2009, Number S1
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Rev Med Inst Mex Seguro Soc 2009; 47 (S1)
Psychosocial Stories of Drug Abuse and Dependence Among Mexican Youth
Díaz-Negrete DB, Arellanez-Hernández JL, Pérez-Islas V, Wagner FA
Language: Spanish
References: 47
Page: 13-20
PDF size: 51.32 Kb.
ABSTRACT
Objective: to test that drug abuse and dependence would be greater among those who have: higher depression, a family with dysfunctional cohesion and adaptability, greater exposure to stressful situations; maladaptive coping strategies.
Methods: a case-control study design was used, with three controls matched to each case by on age, sex, and neighborhood of residence. The sample included 218 cases and 677 controls.
Results: cases of drug abuse and dependence were estimated to have higher odds of elevated depression symptoms, as well as high psychosocial stress from maladaptive school adjustment, compared to controls. Cases of drug dependence had higher odds to maladaptive family cohesion and adaptation, as well as higher odds of exposure to high-impact stress related to family separations, as well as family communication problems.
Conclusions: findings indicate that drug abuse and dependence are significantly related to maladaptative adjustment indicators, family disfunctionality and affective disorders.
REFERENCES
Secretaría de Desarrollo Social del Gobierno del Distrito Federal. Encuesta de adicciones de la ciudad de México, 2006. México: Instituto de Asistencia e Integración Social; 2007. Disponible en http:// www.iasis.df.gob.mx/ccadf/encuestas.htm
Villatoro J, Gutiérrez M, Quiroz N, Moreno M, Gaytán L, Gaytán F, et al. Encuesta de consumo de drogas en estudiantes 2006. México: Instituto Nacional de Psiquiatría Dr. Ramón de la Fuente Muñiz; 2007.
Centros de Integración Juvenil, Sistema Institucional de Información Epidemiológica del Consumo de Drogas. Informes. México: Centros de Integración Juvenil. Disponible en http://www.cij.gob.mx/
Subsecretaría de Prevención y Promoción de la Salud, Sistema de Vigilancia Epidemiológica de las Adicciones. Informe 2006. México: Secretaría de Salud; 2007. Disponible en http://www.dgepi.salud. gob.mx/ sis/sis2006/sisvea2006.pdf
Khantzian EJ. The self-medication hypothesis of substance use disorders: a reconsideration and recent applications. Harv Rev Psychiatry 1997;4(5):231-244.
Damphousse KR, Kaplan HB. Intervening processes between adolescent drug use and psychological distress: An examination of the self-medication hypothesis. Soc Behav Pers 1998;26(2):115-130.
Donohue B, Acierno R, Kogan E. Relationship of depression with measures of social functioning in adult drug abusers. Addict Behav 1996;21(2):211-216.
Newcomb MD, Earleywine M. Intrapersonal contributors to drug use: the willing host. Am Behav Sci 1996;39(7):823-837.
Lewinsohn PM, Gotlib IH, Seeley JR. Adolescent psychopathology: specificity of psychosocial risk factors for depression and substance abuse in older adolescents. J Am Acad Child Adolesc Psychiatry 1995;34(9):1221-1229.
Muesser KT, Drake RE, Wallach MA. Dual diagnosis: a review of ethiological theories. Addict Behav 1998;23(6):717-734.
Zayas LH, Rojas M, Malgady RG. Alcohol and drug use, and depression among Hispanic men in early adulthood. Am J Commun Psychol 1998;26(3):425- 438.
Hoffmann JP, Su SS. Stressful life events and adolescent substance use and depression: conditional and gender differentiated effects. Subst Use Misuse 1998;33(11):2219-2262.
Merikangas KR, Mehta RL, Molnar BE, Walters EE, Swendsen JD, Aguilar GS, et al. Comorbidity of substance use disorders with mood and anxiety disorders: results of the International Consortium in Psychiatric Epidemiology. Addict Behav 1998;23(6):893-907.
Wills TA, Sandy JM, Shinar O, Yaeger A. Contributions of positive and negative affect to adolescent substance use: test of a bidimensional model in a longitudinal study. Psychol Addict Behav 1999;13(4):327-338.
Ripple CH, Luthar SS. Familial factors in illicit drug abuse: An interdisciplinary perspective. Am J Drug Alcohol Abuse 1996;22(2):147-172.
Friedman AS, Utada A, Morrisey MR. Families of adolescent drug abusers are “rigid”: are these families either “disengaged” or “enmeshed”, or both? Fam Process 1987;26(1):131-148.
Farrell AD, White KS. Peer influences and drug use among urban adolescents: family structure and parent-adolescent relationship factors. J Consult Clin Psych 1998;66(2):248-258.
Foxcroft DR, Lowe G. Adolescents alcohol use and misuse: the socializing influence of perceived family life. Drug Educ Prev Policy 1997;4(3):215-229.
Teichman M, Basha U. Codependency and family cohesion and adaptability: Changes during treatment in a therapeutic community. Subst Use Misuse 1996;31(5):599-615.
