Childhood Psychiatric Disorders as Risk Factor for Subsequent Substance Abuse: A Meta-Analysis
Abstract Objective Assess the prospective risk of developing substance-related disorders following childhood mental health disorders (i.e. attention-deficit/hyperactivity disorder [ADHD], oppositional defiant disorder/conduct disorder [ODD/CD], anxiety disorder, and depression) using meta-analysis....
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| creator | Groenman, Annabeth P., PhD Janssen, Tieme W.P., PhD Oosterlaan, Jaap, PhD Strategy, Search Extraction, Data |
| description | Abstract Objective Assess the prospective risk of developing substance-related disorders following childhood mental health disorders (i.e. attention-deficit/hyperactivity disorder [ADHD], oppositional defiant disorder/conduct disorder [ODD/CD], anxiety disorder, and depression) using meta-analysis. Method PubMed, Embase, and PsycInfo were searched for relevant longitudinal studies that described childhood ( |
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Method PubMed, Embase, and PsycInfo were searched for relevant longitudinal studies that described childhood (<age 18) ADHD, ODD/CD, anxiety or depression in relation to later alcohol-, nicotine-, or drug- related disorders or substance use disorders published in peer-reviewed journals in the English language between 1986 until May 2016. Two researchers conducted all review stages. Meta-analysis of Observational Studies in Epidemiology (MOOSE) guidelines were followed. Results A total of 37 studies including over 762,187 participants were identified for quantitative analyses. These studies included 22,029 participants with ADHD, 434 participants with ODD/CD, 1,433 participants with anxiety disorder, and 2.451 participants with depression. In total, 97 ESs were extracted for analyses. Meta-analysis showed a significantly increased risk for addiction in ADHD (n=23, OR=2.27,95%CI=1.98-3.67; i.e. OR alcohol=2.15,95%CI=1.56-2.97, OR drugs=1.52,95%CI=1.52-5.27, OR nicotine=2.52,95%CI=2.01-3.15, OR SUDs=2.61,95%CI=1.77-3.84), ODD/CD (n=8, OR=3.18,95%CI=1.97-5.80; i.e. OR alcohol=1.73,95%CI=1.51-2.00, OR drugs=4.24,95%CI=1.3.21.5.59, OR nicotine =4.22,95%CI=3.21-5.55, OR SUDs=4.86,95%CI=3.09-7.56) and depression (n=13, OR=2.03,95%CI=1.47-2.81; i.e. OR alcohol=1.10,95%CI=1.02-1.19, OR nicotine=2.56,95%CI=1.89-3.48, OR SUDs=2.20,95%CI=1.41-3.43), but not for anxiety disorders (n=15, OR=1.34,95%CI=.90-1.55, n.s.). Conclusion We show that not only childhood ADHD increases the risk of developing substance-related disorders, but also childhood ODD/CD and depression. Anxiety disorders do not seem to increase the risk for future substance-related disorders, although findings are highly heterogeneous. These findings emphasize the need for early detection and intervention to prevent debilitating substance-related disorders in later life.</description><identifier>ISSN: 0890-8567</identifier><identifier>EISSN: 1527-5418</identifier><identifier>DOI: 10.1016/j.jaac.2017.05.004</identifier><identifier>PMID: 28647007</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Addictions ; Adolescent ; Adult ; Alcohol ; Analysis ; Anxiety ; Anxiety Disorders ; Anxiety Disorders - complications ; Anxiety Disorders - epidemiology ; Attention Deficit and Disruptive Behavior Disorders - complications ; Attention Deficit and Disruptive Behavior Disorders - epidemiology ; Attention deficit hyperactivity disorder ; Child ; Child & adolescent mental health ; Child & adolescent psychiatry ; Child abuse & neglect ; Childhood ; Children ; Children & youth ; Conduct disorder ; Depression (Psychology) ; Depressive Disorder - complications ; Depressive Disorder - epidemiology ; Drug abuse ; Drugs ; Early intervention ; English language ; Epidemiology ; Humans ; Hyperactivity ; Longitudinal Studies ; Mental depression ; Mental disorders ; mental disorders diagnosed in childhood ; Mental health ; Meta Analysis ; Narcotics ; Nicotine ; Observational studies ; Oppositional defiant disorder ; Pediatrics ; Psychiatry ; Reviews ; Risk assessment ; Risk factors ; Substance abuse ; Substance use disorder ; substance-related disorders ; Substance-Related Disorders - epidemiology ; Substance-Related Disorders - etiology ; Systematic review ; Young Adult</subject><ispartof>Journal of the American Academy of Child and Adolescent Psychiatry, 2017-07, Vol.56 (7), p.556-569</ispartof><rights>2017 American Academy of Child and Adolescent Psychiatry</rights><rights>Copyright © 2017 American Academy of Child and Adolescent Psychiatry. Published by Elsevier Inc. All rights reserved.