Ethnic differences in comorbidity among substance-abusing adolescents referred to outpatient therapy

Journal of the American Academy of Child and Adolescent Psychiatry
Michael S RobbinsJ Szapocznik

Abstract

To examine differences in psychiatric comorbidity between African-American and Hispanic substance-abusing adolescents referred for outpatient therapy. Participants were 167 substance-abusing adolescents and their family members who completed an intake assessment. As part of the intake assessment, adolescents and parents were administered the Diagnostic Interview Schedule for Children-Predictive Scales to screen for the presence of nine psychiatric diagnoses representing both externalizing and internalizing disorders. Both African-American and Hispanic youths presented with high-above-threshold symptom rates of co-occurring disorders. However, both adolescents and parents reported that Hispanic youths (78.3% and 83.9%, respectively) demonstrated greater rates of externalizing symptoms than African-American youths (65.2% and 70.1%, respectively). African-American youths (40%) reported significantly more symptoms of agoraphobia than Hispanic youths (19.5%). The presence of high rates of co-occurring internalizing and externalizing problems provides evidence of the need for developing and implementing multifaceted interventions that address the complex emotional and behavioral needs of adolescent substance abusers. Among Hispanic y...Continue Reading

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Citations

Sep 11, 2002·Journal of Substance Abuse Treatment·Michael S RobbinsJosé Szapocznik
Jul 29, 2004·Journal of Psychoactive Drugs·Deane WileyWinnie Poon
Oct 6, 2010·Child and Adolescent Psychiatry and Mental Health·Tobias LangenbachJohannes Hebebrand
May 2, 2006·European Child & Adolescent Psychiatry·Christianne CouwenberghRutger J van der Gaag
Mar 24, 2010·Journal of Substance Abuse Treatment·Daniel J FeasterJosé Szapocznik
Oct 21, 2005·Journal of Child and Adolescent Psychiatric Nursing : Official Publication of the Association of Child and Adolescent Psychiatric Nurses, Inc·Christine Vourakis
Jun 13, 2006·Drug and Alcohol Dependence·Guillermo PradoJosé Szapocznik
Jul 1, 2017·Journal of Dual Diagnosis·Karina A GattamortaDaniel A Santisteban
Jan 15, 2008·Journal of Attention Disorders·Heather Hervey-JumperKathleen N Franco
Apr 6, 2006·Cultural Diversity & Ethnic Minority Psychology·Michael S RobbinsVictoria B Mitrani
Apr 25, 2007·The International Journal of Neuroscience·Erik P AskenasyNachum Dafny

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