Sex Differences in Comorbidity Between Substance Use and Mental Health in Adolescents: Two Sides of the Same Coin

• Sergio Fernández-Artamendi ^[1] ; Víctor Martínez-Loredo ^[2] ; Carla López-Núñez ^[2]
  1. [1] Universidad Loyola Andalucía

     Universidad Loyola Andalucía

     Sevilla, España

     
  2. [2] Universidad de Zaragoza

     Universidad de Zaragoza

     Zaragoza, España

     
• Localización: Psicothema, ISSN-e 1886-144X, ISSN 0214-9915, Vol. 33, Nº. 1, 2021, págs. 36-43
• Idioma: inglés
• DOI: 10.7334/psicothema2020.297
• Títulos paralelos:
  • Diferencias de Sexo en Comorbilidad entre Consumo de Sustancias y Salud Mental en Adolescentes: Dos Caras de la Misma Moneda
• Enlaces
  • Texto completo (pdf)
• Dialnet Métricas: 6 Citas
• Resumen
  • español

    Antecedentes: el objetivo de esta investigación es evaluar las diferencias de sexo en el uso de cannabis y alcohol y en trastornos de salud mental TSM en adolescentes, y el rol predictivo de los TSM sobre los trastornos por uso de alcohol y cannabis (TUA y TUC, respectivamente). Método: una muestra de 863 adolescentes de la población general (53,7% chicas, edad media = 16.62, DT = 0,85) completaron una batería informatizada sobre la frecuencia de uso de sustancias, el Inventario Breve de Síntomas, el Cuestionario de Problemas por Consumo de Cannabis - versión breve, el Índice de Rutgers de Problemas con el Alcohol y los criterios DSM-IV-TR para el TUA y TUC. Se realizaron análisis bivariados y de regresión logística binaria. Resultados: las chicas presentaron significativamente más problemas de salud mental y mayor prevalencia de comorbilidad entre TUS y TSM. El trastorno obsesivo-compulsivo (TOC) y la ansiedad fóbica indicaron un mayor riesgo de TUA, mientras que la depresión y la interacción entre hostilidad y TOC indicaron mayor riesgo de TUC. Conclusiones: la comorbilidad entre TUS y TSM es alta entre los adolescentes, y significativamente mayor entre las chicas.

  • English

    Background: This study aims to evaluate sex differences in alcohol and cannabis use and mental health disorders (MHD) in adolescents, and to evaluate the predictive role of mental health disorders for alcohol and cannabis use disorders (AUD and CUD respectively). Method: A sample of 863 adolescents from the general population (53.7% girls, Mage = 16.62, SD = 0.85) completed a computerized battery including questions on substance use frequency, the Brief Symptom Inventory, the Cannabis Problems Questionnaire for Adolescents – Short version, the Rutgers Alcohol Problem Index and the DSM-IV-TR criteria for AUD and CUD. Bivariate analyses and binary logistic regressions were performed. Results: Girls presented significantly more mental health problems and a higher prevalence of comorbidity between SUD and MHD. Obsessive-compulsive symptoms and phobic anxiety indicated a higher risk of AUD, whereas depression and interaction between hostility and obsessive-compulsive disorder indicated a higher risk of CUD. Conclusions: Comorbidity between SUD and MHD is high among adolescents, and significantly higher among girls.