</rights><rights>Copyright Lippincott Williams & Wilkins Jul 2017</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c483t-fb5d077c87af64ccb8a4e16662ad475c9414869bca7d4adcbeff43faab32186d3</citedby><cites>FETCH-LOGICAL-c483t-fb5d077c87af64ccb8a4e16662ad475c9414869bca7d4adcbeff43faab32186d3</cites><orcidid>0000-0002-8394-6605</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S089085671730206X$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,30976,33751,65534</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28647007$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Groenman, Annabeth P., PhD</creatorcontrib><creatorcontrib>Janssen, Tieme W.P., PhD</creatorcontrib><creatorcontrib>Oosterlaan, Jaap, PhD</creatorcontrib><creatorcontrib>Strategy, Search</creatorcontrib><creatorcontrib>Extraction, Data</creatorcontrib><title>Childhood Psychiatric Disorders as Risk Factor for Subsequent Substance Abuse: A Meta-Analysis</title><title>Journal of the American Academy of Child and Adolescent Psychiatry</title><addtitle>J Am Acad Child Adolesc Psychiatry</addtitle><description>Abstract Objective Assess the prospective risk of developing substance-related disorders following childhood mental health disorders (i.e. attention-deficit/hyperactivity disorder [ADHD], oppositional defiant disorder/conduct disorder [ODD/CD], anxiety disorder, and depression) using meta-analysis. Method PubMed, Embase, and PsycInfo were searched for relevant longitudinal studies that described childhood (<age 18) ADHD, ODD/CD, anxiety or depression in relation to later alcohol-, nicotine-, or drug- related disorders or substance use disorders published in peer-reviewed journals in the English language between 1986 until May 2016. Two researchers conducted all review stages. Meta-analysis of Observational Studies in Epidemiology (MOOSE) guidelines were followed. Results A total of 37 studies including over 762,187 participants were identified for quantitative analyses. These studies included 22,029 participants with ADHD, 434 participants with ODD/CD, 1,433 participants with anxiety disorder, and 2.451 participants with depression. In total, 97 ESs were extracted for analyses. Meta-analysis showed a significantly increased risk for addiction in ADHD (n=23, OR=2.27,95%CI=1.98-3.67; i.e. OR alcohol=2.15,95%CI=1.56-2.97, OR drugs=1.52,95%CI=1.52-5.27, OR nicotine=2.52,95%CI=2.01-3.15, OR SUDs=2.61,95%CI=1.77-3.84), ODD/CD (n=8, OR=3.18,95%CI=1.97-5.80; i.e. OR alcohol=1.73,95%CI=1.51-2.00, OR drugs=4.24,95%CI=1.3.21.5.59, OR nicotine =4.22,95%CI=3.21-5.55, OR SUDs=4.86,95%CI=3.09-7.56) and depression (n=13, OR=2.03,95%CI=1.47-2.81; i.e. OR alcohol=1.10,95%CI=1.02-1.19, OR nicotine=2.56,95%CI=1.89-3.48, OR SUDs=2.20,95%CI=1.41-3.43), but not for anxiety disorders (n=15, OR=1.34,95%CI=.90-1.55, n.s.). Conclusion We show that not only childhood ADHD increases the risk of developing substance-related disorders, but also childhood ODD/CD and depression. Anxiety disorders do not seem to increase the risk for future substance-related disorders, although findings are highly heterogeneous. These findings emphasize the need for early detection and intervention to prevent debilitating substance-related disorders in later life.</description><subject>Addictions</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Alcohol</subject><subject>Analysis</subject><subject>Anxiety</subject><subject>Anxiety Disorders</subject><subject>Anxiety Disorders - complications</subject><subject>Anxiety Disorders - epidemiology</subject><subject>Attention Deficit and Disruptive Behavior Disorders - complications</subject><subject>Attention Deficit and Disruptive Behavior Disorders - epidemiology</subject><subject>Attention deficit hyperactivity disorder</subject><subject>Child</subject><subject>Child & adolescent mental health</subject><subject>Child & adolescent psychiatry</subject><subject>Child abuse & neglect</subject><subject>Childhood</subject><subject>Children</subject><subject>Children & youth</subject><subject>Conduct disorder</subject><subject>Depression (Psychology)</subject><subject>Depressive Disorder - complications</subject><subject>Depressive Disorder - epidemiology</subject><subject>Drug abuse</subject><subject>Drugs</subject><subject>Early intervention</subject><subject>English language</subject><subject>Epidemiology</subject><subject>Humans</subject><subject>Hyperactivity</subject><subject>Longitudinal