Bruns C, Geist CS. Stressful life events and drug use among adolescents. J Hum Stress 1984;10(3):135-139.
Wagner EF. Delay of gratification, coping with stress, and substance use in adolescence. Exp Clin Psychopharm 1994;1(1-4):27-43.
Hoffmann JP, Cerbone FG, Su SS. A growth curve analysis of stress and adolescent drug use. Subst Use Misuse 2000;35(5):687-716.
Wills TA, Sandy JM, Yaeger AM, Cleary SD, Shinar O. Coping dimensions, life stress, and adolescent substance use: a latent growth analysis. J Abnorm Psychol 2001;110(2):309-323.
Ouimette PC, Ahrens C, Moos RH, Finney JH. During treatment changes in substance abuse patients with posttraumatic stress disorder: The influence of specific interventions and program environments. J Subst Abuse Treat 1998; 15(6):555-564.
González C. Estrés y respuestas de afrontamiento, Impacto sobre el estudio emocional en adolescentes [tesis de maestría] [México]: Universidad Nacional Autónoma de México, Facultad de Psicología; 1992.
Johanson CE, Duffy FF, Anthony JC. Associations between drug use and behavioral repertoire in urban youths. Addiction 1996;91(4):1731-1733.
Vaccaro D, Wills TA. Stress-coping factors in adolescent substance use: test of ethnic and gender differences in samples of urban adolescents. J Drug Educ 1998;28(3):257-280.
Glyshaw K, Cohen LH, Towbes LC. Coping strategies and psychological distress: prospective analyses of early and middle adolescents. Am J Commun Psychiatr 1989;17(5):607-623.
Reese FL, Roosa MW. Early adolescents’ self-reports of major life stressors and mental health risk status. J Early Adolescence 1991;11(3):363-378.
Chen CY, Dormitzer CM, Gutiérrez U, Vittetoe K, González GB, Anthony JC. The adolescent behavioral repertoire as a context for drug exposure: behavioral autarcesis at play. Addiction 2004;99(7):897-906.
Wagner FA, Anthony JC. Into the world of illicit drug use: Exposure opportunity and other mechanisms linking tobacco, marijuana and cocaine use. Am J Epidemiol 2002;155(10):918-925.
Arellanez-Hernández JL, Díaz-Negrete DB, Wagner-Echeagaray F, Pérez- Islas V. Factores psicosociales asociados con el abuso y dependencia de drogas entre adolescentes: análisis bivariados de un estudio de casos y controles. Salud Mental 2004; 27(3):54-64.
American Psychiatric Association. Manual diagnóstico y estadístico de los trastornos mentales (DSM-IV). Barcelona, España: Masson; 1995.
Schlesselman JJ. Case-control studies: design, conduct, analysis. New York, USA: Oxford University Press; 1982.
Kahn HA, Sempos CT. Statistical methods in epidemiology. New York, USA: Oxford University Press; 1989.
Instituto Mexicano de Psiquiatría. Escala de depresión del Centro de Estudios Epidemiológicos (CES-D). Descripción, escala, método de calificación. México: Instituto Mexicano de Psiquiatría; 1997.
Salgado N, Maldonado M. Características psicométricas de la escala de depresión del Centro de Estudios Epidemiológicos en mujeres mexicanas adultas de áreas rurales. Salud Publica Mex 1994;36(2):200-209.
Radloff L. The CES-D Scale: a self report depression scale for research in the general population. Appl Psych Meas 1977;1(3):385-401.
Russell C. Circumplex model of family systems: empirical evaluation with families. Fam Process 1979; 18(1):29-47.
Olson DH. Circumplex Model VII: Validation studies of FACES III. Fam Process 1986;25(3):337-351.
Olson DH, Sprenkle DH, Russell C. Circumplex model of marital and family systems: cohesion and adaptability dimensions, family types, and clinical applications. Fam Process 1986;18(1):3-29.
Olson DH. Three-dimensional circumplex model and revised scoring of FACES III. [commentary] Fam Process 1991;30(1):74-79.
Lazarus RS, Folkman S. Stress, appraisal, and coping. New York, USA: Springer; 1984.
Lazarus RS, Folkman S. Estrés y procesos cognitivos. Barcelona, España: Martínez Roca; 1986.
Wagner FA, Anthony JC. Male-female differences in the risk of progression from first use to dependence upon cannabis, cocaine, and alcohol. Drug Alcohol Depend 2007;86(2-3):191-198.
Giaconia RM, Reinherz HZ, Hauf AC, Paradis AD, Wasserman MS, Langhammer DM. Comorbidity of substance use and post-traumatic stress disorders in a community sample of adolescents. Am J Orthopsychiatry 2000;70(2):253-262.
Becoña E. Bases científicas de la prevención de las drogodependencias. Madrid, España: Ministerio del Interior, Delegación del Gobierno para el Plan Nacional sobre Drogas, Secretaría General Técnica; 2002.