• Referencias bibliográficas
  • American Psychological Association (2000). Diagnostic Statistic Manual of Mental Disorders IV Edition Revised. American Psychological Association.
  • Bousoño Serrano, M., Al-Halabí, S., Burón, P., Garrido, M., Díaz-Mesa, E., Galván, G., García-Álvarez, L., Velasco, A., Wasserman, C., Carli,...
  • Brewer, S., Godley, M., & Hulveshorn, L. A. (2017). Treating mental health and substance use disorders in adolescents. Current Psychiatric...
  • Buckner, J. D., & Zvolensky, M. J. (2014). Cannabis and related impairment: The unique roles of cannabis use to cope with social anxiety...
  • Butters, J. E. (2004). The impact of peers and social disapproval on high-risk cannabis use: Gender differences and implications for drug...
  • Chandley, R. B., Luebbe, A. M., Messman-Moore, T. L., & Rose, M. W. (2014). Anxiety sensitivity, coping motives, emotion dysregulation,...
  • Chhoa, K. H., Zakaria, H., & Rahman, F-N-A. (2019). Problematic alcohol use and depression in secondary school students in Miri, Malaysia....
  • Colder, C. R., Frndak, S., Lengua, L. J., Read, J. P., Hawk Jr., L. W., & Wieczorek, W. F. (2017). Internalizing and externalizing problem...
  • Colder, C. R., Scalco, M., Trucco, E. M., Read, J. P., Lengua, L. J., Wieczorek, W. F., & Hawk Jr., L. W. (2013). Prospective associations...
  • Cornellà-Font, M. G., Viñas-Poch, F., Juárez-López, J. R., & Malo-Cerrato, S. (2020). Risk of addiction: Its prevalence in adolescence...
  • da Silveira, P. S., Casela, A. L. M., Monteiro, É. P., Ferreira, G. C. L., de Freitas, J. V. T., Machado, N. M., Noto, A. R., & Ronzani,...
  • Derogatis, L. R., & Melisaratos, N. (1983). The Brief Symptom Inventory: An introductory report. Psychological Medicine, 13(3), 595-605....
  • Dir, A. L., Bell, R. L., Adams, Z. W., & Hulveshorn, L. A. (2017). Gender differences in risk factors for adolescent binge drinking and...
  • Duncan, S. C., Gau, J. M., Farmer, R. F., Seeley, J. R., Kosty, D. B., & Lewinshon, P. M. (2015). Comorbidity and temporal relations of...
  • European Monitoring Centre for Drugs and Drug Addiction (2007). The 2007 ESPAD Report. Substance Use Among Students in 35 European Countries....
  • Erol, A., & Karpyak, V. M. (2015). Sex and gender-related differences in alcohol use and its consequences: Contemporary knowledge and...
  • Fernández-Artamendi, S., Fernández-Hermida, J.R., Muñiz-Fernández, J., Secades-Villa, R., & García-Fernández, G. (2012). Screening of...
  • Fernández-Artamendi, S., Fernández-Hermida, J.R., García-Fernández, G., Secades-Villa, R., & García-Rodríguez, O. (2013). Motivation to...
  • Fernández-Rodríguez, M. A., Dema Moreno, S., & Fontanil-Gómez, Y. (2019). The infl uence of gender roles in alcohol consumption: A qualitative...
  • Fonseca-Pedrero, E., Lucas-Molina, B., Pérez-Albéniz, A., Inchausti, F., & Ortuño-Sierra, J. (2020). Psychotic-like experiences and cannabis...
  • Fonseca-Pedrero, E., Paíno-Piñeiro, M., Lemos-Giráldez, S., VillazónGarcía, U., & Muñiz, J. (2009). Validation of the Schizotypal Personality...
  • Foster, K. T., Hicks, B. M., & Zucker, R. A. (2018). Positive and negative effects of internalizing on alcohol use problems from childhood...
  • Frem, Y., Torrens, M., Domingo-Salvany, A., & Gilchrist, G. (2017). Gender differences in lifetime psychiatric and substance use disorders...
  • Ghandour, R.M., Sherman, L.J., Vladutiu, C.J. Ali, M.M., Lynch, S.E., Bitsko, R.H., & Blumberg, S.J. (2018). Prevalence and treatment...
  • Gentil, A. F., de Mathis, M. A., Torresan, R. C., Diniz, J. B., Alvarenga, P., do Rosário, M. C., Cordioli, A. V., Torres, A. R., & Miguel,...
  • Goldstein, R. B., Dawson, D. A., Chou, S. P., & Grant, B. F. (2012). Sex differences in prevalence and comorbidity of alcohol and drug...
  • Gonzálvez, M. T., Espada, J. P., Fernández-Martínez, I., Orgilés, M., & Sussman, S. (2020). Group self-identifi cation, drug use and psychosocial...
  • Griffith-Lendering, M. F. H., Huijbregts, S. C. J., Mooijaart, A., Vollebergh, W. A. M., & Swaab, H. (2011). Cannabis use and development...
  • Gussler-Burkhardt, N. L., & Giancola, P. R. (2005). A further examination of gender differences in alcohol-related aggression. Journal...
  • Harrison, L. A., & Esqueda, C. W. (2000). Effects of race and victim drinking on domestic violence attributions. Sex Roles, 42(11-12),...
  • Hemsing, N., & Greaves, L. (2020). Gender norms, roles and relations and cannabis-use patterns: A scoping review. International Journal...
