Do young people with comorbid mental and alcohol disorders experience worse behavioural problems?

This article examines whether young individuals in the general population with comorbid alcohol use and mental health disorders experience worse internalizing and externalizing behaviour problems than those with single disorders. A large cohort of women at the Mater Misericordiae Hospital in Brisban...

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Main Authors: Salom, C., Betts, K., Williams, G., Najman, J., Scott, J., Alati, Rosa
Format: Journal Article
Published: Elsevier Ireland Ltd 2014
Online Access:http://hdl.handle.net/20.500.11937/72954
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author Salom, C.
Betts, K.
Williams, G.
Najman, J.
Scott, J.
Alati, Rosa
author_facet Salom, C.
Betts, K.
Williams, G.
Najman, J.
Scott, J.
Alati, Rosa
author_sort Salom, C.
building Curtin Institutional Repository
collection Online Access
description This article examines whether young individuals in the general population with comorbid alcohol use and mental health disorders experience worse internalizing and externalizing behaviour problems than those with single disorders. A large cohort of women at the Mater Misericordiae Hospital in Brisbane, Australia, was enroled during pregnancy in a longitudinal study. Mother/offspring dyads were followed over 21 years. At age 21, offspring behaviour problems were examined using the Young Adult Self Report, alcohol and mental health disorders with the Composite International Diagnostic Interview. Associations between comorbidity and behaviour problems were assessed using multinomial logistic regression, accounting for life-course factors. Twelve per cent of young adults had alcohol/mental health DSM-IV disorders with significant temporal overlap. A further 16% had alcohol disorders only and 23% mental health disorders only. The comorbid group scored significantly higher on total and externalizing behaviour problems but not internalizing behaviour problems. Stronger associations of aggression/delinquency with comorbidity were not fully accounted for by factors known to influence separate development of mental health and alcohol disorders. Young adults with comorbid alcohol/mental health disorders experience more, and more severe, behavioural problems than those with single disorder types, indicating an increased burden from comorbidity, with implications for treatment and public order. © 2014 Elsevier Ireland Ltd.
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spelling curtin-20.500.11937-729542018-12-13T09:33:49Z Do young people with comorbid mental and alcohol disorders experience worse behavioural problems? Salom, C. Betts, K. Williams, G. Najman, J. Scott, J. Alati, Rosa This article examines whether young individuals in the general population with comorbid alcohol use and mental health disorders experience worse internalizing and externalizing behaviour problems than those with single disorders. A large cohort of women at the Mater Misericordiae Hospital in Brisbane, Australia, was enroled during pregnancy in a longitudinal study. Mother/offspring dyads were followed over 21 years. At age 21, offspring behaviour problems were examined using the Young Adult Self Report, alcohol and mental health disorders with the Composite International Diagnostic Interview. Associations between comorbidity and behaviour problems were assessed using multinomial logistic regression, accounting for life-course factors. Twelve per cent of young adults had alcohol/mental health DSM-IV disorders with significant temporal overlap. A further 16% had alcohol disorders only and 23% mental health disorders only. The comorbid group scored significantly higher on total and externalizing behaviour problems but not internalizing behaviour problems. Stronger associations of aggression/delinquency with comorbidity were not fully accounted for by factors known to influence separate development of mental health and alcohol disorders. Young adults with comorbid alcohol/mental health disorders experience more, and more severe, behavioural problems than those with single disorder types, indicating an increased burden from comorbidity, with implications for treatment and public order. © 2014 Elsevier Ireland Ltd. 2014 Journal Article http://hdl.handle.net/20.500.11937/72954 10.1016/j.psychres.2014.05.056 Elsevier Ireland Ltd restricted
spellingShingle Salom, C.
Betts, K.
Williams, G.
Najman, J.
Scott, J.
Alati, Rosa
Do young people with comorbid mental and alcohol disorders experience worse behavioural problems?
title Do young people with comorbid mental and alcohol disorders experience worse behavioural problems?
title_full Do young people with comorbid mental and alcohol disorders experience worse behavioural problems?
title_fullStr Do young people with comorbid mental and alcohol disorders experience worse behavioural problems?
title_full_unstemmed Do young people with comorbid mental and alcohol disorders experience worse behavioural problems?
title_short Do young people with comorbid mental and alcohol disorders experience worse behavioural problems?
title_sort do young people with comorbid mental and alcohol disorders experience worse behavioural problems?
url http://hdl.handle.net/20.500.11937/72954