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Conduct Disorder-Related Hospitalization and Substance Use Disorders in American Teens

Published on Jul 5, 2019in Systems Research and Behavioral Science 1.05
· DOI :10.3390/bs9070073
Anum Masroor , Rikinkumar S. Patel2
Estimated H-index: 2
+ 5 AuthorsZeeshan Mansuri2
Estimated H-index: 2
Objective: Our study aimed to compare the demographic characteristics of conduct disorder (CD) inpatients versus other psychiatric inpatients in children and adolescents, and assess the association between conduct disorder patients and the spectrum of substance use disorders (SUD). Methods: We included 800,614 psychiatric adolescent (12–18 years) inpatients, and this included 8885 inpatients (1.1%) primarily for conduct disorder in the Nationwide Inpatient Sample (2010–2014). ICD-9 codes were used to detect SUD, and a logistic regression model was used to evaluate the odds ratio (OR) for SUD in conduct disorder inpatients. Results: A higher proportion of conduct disorder inpatients were of 12–15 years of age (62.6%), male (64.4%), and White (45.7%). The lower median household income was correlated with a higher prevalence of conduct disorder (36.4%). Among SUD, cannabis use (23.7%) was most prevalent in conduct disorder inpatients followed by tobacco and alcohol use (10.1% each). Conduct disorder inpatients have 1.7-fold higher odds (95% confidence interval (CI) 1.52–1.82) for alcohol use and 1.4-fold higher odds (95% CI 1.31–1.49) for cannabis use compared to the non-conduct disorder inpatients. Cannabis use was seen significantly in adolescents (49.1%, 12–15 years), male (75.6%), and African Americans (45.6%). Conclusion: Conduct disorder inpatients have a higher risk of comorbid SUD compared to other psychiatric illnesses. The most common substance to be abused is cannabis followed by tobacco and alcohol. Varying pattern of substance use was seen by demographics and these predictors may help the clinicians for early diagnosis and treatment to improve overall health-related quality of life.
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Published on Sep 4, 2018in Systems Research and Behavioral Science 1.05
Rikinkumar S. Patel2
Estimated H-index: 2
Neelima Amaravadi + 2 AuthorsHoney Win
Objective: To determine the demographic predictors and comorbidities in hospitalized children with conduct disorder. Methods: A retrospective analysis was performed using the Nationwide Inpatient Sample (2012–2014). All patients were ≤18 years old and cases with a primary diagnosis of conduct disorder (n = 32,345), and a comparison group with another psychiatric diagnosis (n = 410,479) were identified using the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-...
Published on Aug 1, 2016in Drug and Alcohol Dependence 3.47
Li-Tzy Wu37
Estimated H-index: 37
He Zhu5
Estimated H-index: 5
(Duke University),
Marvin Swart74
Estimated H-index: 74
(Duke University)
BACKGROUND: Minority groups generally experience more disparities than whites in behavioral healthcare use. The population of racial/ethnic groups is growing faster than whites. Given increased concerns of cannabis use (CU) and its associations with health conditions, we examined national trends in cannabis use disorder (CUD) among adults aged ≥18 by race/ethnicity. METHODS: Data were from the 2005-2013 National Surveys on Drug Use and Health (N=340,456). We compared CU patterns and the conditio...
Published on Jan 1, 2015
Melanie Morse2
Estimated H-index: 2
(USC: University of South Carolina),
Kari Benson1
Estimated H-index: 1
(OU: Ohio University),
Kate Flory21
Estimated H-index: 21
(USC: University of South Carolina)
Objective: The present study sought to examine the relations among disruptive behavior disorders (DBDs; ie, attention-deficit/hyperactivity disorder [ADHD], conduct disorder [CD], oppositional defiant disorder [ODD]), depressive symptoms, and marijuana use among a sample of late adolescents and emerging adults. Method: A total of 900 students (75.8% female, 80.3% Caucasian, M[age] = 20) from a large public university completed an online survey. Results: Findings indicated that depressive symptom...
