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Original

Psychiatric and Substance Use Disorders in Late Adolescence: The Role of Risk and Perceived Social Support

, M.D., , Ph.D, , Ph.D, , M.A., , M.D., , Ph.D, , Ph.D, , M.A., , B.Sc, , M.D., , Ph.D, , Ph.D, , M.A., , B.Sc, , M.Sc, , M.D., , Ph.D, , Ph.D, , M.A., , B.Sc & , M.Sc show all
Pages 124-138 | Received 16 Jan 2003, Accepted 22 Jul 2003, Published online: 10 Jul 2009
 

Abstract

This article explores how measures of risk and perceived social support relate to different configurations of adolescent psychopathology using data from a community-based, longitudinal investigation of 284 individuals interviewed in 1982 at age 5 and again at age 19. Discriminant analysis was used to assess differences in risk and social support variables among eight clusters of youth: anxious, anxious drinkers, depressed, depressed drug abusers, antisocial, antisocial drinkers, drug abusers, problem drinkers, and a ninth group representing those participants without a diagnosis. The results indicated that one function, defined by loadings for (low) family support and (high) early cumulative risk, accounted for the majority of between-group associations. Two groups of drug-abusing youth with multiple adjustment problems were highest on this function, while nondisordered youth and a group of participants with substance abuse alone were lowest. Findings are discussed in terms of the need to consider comorbidity when examining risk factors for later disorder.

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