Health Problems in Adolescents With Alcohol Use Disorders: Self‐Report, Liver Injury, and Physical Examination Findings and Correlates

Clark, Duncan B.; Lynch, Kevin G.; Donovan, James M.; Block, Geoffrey D.

doi:10.1111/j.1530-0277.2001.tb02358.x

Cited by 85 publications

(55 citation statements)

References 62 publications

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“…We selected the BDI because it contains few somatic items, an important consideration when assessing psychological symptoms in chronically ill patients. The BDI has been used with adolescents with medical illnesses (25)(26)(27)(28). The instrument has been administered extensively and shown to have good reliability coefficients ranging from 0.73 to 0.92 (29).…”

Section: Measures Of Psychological Distressmentioning

confidence: 99%

Psychological Distress and Adherence to the Medical Regimen Among Adolescent Renal Transplant Recipients

Penkower¹,

Dew²,

Ellis³

et al. 2003

American Journal of Transplantation

103

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This longitudinal pilot study of adolescent renal transplant recipients (a) describes the prevalence of psychological distress, (b) describes the prevalence of nonadherence, and (c) explores the association between the recipient's psychological distress and his/her subsequent medical adherence. Twenty-two adolescents, aged 13-18 years, completed two interviews that were separated by approximately 12 months. Psychological distress was assessed in three domains: symptoms of depression, anxiety, and anger. Adherence was assessed in three domains: medication taking, blood work, and clinic attendance. At the initial interview, 36.4% had symptoms of depression, 36.4% endorsed anxiety, and 18.2% endorsed excessive state anger. Non-adherence rates were 13.6% for medication, 22.7% for blood work, and 50% for missed clinic. At the second interview, nonadherence with medication remained the same and the other domains decreased. Our small pilot sample, however, limited our ability to detect statistically significant changes over time. Predictive analyses demonstrated that adolescents with excessive anger were at greater risk for subsequently missing medications than adolescents without excessive anger. These findings suggest that while symptoms of depression and anxiety are observed among some adolescents with renal transplants, only anger is associated with elevated risk for nonadherence with medication.

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Section: Measures Of Psychological Distressmentioning

confidence: 99%

Psychological Distress and Adherence to the Medical Regimen Among Adolescent Renal Transplant Recipients

Penkower¹,

Dew²,

Ellis³

et al. 2003

American Journal of Transplantation

103

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“…1 Somatic complaints in these adolescents, including reports of fatigue and abdominal distress, are typically associated with depression and anxiety disorders. 27 Physical examination may find dental caries due to neglect of oral health maintenance. 27 Although obvious neuropsychological impairment is typically not evident, late-developing cortical areas subserving cognitive, behavioral, and emotional regulation may be vulnerable to adverse alcohol effects.…”

Section: Table 2 Diagnostic and Statistical Manual Of Mental Disordementioning

confidence: 99%

“…27 Physical examination may find dental caries due to neglect of oral health maintenance. 27 Although obvious neuropsychological impairment is typically not evident, late-developing cortical areas subserving cognitive, behavioral, and emotional regulation may be vulnerable to adverse alcohol effects. 28,29 Risky sexual behaviors can lead to sexually transmitted diseases 30 and pregnancy.…”

Section: Table 2 Diagnostic and Statistical Manual Of Mental Disordementioning

confidence: 99%

Screening and Brief Intervention for Underage Drinkers

Clark

Gordon

Ettaro

et al. 2010

Mayo Clinic Proceedings

Self Cite

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In a 2007 report, the US Surgeon General called for health care professionals to renew efforts to reduce underage drinking. Focusing on the adolescent patient, this review provides health care professionals with recommendations for alcohol-related screening, brief intervention, and referral to treatment. MEDLINE and published reviews were used to identify relevant literature. Several brief screening methods have been shown to effectively identify underage drinkers likely to have alcohol use disorders. After diagnostic assessment when germane, the initial intervention typically focuses on education, motivation for change, and consideration of treatment options. Internet-accessible resources providing effective brief interventions are available, along with supplemental suggestions for parents. Recent changes in federal and commercial insurance reimbursement policies provide some fiscal support for these services, although rate increases and expanded applicability may be required to prompt the participation of many practitioners. Nevertheless, advances in clinical methods and progress on reimbursement policies have made screening and brief intervention for underage drinking more feasible in general health care practice. Proc. 2010;85(4):380-391 Mayo Clin

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“…25 Psychiatric conditions most likely to co-occur with alcohol use disorders include mood disorders, particularly depression; anxiety disorders; attentiondeficit/hyperactivity disorder (ADHD); conduct disorders; bulimia; and schizophrenia. 23 Associated physical health problems include trauma sequelae, 26 sleep disturbance, modestly elevated serum liver enzyme concentrations, and dental and other oral abnormalities, 27 despite relatively few abnormalities being evident on physical examination. 27,28 …”

Section: Alcohol Use Misuse Abuse and Dependencementioning

confidence: 99%

“…23 Associated physical health problems include trauma sequelae, 26 sleep disturbance, modestly elevated serum liver enzyme concentrations, and dental and other oral abnormalities, 27 despite relatively few abnormalities being evident on physical examination. 27,28 …”

Section: Alcohol Use Misuse Abuse and Dependencementioning

confidence: 99%

Alcohol Use by Youth and Adolescents: A Pediatric Concern

Kokotailo¹

2010

Pediatrics

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Alcohol use continues to be a major problem from preadolescence through young adulthood in the United States. Results of recent neuroscience research have substantiated the deleterious effects of alcohol on adolescent brain development and added even more evidence to support the call to prevent and reduce underaged drinking. Pediatricians should be knowledgeable about substance abuse to be able to recognize risk factors for alcohol and other substance abuse among youth, screen for use, provide appropriate brief interventions, and refer to treatment. The integration of alcohol use prevention programs in the community and our educational system from elementary school through college should be promoted by pediatricians and the health care community. Promotion of media responsibility to connect alcohol consumption with realistic consequences should be supported by pediatricians. Additional research into the prevention, screening and identification, brief intervention, and management and treatment of alcohol and other substance use by adolescents continues to be needed to improve evidence-based practices. Pediatrics

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Health Problems in Adolescents With Alcohol Use Disorders: Self‐Report, Liver Injury, and Physical Examination Findings and Correlates

Abstract: These results indicated that AUDs during adolescence were associated with health problems, including modest but demonstrable liver injury. Self-reported health problems were probably best understood, in this context, as a negative emotionality manifestation.

Cited by 85 publications

References 62 publications

Psychological Distress and Adherence to the Medical Regimen Among Adolescent Renal Transplant Recipients

Psychological Distress and Adherence to the Medical Regimen Among Adolescent Renal Transplant Recipients

Screening and Brief Intervention for Underage Drinkers

Alcohol Use by Youth and Adolescents: A Pediatric Concern

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