Conduct Disorder and Alcohol Use Disorder Trajectories, Predictors, and Outcomes for Indigenous Youth

Brenna L. Greenfield, Kelley J. Sittner, Miriam K. Forbes, Melissa L. Walls, Les B. Whitbeck

Research output: Contribution to journalArticle

  • 2 Citations

Abstract

Objective The aim of this study was to identify separate and joint trajectories of conduct disorder (CD) and alcohol use disorder (AUD) DSM-IV diagnostic symptoms among American Indian and First Nation (Indigenous) youth aged 10 to 18 years, and to characterize baseline profiles and later outcomes associated with joint trajectory group membership. Method Data were collected between 2002 and 2010 on three indigenous reservations in the northern Midwest and four Canadian reserves (N = 673). CD and substance use disorder (SUD) were measured using the DSM-IV Diagnostic Interview Schedule for Children−Revised (DISC-R), administered at four time points. Results Using group-based trajectory modeling, three CD and four AUD trajectories were found. Both had a small group with high symptoms, but the largest groups for both had no symptoms (55% and 73%, respectively). CD symptom trajectories began at age 10 years and peaked at age 14; AUD trajectories began at age 12 years and were highest from age 16 on. Eight joint trajectories were identified. Of the sample, 53% fell into the group with no CD or AUD symptoms. Compared to symptomatic groups, this group had greater caretaker warmth, positive school adjustment, less discrimination, and fewer deviant peers, and were less likely to have a caretaker with major depression at baseline. Symptomatic groups had higher odds of high school dropout, sex under the influence, and arrest at age 17 to 20 years. Conclusion Despite significant risk factors, a large proportion of Indigenous youth had no CD−SUD symptoms over time. CD−SUD symptoms have multiple development trajectories and are related to early developmental risk and later psychosocial outcomes.

LanguageEnglish (US)
Pages133-139.e1
JournalJournal of the American Academy of Child and Adolescent Psychiatry
Volume56
Issue number2
DOIs
StatePublished - Feb 1 2017

Fingerprint

Conduct Disorder
Alcohols
Substance-Related Disorders
Joints
Diagnostic and Statistical Manual of Mental Disorders
Student Dropouts
Social Adjustment
North American Indians
Appointments and Schedules
Interviews
Depression

Keywords

  • alcohol use disorder
  • American Indian
  • comorbidity
  • conduct disorder
  • First Nations

ASJC Scopus subject areas

  • Developmental and Educational Psychology
  • Psychiatry and Mental health

Cite this

Conduct Disorder and Alcohol Use Disorder Trajectories, Predictors, and Outcomes for Indigenous Youth. / Greenfield, Brenna L.; Sittner, Kelley J.; Forbes, Miriam K.; Walls, Melissa L.; Whitbeck, Les B.

In: Journal of the American Academy of Child and Adolescent Psychiatry, Vol. 56, No. 2, 01.02.2017, p. 133-139.e1.

Research output: Contribution to journalArticle

Greenfield, Brenna L. ; Sittner, Kelley J. ; Forbes, Miriam K. ; Walls, Melissa L. ; Whitbeck, Les B./ Conduct Disorder and Alcohol Use Disorder Trajectories, Predictors, and Outcomes for Indigenous Youth. In: Journal of the American Academy of Child and Adolescent Psychiatry. 2017 ; Vol. 56, No. 2. pp. 133-139.e1
@article{a2f9e67483034198a05d55f38e10dd1e,
title = "Conduct Disorder and Alcohol Use Disorder Trajectories, Predictors, and Outcomes for Indigenous Youth",
abstract = "Objective The aim of this study was to identify separate and joint trajectories of conduct disorder (CD) and alcohol use disorder (AUD) DSM-IV diagnostic symptoms among American Indian and First Nation (Indigenous) youth aged 10 to 18 years, and to characterize baseline profiles and later outcomes associated with joint trajectory group membership. Method Data were collected between 2002 and 2010 on three indigenous reservations in the northern Midwest and four Canadian reserves (N = 673). CD and substance use disorder (SUD) were measured using the DSM-IV Diagnostic Interview Schedule for Children−Revised (DISC-R), administered at four time points. Results Using group-based trajectory modeling, three CD and four AUD trajectories were found. Both had a small group with high symptoms, but the largest groups for both had no symptoms (55{\%} and 73{\%}, respectively). CD symptom trajectories began at age 10 years and peaked at age 14; AUD trajectories began at age 12 years and were highest from age 16 on. Eight joint trajectories were identified. Of the sample, 53{\%} fell into the group with no CD or AUD symptoms. Compared to symptomatic groups, this group had greater caretaker warmth, positive school adjustment, less discrimination, and fewer deviant peers, and were less likely to have a caretaker with major depression at baseline. Symptomatic groups had higher odds of high school dropout, sex under the influence, and arrest at age 17 to 20 years. Conclusion Despite significant risk factors, a large proportion of Indigenous youth had no CD−SUD symptoms over time. CD−SUD symptoms have multiple development trajectories and are related to early developmental risk and later psychosocial outcomes.",
keywords = "alcohol use disorder, American Indian, comorbidity, conduct disorder, First Nations",
author = "Greenfield, {Brenna L.} and Sittner, {Kelley J.} and Forbes, {Miriam K.} and Walls, {Melissa L.} and Whitbeck, {Les B.}",
year = "2017",
month = "2",
day = "1",
doi = "10.1016/j.jaac.2016.11.009",
language = "English (US)",
volume = "56",
pages = "133--139.e1",
journal = "Journal of the American Academy of Child and Adolescent Psychiatry",
issn = "0890-8567",
publisher = "Elsevier Limited",
number = "2",

