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Review
. 1998;22(2):117-21, 126.

Psychopathology in adolescent alcohol abuse and dependence

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Review

Psychopathology in adolescent alcohol abuse and dependence

D B Clark et al. Alcohol Health Res World. 1998.

Abstract

Adolescents who abuse or are dependent on alcohol often have coexisting mental disorders. These disorders may both precipitate alcohol use disorders and result from them. In addition, both types of disorders may arise independently in adolescents at high risk. Mental disorders that commonly co-occur with alcohol use disorders in adolescents include antisocial disorders, mood disorders, and anxiety disorders. Treatment programs for adolescents with alcohol use disorders should seek not only to eliminate alcohol and other drug use but also to improve the symptoms of other mental disorders.

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Pathways for risk, psychopathology, and alcohol use disorders (AUDs). “High risk” represents the various risk factors that have been linked to the development of AUDs and other mental disorders. Psychopathology (psychological disorder 1) may influence the relationship between high risk and an AUD. Alternatively, a comorbid mental disorder (psychological disorder 2) may result from an adolescent AUD. Risk factors also may increase vulnerability to psychopathology (psychological disorder 3) and AUDs independently, such that the prevalence of both psychopathology and AUDs would be increased in high-risk adolescents but might not be causally related.

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