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    Do young people with comorbid mental and alcohol disorders experience worse behavioural problems?

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    Authors
    Salom, C.
    Betts, K.
    Williams, G.
    Najman, J.
    Scott, J.
    Alati, Rosa
    Date
    2014
    Type
    Journal Article
    
    Metadata
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    Citation
    Salom, C. and Betts, K. and Williams, G. and Najman, J. and Scott, J. and Alati, R. 2014. Do young people with comorbid mental and alcohol disorders experience worse behavioural problems?. Psychiatry Research. 219 (2): pp. 372-379.
    Source Title
    Psychiatry Research
    DOI
    10.1016/j.psychres.2014.05.056
    ISSN
    0165-1781
    School
    School of Public Health
    URI
    http://hdl.handle.net/20.500.11937/72954
    Collection
    • Curtin Research Publications
    Abstract

    This article examines whether young individuals in the general population with comorbid alcohol use and mental health disorders experience worse internalizing and externalizing behaviour problems than those with single disorders. A large cohort of women at the Mater Misericordiae Hospital in Brisbane, Australia, was enroled during pregnancy in a longitudinal study. Mother/offspring dyads were followed over 21 years. At age 21, offspring behaviour problems were examined using the Young Adult Self Report, alcohol and mental health disorders with the Composite International Diagnostic Interview. Associations between comorbidity and behaviour problems were assessed using multinomial logistic regression, accounting for life-course factors. Twelve per cent of young adults had alcohol/mental health DSM-IV disorders with significant temporal overlap. A further 16% had alcohol disorders only and 23% mental health disorders only. The comorbid group scored significantly higher on total and externalizing behaviour problems but not internalizing behaviour problems. Stronger associations of aggression/delinquency with comorbidity were not fully accounted for by factors known to influence separate development of mental health and alcohol disorders. Young adults with comorbid alcohol/mental health disorders experience more, and more severe, behavioural problems than those with single disorder types, indicating an increased burden from comorbidity, with implications for treatment and public order. © 2014 Elsevier Ireland Ltd.

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