittner

Forbes

et al. 2017

Journal of the American Academy of Child & Adolescent Psych

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Objective Identify separate and joint trajectories of conduct disorder (CD) and alcohol use disorder (AUD) DSM-IV diagnostic symptoms among American Indian and First Nation (Indigenous) youth ages 10-18. Characterize baseline profiles and later outcomes associated with joint trajectory group membership. Method Data were collected between 2002 and 2010 on three indigenous reservations in the northern Midwest and four Canadian reserves (N = 673). CD and substance use disorder (SUD) were measured using the DSM-IV Diagnostic Interview Schedule for Children-Revised (DISC-R), administered at four time points. Results Using group-based trajectory modeling, three CD and four AUD trajectories were found. Both had a small group with high symptoms, but the largest groups for both had no symptoms (55% and 73%, respectively). CD symptom trajectories began at age 10 and peaked at age 14; AUD trajectories began at age 12 and were highest from age 16 on. Eight joint trajectories were identified. Fifty-three percent of the sample fell into the group with no CD or AUD symptoms. Compared to symptomatic groups, this group had greater caretaker warmth, positive school adjustment, less discrimination, fewer deviant peers, and were less likely to have a caretaker with major depression at baseline. Symptomatic groups had higher odds of high school dropout, sex under the influence, and arrest at age 17-20. Conclusion Despite significant risk factors, a large proportion of Indigenous youth had no CD-SUD symptoms over time. CD-SUD symptoms have multiple development trajectories and are related to early developmental risk and later psychosocial outcomes.

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“…This includes the development of substance use disorders (SUDs; DeWit, Adlaf, Offord, & Ogborne, ), which are more prevalent in Indigenous populations than among other racial/ethnic groups (Substance Abuse and Mental Health Services Administration [SAMHSA], ). By approximately age 18, the rate of lifetime alcohol dependence among the adolescents in the current study was nearly 18%, nicotine was 19.3%, and marijuana abuse was 23.7% (Whitbeck, Sittner Hartshorn, Crawford, Walls, Gentzler & Hoyt, ). Additionally, one‐half of the sample met lifetime criteria for any SUD.…”

mentioning

confidence: 72%

Trajectories of Substance Use: Onset and Adverse Outcomes Among North American Indigenous Adolescents

Sittner

2015

J of Research on Adolesc

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North American Indigenous communities experience disproportionately high rates substance use, abuse, and dependence and their accompanying consequences. This study uses group-based trajectory modeling of past-year substance use (alcohol, marijuana, and cigarettes) with a longitudinal sample of Indigenous adolescents from the northern Midwest and Canada (spanning ages 10 to 18 years). The early-onset trajectory (36.3%) had more adverse psychosocial difficulties at baseline than the mid-onset group (38.3%); both trajectories were associated with several negative outcomes at the end of the study. The late-onset trajectory (25.3%) did not initiate substance use until later adolescence and had far better outcomes at the last wave of the study. Timing of onset matters. Prevention efforts should begin in late childhood and continue through mid-adolescence.

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Mental and substance use disorders from early adolescence to young adulthood among indigenous young people: final diagnostic results from an 8-year panel study

Cited by 29 publications

References 23 publications

Cannabis Use and Disorder From Childhood to Adulthood in a Longitudinal Community Sample With American Indians

Cannabis Use and Disorder From Childhood to Adulthood in a Longitudinal Community Sample With American Indians

Conduct Disorder and Alcohol Use Disorder Trajectories, Predictors, and Outcomes for Indigenous Youth

Trajectories of Substance Use: Onset and Adverse Outcomes Among North American Indigenous Adolescents

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