  • Heradsveit, O., Skogen, J. C., Bøe, T., Hetland, J., Pedersen, M. U., & Hysing, M. (2018). Prospective associations between childhood...
  • Homman, L. E., Edwards, A. C., Cho, S. B., Dick, D. M., & Kendler, K. S. (2016). Gender and direction of effect of alcohol problems and...
  • Johnson, K., Mullin, J. L., Marshall, E. C., Bonn-Miller, M. O., & Zvolensky, M. (2010). Exploring the mediational role of coping motives...
  • Kedzior, K. K., & Laeber, L. T. (2014). A positive association between anxiety disorders and cannabis use or cannabis use disorders in...
  • Khan, S., Okuda, M., Hasin, D. H., Secades-Villa, R., Keyes, K., Lin, K-H., Grant, B., & Blanco, C. (2013). Gender differences in lifetime...
  • Laukkanen, E. R., Shemeikka, S. L., Viinamäki, H. T., Pölkki, P. L., & Lehtonen, J. O. (2001). Heavy drinking is associated with more...
  • López-Núñez, C., Fernández-Artamendi, S., Fernández-Hermida, J.R., Campillo-Álvarez, A., & Secades-Villa, R. (2012). Spanish adaptation...
  • Low, N. C., Lee, S. S., Johnson, J. G., Williams, J. B., & Harris, E. S. (2008). The association between anxiety and alcohol versus cannabis...
  • Marconi, A., Di Forti, M., Lewis, C. M., Murray, R. M., & Vassos, E. (2016). Meta-analysis of the association between the level of cannabis...
  • Milani, R. M., Parrott, A. C., Turner, J. J. D., & Fox, H. C. (2004). Gender differences in self-reported anxiety, depression, and somatization...
  • Ministerio de Sanidad, Consumo y Bienestar Social (2017). Encuesta nacional de salud ENSE, España 2017 [ENSE National surve on health, Spain...
  • Newland, P., Meshberg-Cohen, S., Flick, L., Beatty, K., & Smith, J. M. (2015). Comorbid alcohol disorder intensifies patterns of psychological...
  • Plan Nacional Sobre Drogas (2019). Encuesta sobre Uso de Drogas en Enseñanzas Secundarias en España (ESTUDES) 1994-2018 [Survey on Drug Use...
  • Patró-Hernández, R. M., Nieto Robles, Y., & Limiñana-Gras, R. M. (2020). The relationship between gender norms and alcohol consumption:...
  • Pedersen, W., Mastekaasa, A., & WichstrØm, L. (2001). Conduct problems and early cannabis initiation: A longitudinal study of gender differences....
  • Pedersen, M. U., Thomsen, K. R., Heradstveit, O., Skogen, J. C., Hesse, M., & Jones, S. (2018). Externalizing behavior problems are related...
  • Pereda, N., Forns, M., & Peró, M. (2007). Dimensional structure of the Brief Symptom Inventory with Spanish college students. Psicothema,...
  • Presley, C. A., & Pimentel, E. R. (2006). The introduction of the heavy and frequent drinker: A proposed classification to increase accuracy...
  • Prieto-Ursúa, M., Charro-Baena, B., Caperos, J. M., Meneses Falcón, C., & Uroz Olivares, J. (2020). Alcohol consumption in adolescents:...
  • Proudfoot, H., Vogl, L., Swift, W., Martin, G., & Copeland, J. (2010). Development of a short cannabis problems questionnaire for adolescents...
  • Rasic, D., Weerasinghe, S., Asbridge, M., & Langille, D. B. (2013). Longitudinal associations of cannabis and illicit drug use with depression,...
  • Ritcher, L., Pugh, B. S., Peters, E. A., Vaughan, R. D., & Foster, S. E. (2016). Underage drinking: Prevalence and correlates of risky...
  • Roberts, R. E., Roberts, C. R., & Xing, J. (2007). Comorbidity of substance use disorders and other psychiatric disorders among adolescents:...
  • Salvatore, J. E., Cho, S. B., & Dick, D. M. (2017). Environments, and sex differences in alcohol research. Journal of Studies on Alcohol...
  • Skogen, J. C., Siversten, B., Lundervold, A. J., Stormark, K. M., Jakobsen, R., & Hysing, M. (2014). Alcohol and drug use among adolescents:...
  • Spradin, A., Mauzay, D., & Cuttler, C. (2017). Symptoms of obsessivecompulsive disorder predict cannabis misuse. Addictive Behaviors,...
  • Strandheim, A., Bratberg, G. H., Holmen, T. L., Coombes, L., & Bentzen, N. (2011). The influence of behavioural and health problems on...
  • Tedor, M. F., Quinn, L. M., Wilsnack, S. C., Wilsnack, R. W., & Greenfi eld, T. K. (2018). The gender difference in the association between...
  • Villarosa, M. C., Madson, M. B., Zeigler-Hill, V., Noble, J. J., & Mohn, R. S. (2014). Social anxiety symptoms and drinking behaviors...
  • White, H. R., & Labouvie, E. W. (1989). Towards the assessment of adolescent problem drinking. Journal of Studies on Alcohol, 50(1), 30-...
  • Wilcockson, T. D. W., & Sanal, N. E. M. (2016). Heavy cannabis use and attentional avoidance of anxiety-related stimuli. Addictive Behaviors...
  • World Health Organization (2003). Caring for children and adolescents with mental disorders: Setting WHO directions. World Health Organization....