2008
DOI: 10.1016/j.drugalcdep.2007.07.007
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Pathways to ecstasy use in young adults: Anxiety, depression or behavioural deviance?

Abstract: AimsTo investigate pathways to ecstasy use disorders from pre-birth to early adulthood with particular attention to the relationship between early depressive and anxiety symptoms and later ecstasy use disorders. DesignProspective, longitudinal, population-based study started in Brisbane, South East Queensland (Australia) in 1981. Participants were 2143 young adults, followed up from pre-birth to young adulthood. MeasurementsEcstasy use disorders were assessed with the composite international diagnostic intervi… Show more

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Cited by 24 publications
(16 citation statements)
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“…A higher smoking prevalence among party drug users was expected given the common sequences of drug involvement found in longitudinal studies in Australia [19,20] and other developed countries [21,22]. In these studies, young people who initiate drinking alcohol or cigarette smoking at an earlier age are more likely to smoke cannabis [22], and early and heavier cannabis users are subsequently more likely to use party drugs and other illicit drugs [23].…”
Section: Discussionmentioning
confidence: 92%
See 1 more Smart Citation
“…A higher smoking prevalence among party drug users was expected given the common sequences of drug involvement found in longitudinal studies in Australia [19,20] and other developed countries [21,22]. In these studies, young people who initiate drinking alcohol or cigarette smoking at an earlier age are more likely to smoke cannabis [22], and early and heavier cannabis users are subsequently more likely to use party drugs and other illicit drugs [23].…”
Section: Discussionmentioning
confidence: 92%
“…In 2001 there was a response rate of 50% resulting in a sample size of 4958 young adults and in 2010 the response rate was 51% resulting in a sample size of 3836 young adults (aged [18][19][20][21][22][23][24][25][26][27][28][29]. Weights were applied to the data to align the sample to the Australian population.…”
Section: Methodsmentioning
confidence: 99%
“…Suggesting that pre-existing problems could be the cause of the drug use rather than the consequence; this has previously been shown by Lieb et al (2002) who reported that in a majority of cases ecstasy and other drug use was actually secondary to the onset of psychological problems. However, more recently Alati et al (2008) have prospectively shown that the psychopathology, such as anxiety and depression, did not precede ecstasy use. Whether the problems reported by problematic ecstasy users within this current study preceded or followed ecstasy user, is impossible to conclude based on the retrospective nature of the current study.…”
Section: Discussionmentioning
confidence: 99%
“…Individuals exposed to trauma before 5 were excluded from analyses, individuals exposed to trauma between 5 and 14 were designated as having a behaviour problem according to the CBCL (measured at 5 years), individuals exposed to trauma after 14 were designated as having a behaviour problem according to the YSR (measured at 14 years). As done in previous studies, at both 5 and 14 years the highest scoring 10% of the sample were categorised as having either an internalising or externalising behaviour problem (Alati et al, 2008;. Family income and maternal education were measured at baseline.…”
Section: Measurement Of Confounding Factorsmentioning
confidence: 99%
“…Internalising and externalising behaviour problems were assessed in the offspring at 5 years using a shortened version of the child behaviour checklist (CBCL) (Achenbach, 1991a) completed by mothers, fully described elsewhere . At 14 years internalising and externalising behaviour was assessed using the Youth Self Report (YSR) (Achenbach, 1991b) completed by the children, and shown previously to have good validity and reliability in the MUSP cohort (Alati et al, 2008). We were only interested in behaviour problems which developed before exposure to trauma and thereby did not originate as part of a PTSD sequelae.…”
Section: Measurement Of Confounding Factorsmentioning
confidence: 99%