Single and Dual Diagnoses of Major Depressive Disorder and Posttraumatic Stress Disorder Predicted by Triple Comorbid Trajectories of Tobacco, Alcohol, and Marijuana Use among Urban Adults

Autor: Wonkuk Kim, Jung Yeon Lee, Stephen J. Finch, David W. Brook, Judith S. Brook
Rok vydání: 2019
Předmět:
Adult
Male
Longitudinal study
medicine.medical_specialty
Adolescent
Alcohol Drinking
Urban Population
Population
030508 substance abuse
Medicine (miscellaneous)
Comorbidity
Affect (psychology)
behavioral disciplines and activities
Article
Stress Disorders
Post-Traumatic
Tobacco Use
Young Adult
03 medical and health sciences
0302 clinical medicine
Marijuana use
Risk Factors
mental disorders
Odds Ratio
medicine
Humans
Longitudinal Studies
030212 general & internal medicine
education
Psychiatry
Tobacco alcohol
Depressive Disorder
Major
education.field_of_study
business.industry
Hispanic or Latino
medicine.disease
Black or African American
Psychiatry and Mental health
Posttraumatic stress
Logistic Models
Major depressive disorder
Female
Marijuana Use
New York City
0305 other medical science
business
Zdroj: Substance Abuse. 40:221-228
ISSN: 1547-0164
0889-7077
Popis: Background: The adverse consequences of major depressive disorder (MDD) and posttraumatic stress disorder (PTSD) affect a significant portion of the US population every year (i.e., 15 million for MDD; 8 million for PTSD) and are of public health concern. The current study examines tobacco, alcohol, and marijuana use as possible longitudinal predictors of MDD and/or PTSD. Methods: A community sample of 674 participants (53% African Americans and 47% Puerto Ricans; 405 females and 269 males) were recruited from the Harlem Longitudinal Development Study. We used M plus software to obtain the triple trajectories of tobacco, alcohol, and marijuana use from mean age 14 to 36. Logistic regression analyses were then conducted to examine the associations between those triple trajectory groups and a single diagnosis of MDD or PTSD as well as a dual diagnosis of MDD with PTSD at age 36. Results: The observed percentages of MDD, PTSD, and the comorbidity of MDD and PTSD were 17%, 8%, and 5%, respectively. The heavy use of all 3 substances group was associated with an increased likelihood of having MDD (adjusted odds ratio [AOR] = 3.14, P
Databáze: OpenAIRE
Externí odkaz: