title: Interactive Effect of Child Maltreatment and Substance Use on Depressed Mood Among Adolescents Presenting to Community-Based Substance Use Treatment.
abstract: Adolescents referred to community behavioral health centers (CBHC) for substance use (SU) problems report high rates of child maltreatment. Although SU and maltreatment are independent risk factors for adolescent depression, few studies have examined their interactive effects. This study examined the interactive effects of SU (alcohol and marijuana) and exposure to different types of trauma on depressed mood among 74 adolescents referred to a CBHC for SU. Hierarchical regressions controlling for sex and common adolescent comorbidities showed that sexual abuse had a stronger relationship with depressed mood than other types of maltreatment. Although SU was not independently related to depressed mood, consistent with the self-medication hypothesis, increased SU was associated with lower levels of depressed mood among adolescents with greater exposure to sexual abuse. Results suggest that teens presenting to CBHCs for SU should be assessed for multiple forms of maltreatment and for depressed mood.
authors.affiliation: Department of Psychiatry and Human Behavior, Alpert Medical School of Brown University, Box G-BH, Providence, RI, 02912, USA. Judelysse_gomez@brown.edu.
authors.forename: Judelysse
authors.initials: J
authors.lastname: Gomez
authors.affiliation: Department of Psychiatry and Human Behavior, Alpert Medical School of Brown University, Box G-BH, Providence, RI, 02912, USA.|Department of Behavioral and Social Sciences, Center for Alcohol and Addiction Studies, Brown University, Box G-S121-5, Providence, RI, 02912, USA.
authors.forename: Sara
authors.initials: S
authors.lastname: Becker
authors.affiliation: Simmons School of Social Work, Boston Children's Hospital, Harvard Medical School, 300 The Fenway, Boston, MA, 02115, USA.
authors.forename: Kimberly
authors.initials: K
authors.lastname: O'Brien
authors.affiliation: Department of Psychiatry and Human Behavior, Alpert Medical School of Brown University, Box G-BH, Providence, RI, 02912, USA.
authors.forename: Anthony
authors.initials: A
authors.lastname: Spirito
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior / Q000523:psychology*; D000342:Affective Symptoms / Q000523:psychology; D002648:Child; D002649:Child Abuse / Q000523:psychology*; D003430:Cross-Sectional Studies; D003863:Depression / Q000523:psychology*; D005260:Female; D006801:Humans; D008297:Male; D019964:Mood Disorders / Q000175:diagnosis / Q000523:psychology*; D011569:Psychiatric Status Rating Scales; D012044:Regression Analysis; D019966:Substance-Related Disorders / Q000523:psychology*; D011795:Surveys and Questionnaires
keywords: Adolescents; Childhood maltreatment; Depressed mood community behavioral health; Substance use