Christian J. Hopfer36
Estimated H-index: 36
(Anschutz Medical Campus),
Stacy Salomonsen-Sautel9
Estimated H-index: 9
(Anschutz Medical Campus)
+ 10 AuthorsChristian Thurstone9
Estimated H-index: 9
(Hospital Authority)
Objective To examine the influence of conduct disorder (CD) on substance use initiation. Method Community adolescents without CD (n = 1,165, mean baseline age = 14.6 years), with CD (n = 194, mean baseline age = 15.3 years), and youth with CD recruited from treatment (n = 268, mean baseline age = 15.7 years) were prospectively followed and re-interviewed during young adulthood (mean ages at follow-up respectively: 20, 20.8, and 24). Young adult retrospective reports of age of substance initiatio...
Published on May 1, 2013in Social Work in Public Health 0.65
Thomas M. Kelly27
Estimated H-index: 27
(University of Pittsburgh),
Dennis C. Daley26
Estimated H-index: 26
(University of Pittsburgh)
Epidemiological studies find that psychiatric disorders, including mental disorders and substance use disorders, are common among adults and highly comorbid. Integrated treatment refers to the focus of treatment on two or more conditions and to the use of multiple treatments such as the combination of psychotherapy and pharmacotherapy. Integrated treatment for comorbidity has been found to be consistently superior compared to treatment of individual disorders with separate treatment plans. This ...
Published on Jan 1, 2013in MMWR supplements
Ruth Perou10
Estimated H-index: 10
Rebecca H. Bitsko16
Estimated H-index: 16
+ 16 AuthorsLaura A. Schieve53
Estimated H-index: 53
Mental disorders among children are described as "serious deviations from expected cognitive, social, and emotional development" (US Department of Health and Human Services Health Resources and Services Administration, Maternal and Child Health Bureau. Mental health: A report of the Surgeon General. Rockville, MD: US Department of Health and Human Services, Substance Abuse and Mental Health Services Administration, Center for Mental Health Services, and National Institutes of Health, National In...
Published on Sep 1, 2012in Journal of Studies on Alcohol and Drugs 2.58
Megan E. Patrick30
Estimated H-index: 30
(UM: University of Michigan),
Patrick Wightman5
Estimated H-index: 5
(UM: University of Michigan)
+ 1 AuthorsJohn E. Schulenberg66
Estimated H-index: 66
Objective:Little consensus exists regarding the relationship between socioeconomic status (SES) and substance use. This study examined the associations of three indicators of family SES during childhood—income, wealth, and parental education—with smoking, alcohol use, and marijuana use during young adulthood.Method:Data were obtained from the national Panel Study of Income Dynamics, a survey of U.S. families that incorporates data from parents and their children. In 2005 and 2007, the Panel Stud...
Published on Sep 1, 2012in American Journal on Addictions 1.95
Lauren R. Pacek13
Estimated H-index: 13
(Johns Hopkins University),
Robert Malcolm42
Estimated H-index: 42
(MUSC: Medical University of South Carolina),
Silvia S. Martins36
Estimated H-index: 36
(Johns Hopkins University)
Background: Alcohol and marijuana are commonly used and misused in the United States, both singly and together. Despite this, few studies examine their co-occurring use and the corresponding association with public health and other problems. Moreover, there is a lack of investigation into differences in these associations on the basis of race/ethnicity. Methods: The present study estimated the frequency of alcohol use disorder, marijuana use disorder, and co-occurring alcohol and marijuana use d...
Paul J. Frick82
Estimated H-index: 82
(UNO: University of New Orleans)
Research has indicated that there are several common pathways through which children and adolescents develop conduct disorder, each with different risk factors and each with different underlying developmental mechanisms leading to the child's aggressive and antisocial behavior. The current article briefly summarizes research on these pathways, including one that onsets in adolescence and seems to be an exaggeration of normal adolescent rebellion against authority. The other two pathways typicall...
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