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Subject: High rates of mental health and substance abuse disorders in middle and high school


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Arch Gen Psychiatry 2002;59:43-50
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Date Posted: Sat, January 19 2002, 14:36:07 PST
In reply to: Virus Weekly via NewsRx.com. 's message, "Antiviral Therapy Underlying Psychiatric Problems Undermine Hepatitis C" on Sat, December 29 2001, 10:58:47 PST

Mental Health and Substance Abuse Problems In Middle And High Schools

A DGReview of :"Psychiatric and Substance Use Disorders in South Florida: Racial/Ethnic and Gender Contrasts in a Young Adult Cohort"

Archives of General Psychiatry

01/18/2002
By Anne MacLennan


High rates of mental health and substance abuse disorders in middle and high school populations make in-school prevention programs critical.

Moreover, research on the origins of ethnic differences, and differences in countries of birth of those with these disorders, is also necessary, suggest these authors.

This study built on a large and ethnically diverse cohort of students who entered middle school in South Florida, in the United States, in 1990.

Between 1998 and 2000, researchers interviewed a random sub-sample of 1,803 of these young people; at the time of interview, most participants were between 19 years and 21 years of age.

The disorders were assessed through computer-assisted personal interviews using the DSM-IV version of the Michigan Composite International Diagnostic Interview.

The study found more than 60 percent of these young people had had one or more of the study disorders in their lifetime; 38 percent of them did so within the preceding year. Childhood conduct and major depressive and alcohol abuse disorders were most prevalent.

Rates of affective and anxiety disorders in females were double those in male. However, this gender difference disappeared when attention-deficit/hyperactivity disorder, conduct disorders and antisocial personality disorders were taken into account.

Prompting the authors' recommendation for research on the origins of ethnic and nativity differences were two additional observations: African-Americans were found to have substantially lower rates than did others in the study for depressive disorders and substance abuse and dependence. Further, among the young Hispanics, rates tended to be lower among the foreign-born in comparison with their US-born counterparts, particularly for the substance disorders.

Arch Gen Psychiatry 2002;59:43-50. "Psychiatric and Substance Use Disorders in South Florida: Racial/Ethnic and Gender Contrasts in a Young Adult Cohort"

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