Studies</subject><subject>Mental depression</subject><subject>Mental disorders</subject><subject>mental disorders diagnosed in childhood</subject><subject>Mental health</subject><subject>Meta Analysis</subject><subject>Narcotics</subject><subject>Nicotine</subject><subject>Observational studies</subject><subject>Oppositional defiant disorder</subject><subject>Pediatrics</subject><subject>Psychiatry</subject><subject>Reviews</subject><subject>Risk assessment</subject><subject>Risk factors</subject><subject>Substance abuse</subject><subject>Substance use disorder</subject><subject>substance-related disorders</subject><subject>Substance-Related Disorders - epidemiology</subject><subject>Substance-Related Disorders - etiology</subject><subject>Systematic review</subject><subject>Young Adult</subject><issn>0890-8567</issn><issn>1527-5418</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><sourceid>BHHNA</sourceid><recordid>eNp9kV2L1DAUhoMo7rj6B7yQgjfetOarSUZEGEZ3FVYUV8ErQ5qcMul22jWnFebfb-qsCnvhRUgunvfl5DmEPGW0YpSpl13VOecrTpmuaF1RKu-RFau5LmvJzH2yomZNS1MrfUIeIXaUZtKYh-SEGyU1pXpFfmx3sQ-7cQzFZzz4XXRTir54G3FMARIWDosvEa-KM-enMRVtPpdzg_BzhmH6_Zzc4KHYNDPCq2JTfITJlZvB9QeM-Jg8aF2P8OT2PiXfzt593b4vLz6df9huLkovjZjKtqkD1dob7VolvW-Mk8CUUtwFqWu_lkwatW6800G64BtoWyla5xrBmVFBnJIXx97rNObJcLL7iB763g0wzmjZmgkjOFcyo8_voN04pzzvQgnGGTdMZIofKZ9GxAStvU5x79LBMmoX-7azi3272Le0ttl-Dj27rZ6bPYS_kT-6M_D6CEB28StCsugjZH0hJvCTDWP8f_-bO3HfxyF611_BAfDfPyxyS-3lsv9l_UwLyqn6Lm4ATw6qlA</recordid><startdate>20170701</startdate><enddate>20170701</enddate><creator>Groenman, Annabeth P., PhD</creator><creator>Janssen, Tieme W.P., PhD</creator><creator>Oosterlaan, Jaap, PhD</creator><creator>Strategy, Search</creator><creator>Extraction, Data</creator><general>Elsevier Inc</general><general>Elsevier BV</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7TK</scope><scope>7U3</scope><scope>BHHNA</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-8394-6605</orcidid></search><sort><creationdate>20170701</creationdate><title>Childhood Psychiatric Disorders as Risk Factor for Subsequent Substance Abuse: A Meta-Analysis</title><author>Groenman, Annabeth P., PhD ; Janssen, Tieme W.P., PhD ; Oosterlaan, Jaap, PhD ; Strategy, Search ; Extraction, Data</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c483t-fb5d077c87af64ccb8a4e16662ad475c9414869bca7d4adcbeff43faab32186d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Addictions</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Alcohol</topic><topic>Analysis</topic><topic>Anxiety</topic><topic>Anxiety Disorders</topic><topic>Anxiety Disorders - complications</topic><topic>Anxiety Disorders - epidemiology</topic><topic>Attention Deficit and Disruptive Behavior Disorders - complications</topic><topic>Attention Deficit and Disruptive Behavior Disorders - epidemiology</topic><topic>Attention deficit hyperactivity disorder</topic><topic>Child</topic><topic>Child & adolescent mental health</topic><topic>Child & adolescent psychiatry</topic><topic>Child abuse & neglect</topic><topic>Childhood</topic><topic>Children</topic><topic>Children & youth</topic><topic>Conduct disorder</topic><topic>Depression (Psychology)</topic><topic>Depressive Disorder - complications</topic><topic>Depressive Disorder - epidemiology</topic><topic>Drug abuse</topic><topic>Drugs</topic><topic>Early intervention</topic><topic>English language</topic><topic>Epidemiology</topic><topic>Humans</topic><topic>Hyperactivity</topic><topic>Longitudinal Studies</topic><topic>Mental depression</topic><topic>Mental disorders</topic><topic>mental disorders diagnosed in childhood</topic><topic>Mental health</topic><topic>Meta Analysis</topic><topic>Narcotics</topic><topic>Nicotine</topic><topic>Observational studies</topic><topic>Oppositional defiant disorder</topic><topic>Pediatrics</topic><topic>Psychiatry</topic><topic>Reviews</topic><topic>Risk assessment</topic><topic>Risk factors</topic><topic>Substance abuse</topic><topic>Substance use disorder</topic><topic>substance-related disorders</topic><topic>Substance-Related Disorders - epidemiology</topic><topic>Substance-Related Disorders - etiology</topic><topic>Systematic review</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Groenman, Annabeth P., PhD</creatorcontrib><creatorcontrib>Janssen, Tieme W.P., PhD</creatorcontrib><creatorcontrib>Oosterlaan, Jaap, PhD</creatorcontrib><creatorcontrib>Strategy, Search</creatorcontrib><creatorcontrib>Extraction, Data</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Neurosciences