A network approach to substance use, internalizing, and externalizing comorbidity in US adults

被引:2
|
作者
Blondino, Courtney T. [1 ]
Prom-Wormley, Elizabeth C. [1 ]
机构
[1] Virginia Commonwealth Univ, Dept Family Med & Populat Hlth, Div Epidemiol, Sch Med, 830 East Main St,POB 980212, Richmond, VA 23298 USA
关键词
Substance use; Internalizing symptoms; Externalizing symptoms; Comorbidity; Gender; ATTENTION-DEFICIT/HYPERACTIVITY DISORDER; NATIONAL EPIDEMIOLOGIC SURVEY; CANNABIS USE DISORDERS; MENTAL-HEALTH PROBLEMS; ISING-MODEL SELECTION; PRESCRIPTION DRUG-USE; CIGARETTE-SMOKING; ALCOHOL-USE; DEPENDENCE; ABUSE;
D O I
10.1016/j.addbeh.2022.107421
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
Introduction: Use of conventional cigarettes (CIG), alcohol, marijuana, and sedatives [i.e., benzodiazepines and barbiturates]) commonly co-occur with internalizing and externalizing disorders. It is unclear how these re-lationships extend to electronic cigarettes (ECIGs) and prescription drugs not prescribed (i.e., sedatives, tran-quilizers, and painkillers [PDNP]), and whether they differ by gender. Methods: Adult data (N = 30,211) from Wave 1 (2013-2014) of the Population Assessment of Tobacco and Health Study were used to estimate a network of current or past-month use for six substances, experiencing four internalizing symptoms in the past month, and experiencing seven externalizing symptoms in the past month. Visual comparisons, global strength invariance, network structure invariance, and edge strength invariance were tested to detail substance use and internalizing/externalizing symptom networks. Results: Overall, networks were consistent between men and women. The strongest substance use/mental health symptom connections estimated as edge-weights (EW) were between marijuana with lying (EW = 0.60, 95% CI = 0.49; 0.70), marijuana with engaging in fights (EW = 0.54, 95% CI = 0.27; 0.81), PDNP with having trouble sleeping (EW = 0.53, 95% CI = 0.40; 0.66), and alcohol and impulsivity (EW = 0.48, 95% CI = 0.42; 0.53).Discussion: There were many weak connections throughout the substance use and internalizing/externalizing network. A few important connections were identified and encourage future study. In particular, PDNP was most strongly associated with internalizing symptoms. Marijuana, alcohol and PDNP use were most strongly associ-ated with externalizing symptoms.
引用
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页数:10
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