What is the Impact of Comorbid Depression on Adolescent Substance Abuse Treatment?

Hersh, Jacqueline; Curry, John F.; Kaminer, Yifrah

doi:10.1080/08897077.2014.956164

Cited by 28 publications

(16 citation statements)

References 46 publications

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“…Depression is defined as a cluster of specific symptoms with associated impairment, 12 which represents a global public health burden, even for children and adolescents. Depression in juveniles is associated with substantial functional impairment and psychological health problems, 12 13 such as substance abuse, 14 impaired psychosocial functioning 15 and suicide risk, 16 as well as relevant to a series of psychological health disorders in later adult life. 17 To evaluate whether ST-based sedentary behaviour may be associated with risk of depression in children and adolescents is critical in better guiding appropriate prevention and intervention strategies, in the hope of decreasing the burden from depression.…”

Section: Introductionmentioning

confidence: 99%

Dose–response association of screen time-based sedentary behaviour in children and adolescents and depression: a meta-analysis of observational studies

2015

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BackgroundDepression represents a growing public health burden. Understanding how screen time (ST) in juveniles may be associated with risk of depression is critical for the development of prevention and intervention strategies. Findings from studies addressing this question thus far have been inconsistent. Therefore, we conducted a comprehensive systematic review and meta-analysis of data related to this question.MethodsThe meta-analysis was conducted in accordance with the PRISMA guideline. We searched the electronic databases of PubMed, Web of Science and EBSCO systematically (up to 6 May 2015). OR was adopted as the pooled measurement of association between ST and depression risk. Dose–response was estimated by a generalised least squares trend estimation.ResultsTwelve cross-sectional studies and four longitudinal studies (including 1 cohort study) involving a total of 127 714 participants were included. Overall, higher ST in preadolescent children and adolescents was significantly associated with a higher risk of depression (OR=1.12; 95% CI 1.03 to 1.22). Screen type, age, population and reference category acted as significant moderators. Compared with the reference group who had no ST, there was a non-linear dose–response association of ST with a decreasing risk of depression at ST<2 h/day, with the lowest risk being observed for 1 h/day (OR=0.88; 95% CI 0.84 to 0.93).ConclusionsOur meta-analysis suggests that ST in children and adolescents is associated with depression risk in a non-linear dose–response manner.

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Section: Introductionmentioning

confidence: 99%

Dose–response association of screen time-based sedentary behaviour in children and adolescents and depression: a meta-analysis of observational studies

2015

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“…While it is well established that externalizing disorders such as Attention Deficit Hyperactivity Disorder (ADHD), Conduct Disorder, and Oppositional Defiant Disorder frequently co-occur with SUDs (Dirks et al 2017;Miranda et al 2016;Ottosen et al 2016;van Emmerik-van Oortmerssen et al 2014), relatively less attention has been paid to the co-occurrence between SUD and internalizing problems such as depression and anxiety. It has been estimated that up to 24-50% of youth with SUDs also have depression (Hersh et al 2014;Kaminer 2016); these disorders are associated in both the general population and clinical samples (Hersh et al 2014;Kaminer 2016). While SUDs also appear to co-occur with anxiety disorders (Kaminer 2016), the association across the class of disorders is weaker (Essau et al 2018), likely because youth with certain anxiety disorders (e.g., separation anxiety disorder) are likely to initiate substance use later compared to children with other anxiety disorders (e.g., generalized anxiety disorder).…”

Section: Introductionmentioning

confidence: 99%

Substance use and internalizing symptoms among high school students and access to health care services: results from a population-based study

Cheung

Cook

Kozloff

et al. 2018

Can J Public Health

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Objectives To examine co-occurring mental health problems among a population-based sample of high school students in Ontario, Canada, to understand their prevalence, associated risk factors, and relationship with mental health service access and utilization. Methods The data were derived from the 2013 Ontario Student Drug Use and Health Survey, a biennial survey of students attending publicly funded Ontario schools, from a subsample of students who completed both the internalizing and substance use portions of the survey (n = 2945). Rates of co-occurring problems were calculated for the previous 12 months. Service use for students with co-occurring problems was also calculated for the past 12 months. Odds ratios were estimated using binary logistic regression models correcting for the survey design. Results In an adjusted model, youth with internalizing symptoms were 2.40 times more likely and youth with substance use problems were 2.24 times more likely to have accessed mental health services during the past 12 months than youth without these problems. Youth with co-occurring internalizing and substance use problems were 6.74 times more likely (95% CI 4.66-9.76, p < 0.001) to have accessed mental health services during the past year compared with youth without co-occurring problems, but only 52.8% of youth with co-occurring problems (95% CI 45.6-59.9%) used mental health services. Conclusions The findings suggest that just over half of Ontario students in grades 9 through 12 who have co-occurring internalizing and substance use problems are utilizing mental health services. Further research should examine the factors related to service use in this population in order to better inform policy and program development.

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“…For instance, a lower methadone dosage is correlated with a higher possibility of dropout (Peles et al, 2006; Sarasvita et al, 2012). Mental health problems and concurrent use of heroin and other psychoactive drugs could also increase the likelihood of treatment termination (Hersh et al, 2014; Li et al, 2012a; Wang et al, 2015; Yin et al, 2015). In addition, lack of comprehensive services, including psychological counseling, social/employment assistance, and behavioral intervention may also contribute to the high dropout rates (Lin et al, 2010b; Pan et al, 2015).…”

Section: Introductionmentioning

confidence: 99%

An intervention trial targeting methadone maintenance treatment providers to improve clients’ treatment retention in China

Wu²,

Liang

et al. 2019

Drug and Alcohol Dependence

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Background: Service providers including doctors, nurses, and other healthcare professionals play an essential role in methadone maintenance treatment (MMT). This study evaluated the impact of an intervention targeting MMT providers on their clients’ treatment retention. Methods: This study was conducted in 68 MMT clinics in five provinces of China with 36 clients randomly selected from each clinic. The clinics were randomized to intervention or control condition. The MMT CARE intervention started with group sessions to enhance providers’ communication skills. The trained providers were encouraged to conduct individual sessions with clients to promote treatment engagement. The outcomes, which include client retention (main outcome) and their reception of provider-delivered individual sessions (process outcome), were measured over a 24-month period. Results: Significantly fewer intervention clients dropped out from MMT than control clients during the study period (31% vs. 41%; p < 0.0001). Dropout hazard was significantly lower in the intervention condition compared to the control condition (HR = 0.71, 95% CI: 0.57, 0.89). More intervention clients had individual sessions than control clients (93% vs. 70%; p < 0.0001). Having individual sessions was associated with a significantly lower dropout hazard (HR = 0.30, 95% CI: 0.23, 0.40). The intervention clients had a significantly lower dropout hazard than the control clients if they started the individual sessions during the first six months (HR = 0.68, 95% CI: 0.51, 0.90). Conclusions: The MMT CARE intervention focusing on provider capacity building has demonstrated efficacy in reducing clients’ treatment dropout. This study sheds light on MMT service improvement in China and other global community-based harm reduction programs.

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What is the Impact of Comorbid Depression on Adolescent Substance Abuse Treatment?

Cited by 28 publications

References 46 publications

Dose–response association of screen time-based sedentary behaviour in children and adolescents and depression: a meta-analysis of observational studies

Dose–response association of screen time-based sedentary behaviour in children and adolescents and depression: a meta-analysis of observational studies

Substance use and internalizing symptoms among high school students and access to health care services: results from a population-based study

An intervention trial targeting methadone maintenance treatment providers to improve clients’ treatment retention in China

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