}

TY - JOUR

T1 - Conduct Disorder and Alcohol Use Disorder Trajectories, Predictors, and Outcomes for Indigenous Youth

AU - Greenfield,Brenna L.

AU - Sittner,Kelley J.

AU - Forbes,Miriam K.

AU - Walls,Melissa L.

AU - Whitbeck,Les B.

PY - 2017/2/1

Y1 - 2017/2/1

N2 - Objective The aim of this study was to identify separate and joint trajectories of conduct disorder (CD) and alcohol use disorder (AUD) DSM-IV diagnostic symptoms among American Indian and First Nation (Indigenous) youth aged 10 to 18 years, and to characterize baseline profiles and later outcomes associated with joint trajectory group membership. Method Data were collected between 2002 and 2010 on three indigenous reservations in the northern Midwest and four Canadian reserves (N = 673). CD and substance use disorder (SUD) were measured using the DSM-IV Diagnostic Interview Schedule for Children−Revised (DISC-R), administered at four time points. Results Using group-based trajectory modeling, three CD and four AUD trajectories were found. Both had a small group with high symptoms, but the largest groups for both had no symptoms (55% and 73%, respectively). CD symptom trajectories began at age 10 years and peaked at age 14; AUD trajectories began at age 12 years and were highest from age 16 on. Eight joint trajectories were identified. Of the sample, 53% fell into the group with no CD or AUD symptoms. Compared to symptomatic groups, this group had greater caretaker warmth, positive school adjustment, less discrimination, and fewer deviant peers, and were less likely to have a caretaker with major depression at baseline. Symptomatic groups had higher odds of high school dropout, sex under the influence, and arrest at age 17 to 20 years. Conclusion Despite significant risk factors, a large proportion of Indigenous youth had no CD−SUD symptoms over time. CD−SUD symptoms have multiple development trajectories and are related to early developmental risk and later psychosocial outcomes.

AB - Objective The aim of this study was to identify separate and joint trajectories of conduct disorder (CD) and alcohol use disorder (AUD) DSM-IV diagnostic symptoms among American Indian and First Nation (Indigenous) youth aged 10 to 18 years, and to characterize baseline profiles and later outcomes associated with joint trajectory group membership. Method Data were collected between 2002 and 2010 on three indigenous reservations in the northern Midwest and four Canadian reserves (N = 673). CD and substance use disorder (SUD) were measured using the DSM-IV Diagnostic Interview Schedule for Children−Revised (DISC-R), administered at four time points. Results Using group-based trajectory modeling, three CD and four AUD trajectories were found. Both had a small group with high symptoms, but the largest groups for both had no symptoms (55% and 73%, respectively). CD symptom trajectories began at age 10 years and peaked at age 14; AUD trajectories began at age 12 years and were highest from age 16 on. Eight joint trajectories were identified. Of the sample, 53% fell into the group with no CD or AUD symptoms. Compared to symptomatic groups, this group had greater caretaker warmth, positive school adjustment, less discrimination, and fewer deviant peers, and were less likely to have a caretaker with major depression at baseline. Symptomatic groups had higher odds of high school dropout, sex under the influence, and arrest at age 17 to 20 years. Conclusion Despite significant risk factors, a large proportion of Indigenous youth had no CD−SUD symptoms over time. CD−SUD symptoms have multiple development trajectories and are related to early developmental risk and later psychosocial outcomes.

KW - alcohol use disorder

KW - American Indian

KW - comorbidity

KW - conduct disorder

KW - First Nations

UR - http://www.scopus.com/inward/record.url?scp=85008219302&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85008219302&partnerID=8YFLogxK

U2 - 10.1016/j.jaac.2016.11.009

DO - 10.1016/j.jaac.2016.11.009

M3 - Article

VL - 56

SP - 133-139.e1

JO - Journal of the American Academy of Child and Adolescent Psychiatry

T2 - Journal of the American Academy of Child and Adolescent Psychiatry

JF - Journal of the American Academy of Child and Adolescent Psychiatry

SN - 0890-8567

IS - 2

ER -