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The 130th Annual Meeting of APHA |
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The 130th Annual Meeting of APHA |
Alexandra Fickenscher, MPH and Douglas Novins, MD. National Center for American Indian and Alaska Native Mental Health Research, University of Colorado Health Sciences Center, 4455 East Twelfth Avenue, A011-13, Denver, CO 80220, 303-315-9854, alexandra.fickenscher@uchsc.edu
Objective: Studies have found high prevalences of Conduct Disorder (CD) among youth in residential substance abuse treatment programs (RSATP). To date, no studies have examined this issue among American Indian adolescents in similar treatment settings. This study was designed to address this gap. Method: We used the DISC-Y (Diagnostic Interview Schedule for Children, Youth Informant) and the CIDI-SAM (Composite International Diagnostic Interview, Substance Abuse Module) to interview 93 American Indian adolescents aged between 13 and 18 years who were admitted to an RSATP. Results: Seventy one percent of the adolescents met full DSM-IV criteria for CD (77 percent of boys and 62 percent of girls). More than 90 percent of the participants met at least one criterion of CD. The most common criteria among adolescents with CD included destroying property, stealing without confrontation and using a weapon. The least frequent criteria included forced sex, fire setting and being physically cruel to people. Among participants diagnosed with CD, girls were more likely than boys to have comorbidity with Major Depression (c2=5.982) and Posttraumatic Stress Disorder (c2=4.485). Boys were more likely than girls to report having broken into a house, building or car (c2=10.478). Participants with CD were equally likely to complete the treatment program as participants without CD (c2=0.581). Conclusions: Conduct Disorder was common among both boys and girls in this sample of American Indian adolescents in an RSATP, but the specific antisocial behaviors and relationships to other psychiatric disorders varied by gender.
Learning Objectives:
Keywords: American Indians, Mental Health
Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.