Abstracts</collection><collection>Social Services Abstracts</collection><collection>Sociological Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of the American Academy of Child and Adolescent Psychiatry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Groenman, Annabeth P., PhD</au><au>Janssen, Tieme W.P., PhD</au><au>Oosterlaan, Jaap, PhD</au><au>Strategy, Search</au><au>Extraction, Data</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Childhood Psychiatric Disorders as Risk Factor for Subsequent Substance Abuse: A Meta-Analysis</atitle><jtitle>Journal of the American Academy of Child and Adolescent Psychiatry</jtitle><addtitle>J Am Acad Child Adolesc Psychiatry</addtitle><date>2017-07-01</date><risdate>2017</risdate><volume>56</volume><issue>7</issue><spage>556</spage><epage>569</epage><pages>556-569</pages><issn>0890-8567</issn><eissn>1527-5418</eissn><abstract>Abstract Objective Assess the prospective risk of developing substance-related disorders following childhood mental health disorders (i.e. attention-deficit/hyperactivity disorder [ADHD], oppositional defiant disorder/conduct disorder [ODD/CD], anxiety disorder, and depression) using meta-analysis. Method PubMed, Embase, and PsycInfo were searched for relevant longitudinal studies that described childhood (<age 18) ADHD, ODD/CD, anxiety or depression in relation to later alcohol-, nicotine-, or drug- related disorders or substance use disorders published in peer-reviewed journals in the English language between 1986 until May 2016. Two researchers conducted all review stages. Meta-analysis of Observational Studies in Epidemiology (MOOSE) guidelines were followed. Results A total of 37 studies including over 762,187 participants were identified for quantitative analyses. These studies included 22,029 participants with ADHD, 434 participants with ODD/CD, 1,433 participants with anxiety disorder, and 2.451 participants with depression. In total, 97 ESs were extracted for analyses. Meta-analysis showed a significantly increased risk for addiction in ADHD (n=23, OR=2.27,95%CI=1.98-3.67; i.e. OR alcohol=2.15,95%CI=1.56-2.97, OR drugs=1.52,95%CI=1.52-5.27, OR nicotine=2.52,95%CI=2.01-3.15, OR SUDs=2.61,95%CI=1.77-3.84), ODD/CD (n=8, OR=3.18,95%CI=1.97-5.80; i.e. OR alcohol=1.73,95%CI=1.51-2.00, OR drugs=4.24,95%CI=1.3.21.5.59, OR nicotine =4.22,95%CI=3.21-5.55, OR SUDs=4.86,95%CI=3.09-7.56) and depression (n=13, OR=2.03,95%CI=1.47-2.81; i.e. OR alcohol=1.10,95%CI=1.02-1.19, OR nicotine=2.56,95%CI=1.89-3.48, OR SUDs=2.20,95%CI=1.41-3.43), but not for anxiety disorders (n=15, OR=1.34,95%CI=.90-1.55, n.s.). Conclusion We show that not only childhood ADHD increases the risk of developing substance-related disorders, but also childhood ODD/CD and depression. Anxiety disorders do not seem to increase the risk for future substance-related disorders, although findings are highly heterogeneous. These findings emphasize the need for early detection and intervention to prevent debilitating substance-related disorders in later life.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>28647007</pmid><doi>10.1016/j.jaac.2017.05.004</doi><tpages>14</tpages><orcidid>https://orcid.org/0000-0002-8394-6605</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Addictions Adolescent Adult Alcohol Analysis Anxiety Anxiety Disorders Anxiety Disorders - complications Anxiety Disorders - epidemiology Attention Deficit and Disruptive Behavior Disorders - complications Attention Deficit and Disruptive Behavior Disorders - epidemiology Attention deficit hyperactivity disorder Child Child & adolescent mental health Child & adolescent psychiatry Child abuse & neglect Childhood Children Children & youth Conduct disorder Depression (Psychology) Depressive Disorder - complications Depressive Disorder - epidemiology Drug abuse Drugs Early intervention English language Epidemiology Humans Hyperactivity Longitudinal Studies Mental depression Mental disorders mental disorders diagnosed in childhood Mental health Meta Analysis Narcotics Nicotine Observational studies Oppositional defiant disorder Pediatrics Psychiatry Reviews Risk assessment Risk factors Substance abuse Substance use disorder substance-related disorders Substance-Related Disorders - epidemiology Substance-Related Disorders - etiology Systematic review Young Adult |
| title | Childhood Psychiatric Disorders as Risk Factor for Subsequent Substance Abuse: A Meta-Analysis |
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