title: Interactive Effect of Parent and Adolescent Psychiatric Symptoms on Substance Use among Adolescents in Community Treatment.
abstract: Both adolescent and parent psychiatric symptoms are well-established risk factors for adolescent substance use (SU), but the ways that these symptoms interact are not well understood. This study examined the interactive effects of parent and adolescent psychiatric symptoms on adolescent frequency of alcohol and marijuana use, over and above the effects of parental SU. Seventy adolescents presenting to a community mental health center (CMHC) participated. Parent and adolescent psychiatric symptoms were measured with the brief symptom inventory (BSI) and child behavior checklist (CBCL), respectively. Hierarchical regressions revealed different patterns for adolescent alcohol and marijuana use. For alcohol, the BSI parent phobic anxiety subscale predicted increased adolescent use while the parent interpersonal sensitivity subscale predicted decreased use: the effects of these parental symptoms were strongest among adolescents with higher levels of externalizing problems on the CBCL. For marijuana, the BSI parent psychoticism subscale predicted increased adolescent use, whereas paranoid ideation predicted decreased use. Results suggest that adolescent SU treatment and assessment should attend to both adolescent and parent psychiatric symptoms.
authors.affiliation: Psychology Department, Suffolk University, 73 Tremont St, 8th Floor, Boston, MA, 02114, USA. lkelly2@suffolk.edu.
authors.forename: Lourah M
authors.initials: LM
authors.lastname: Kelly
authors.affiliation: Department of Behavioral and Social Sciences, Center for Alcohol and Addiction Studies, Brown School of Public Health, 121 South Main Street, Providence, RI, 02912, USA.|Department of Psychiatry and Human Behavior, Alpert Medical School of Brown University, Box G-BH, Providence, RI, 02912, USA.
authors.forename: Sara J
authors.initials: SJ
authors.lastname: Becker
authors.affiliation: Department of Psychiatry and Human Behavior, Alpert Medical School of Brown University, Box G-BH, Providence, RI, 02912, USA.
authors.forename: Jennifer C
authors.initials: JC
authors.lastname: Wolff
authors.affiliation: Department of Psychiatry and Human Behavior, Alpert Medical School of Brown University, Box G-BH, Providence, RI, 02912, USA.
authors.forename: Hannah
authors.initials: H
authors.lastname: Graves
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*; D057189:Checklist; D003156:Community Mental Health Services; D005260:Female; D006801:Humans; D008297:Male; D010290:Parents / Q000523:psychology*; D057566:Self Report; D019966:Substance-Related Disorders / Q000453:epidemiology*
keywords: Adolescent; Community behavioral health clinic; Psychiatric symptoms; Substance use