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• W2127813643 abstract "To examine the longitudinal associations in both directions between mental health and substance use in adolescence.Three-year longitudinal cohort.Britain (nationally representative sample).3607 youths aged 11-16 years at baseline.Externalizing and internalizing mental health problems were measured using brief questionnaires (parent-reported Strengths and Difficulties Questionnaire) and diagnostic interviews, including clinician-rated diagnoses of mental disorder. Substance use was measured by youth self-report, and included regular smoking, frequent alcohol consumption, regular cannabis use and ever taking other illicit drugs.Externalizing (specifically behavioural) problems at baseline independently predicted all forms of substance use, with a particularly strong effect on smoking. In all cases this association showed a dose-response relationship. In contrast, although internalizing problems had a strong univariable association with smoking, this disappeared after adjusting for comorbid externalizing problems. There was little or no evidence that baseline substance use predicted mental health at follow-up.Externalizing problems predict adolescent substance use, and adjusting for comorbid externalizing problems is vital when investigating the effects of internalizing problems. A dose-response effect of externalizing problems is seen across the full range. Programmes seeking to prevent adolescent substance use by reducing externalizing problems may therefore wish to consider population-wide interventions rather than targeting individuals only at the negative extreme." @default.
• W2127813643 created "2016-06-24" @default.
• W2127813643 creator A5023735316 @default.
• W2127813643 date "2010-06-07" @default.
• W2127813643 modified "2023-10-11" @default.
• W2127813643 title "Substance use and common child mental health problems: examining longitudinal associations in a British sample" @default.
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• W2127813643 doi "https://doi.org/10.1111/j.1360-0443.2010.02981.x" @default.
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