Risk Factors for Substance Misuse and Adolescents' Symptoms of Depression

Siennick, Sonja E.; Widdowson, Alex O.; Woessner, Mathew K.; Feinberg, Mark E.; Spoth, Richard

doi:10.1016/j.jadohealth.2016.08.010

Cited by 12 publications

(5 citation statements)

References 31 publications

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“…Substance abuse was found to be associated with depression in the hill tribe population aged 40 years and over in this study. This finding coincides with the results of a study in the United States that reported that people who abused substances were at greater risk of developing depression [ 26 ]. Another study in the United States also demonstrated that substance abuse was significantly associated with depression, particularly among adolescents [ 27 ].…”

Section: Discussionsupporting

confidence: 91%

Prevalence of and factors associated with depression in the hill tribe population aged 40 years and older in northern Thailand

Singkhorn

Apidechkul

Pitchalard

et al. 2021

Int J Ment Health Syst

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Background Depression is globally recognized as a major mental health problem in all age categories, particularly among those living in poor economic conditions and with low levels of education, including the hill tribe people in northern Thailand. Methods This cross-sectional study aimed to estimate the prevalence of depression and determine the factors associated with depression in the hill tribe population aged 40 and over in northern Thailand. Hill tribe people who lived in the selected villages and met the inclusion criteria were invited to participate in the study. A validated questionnaire and the Patient Health Questionnaire-9 (PHQ-9) were used for data collection. An interview was conducted in a private and confidential room in the selected villages between January and April 2019. Logistic regression was used to determine the factors associated with depression at a significance level of α = 0.05. Results A total of 601 participants were recruited into the study. More than half (64.23%) were women, 46.76% were Akha, 61.90% were aged 40–59 years, and 76.37% were married. Half of the participants were Christian (57.07%) and had no monthly income (51.25%), and 85% were illiterate. The overall prevalence of depression was 39.10%: 75.74% had mild depression, 17.88% had moderate depression, and 6.38% had severe depression. In the multivariate model, three variables were found to be associated with depression: being female, having a history of substance abuse, and experiencing stress six months prior. Compared to men, women were 2.09 times (95% CI 1.30–3.35) more likely to have depression. Those who had a history of substance abuse were more likely to have depression than those who did not have a history of substance abuse (AOR = 1.97; 95% CI 1.25–3.10). Those who had a history of stress in the prior 6 months were more likely to have depression than those who did not (AOR = 6.43; 95% CI 4.20–9.85). Conclusion Public health screening programs to identify depression in the hill tribe population are urgently needed, particularly for women, those who have abused psychoactive substances, and those who have experienced stress.

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Section: Discussionsupporting

confidence: 91%

Prevalence of and factors associated with depression in the hill tribe population aged 40 years and older in northern Thailand

Singkhorn

Apidechkul

Pitchalard

et al. 2021

Int J Ment Health Syst

View full text Add to dashboard Cite

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“…Third, our research offers significant implications for policymakers, and for those employed in, or designing programming for, community or jail and prison mental health and substance use treatment settings. Targeted interventions that focus on illicit substance use or mental health, including strain and stress, must take note of their common comorbidity (Hussong et al, 2017;Siennick et al, 2017), and would likely be better served by addressing both as much as possible to capture this overlapping population. Adequate treatment for these comorbid conditions must acknowledge how pathways to substance use, when mental health symptoms are present, may differ according to race and ethnicity, and health care and health care education in dire need of culturally competent tailoring thusly (Arfken et al, 2012;Ureche et al, 2016).…”

Section: Significancementioning

confidence: 99%

Racial/Ethnic Differences in Illicit Substance Use: A Temporal-Ordered Test of General Strain Theory

Ash-Houchen

2020

Journal of Drug Issues

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This longitudinal study applied general strain theory to elaborate specific stressful events’ lagged effects on risk of illicit substance use among non-Hispanic White, non-Hispanic Black, and Hispanic adolescents, and relatedly evaluated the moderating role of race/ethnicity in explaining illicit use. Data were drawn from five waves representing 9 years (2002–2010) of the 1997 National Longitudinal Survey of Youth (NLSY), totaling 16,868 person-waves, and we engaged temporal ordering and generalized estimating equations (GEE) for panel data in STATA for data analysis. Results showed specific events affected risk of illicit substance use differentially across racial/ethnic groups. Strains commonly encountered in disorganized spaces affected non-Hispanic White’s risk. Measured strains did not affect non-Hispanic Black respondents and findings for Hispanic respondents point to the family as a possible strain. Results indicated legal drug use and depression increased risk of illicit use greatly. Race/ethnicity’s role in illicit use’s associations with several variables illustrates differential implications for racial/ethnic groups in policy and preventive interventions.

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“…For instance, poor within-group communication could hamper the within-group spread of attitudes favorable toward substance use. Although depressive symptoms in adolescents are associated with such attitudes (Siennick, Widdowson, Woessner, Feinberg, & Spoth, 2017), perhaps the association would be stronger if these adolescents were embedded in tight-knit groups.…”

Section: Discussionmentioning

confidence: 99%

Adolescent Internalizing Symptoms and the “Tightknittedness” of Friendship Groups

Siennick

Picon

2019

J of Research on Adolesc

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Adolescents with depression have lower peer status overall, but tend to befriend each other. We examined the “tightknittedness” of their friendship groups by testing whether adolescent friendship groups’ average levels of or variability in internalizing symptoms predict group cohesiveness. We used four waves (9th–12th grades) of survey and social network data on 3,013 friendship groups from the PROmoting School‐Community‐University Partnerships to Enhance Resilience study. Friendship groups with higher average depressive symptoms were less cohesive; groups with higher average anxiety symptoms had greater reciprocity. Groups with greater variability in depressive symptoms had greater density; variability in anxiety symptoms was not consistently associated with cohesion. The friendship groups of depressed adolescents appear less cohesive than the “typical” adolescent friendship group.

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Risk Factors for Substance Misuse and Adolescents' Symptoms of Depression

Cited by 12 publications

References 31 publications

Prevalence of and factors associated with depression in the hill tribe population aged 40 years and older in northern Thailand

Prevalence of and factors associated with depression in the hill tribe population aged 40 years and older in northern Thailand

Racial/Ethnic Differences in Illicit Substance Use: A Temporal-Ordered Test of General Strain Theory

Adolescent Internalizing Symptoms and the “Tightknittedness” of Friendship Groups

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