Table 4.
Comorbid psychiatric diagnoses among psychiatric patients aged 13–17 years with a SUD by age, sex, race/ethnicity, and treatment setting (N=1,319)
| Ages 13–17 years Mean age1 |
Male N=903 15.6 yrs |
Female N=416 15.5 yrs |
White N=668 15.8 yrs |
Black N=441 15.3 yrs* |
Inpatient N=543 15.3 yrs |
Outpatient N=776 15.8 yrs* |
|---|---|---|---|---|---|---|
| Comorbid diagnosis | %, 95% CI | %, 95% CI | %, 95% CI | %, 95% CI | %, 95% CI | %, 95% CI |
| Mood–any | 28.6, 25.6–31.5 | 49.0, 44.2–53.8* | 36.8, 33.2–40.5 | 37.0, 32.4–41.5 | 58.6, 54.4–62.7 | 18.6, 15.8–21.3* |
| Anxiety–any | 9.1, 7.2–11.0 | 18.5, 14.7–22.2* | 16.0, 13.2–18.8 | 9.1, 6.4–11.8* | 18.0, 14.8–21.3 | 7.9, 6.0–9.8* |
| Conduct | 18.9, 16.4–21.5 | 25.7, 21.5–29.9* | 13.5, 10.9–16.1 | 38.3, 33.8–42.9* | 40.3, 36.2–44.5 | 7.6, 5.7–9.5* |
| Attention deficit hyperactive |
20.8, 18.2–23.5 | 11.7, 8.7–14.8 * | 21.1, 18.0–24.2 | 15.4, 12.0–18.8 | 21.4, 17.9–24.8 | 15.6, 13.0–18.2 |
| Other childhood disruptive |
0.3, 0–0.7 | ---- | 0.3, 0–0.7 | 0.2, 0–0.7 | 0.4, 0–0.9 | 0.1, 0–0.4 |
| Relational problem | 18.3, 15.7–20.8 | 17.7, 14.0–21.4 | 23.2, 20.0–26.4 | 14.3, 11.0–17.6* | 19.7, 16.3–23.1 | 17.0, 14.4–19.7 |
| Adjustment | 7.4, 5.7–9.1 | 13.7, 10.3–17.0* | 9.0, 6.8–11.2 | 12.7, 9.6–15.8 | 15.8, 12.8–18.9 | 4.9, 3.4–6.4* |
| Eating | 0.1, 0–0.3 | 2.6, 1.1–4.2* | 1.6, 0.7–2.6 | 0.2, 0–0.7 | 1.3, 0.3–2.2 | 0.6, 0.1–1.2 |
| Impulse-control | 2.5, 1.5–3.6 | 2.2, 0.8–3.6 | 1.0, 0.3–1.8 | 5.0, 2.9–7.0* | 5.3, 3.4–7.2 | 0.4, 0–0.8* |
| Learning | 2.2, 1.3–3.2 | 1.2, 0.2–2.3 | 1.8, 0.8–2.8 | 2.0, 0.7–3.4 | 1.7, 0.6–2.7 | 2.1, 1.1–3.1 |
| Mental retardation | 1.2, 0.5–1.9 | 1.2, 0.2–2.3 | 0.4, 0–1.0 | 2.9, 1.4–4.5* | 2.4, 1.1–3.7 | 0.4, 0–0.8* |
| Psychotic | 4.3, 3.0–5.6 | 4.1, 2.2–6.0 | 1.2, 0.4–2.0 | 10.2, 7.4–13.0* | 10.1, 7.6–12.7 | 0.1, 0–0.4* |
| Personality–any | 2.2, 1.3–3.2 | 7.0, 4.5–9.4* | 4.6, 3.0–6.2 | 3.2, 1.5–4.8 | 8.5, 6.1–10.8 | 0.4, 0–0.8* |
| Number of diagnoses2 | ||||||
| 0 (SUD only) | 40.9, 37.7–44.1 | 25.2 21 .0–29.4* | 34.1 30.5–37.7 | 28.3 24.1–32.6 | 6.8, 4.7–8.9 | 56.3, 52.8–59.8* |
| 1 | 26.7, 23.8–29.6 | 30.7 26.3–35.2 | 29.9 26.5–33.4 | 27.9 23.7–32.1 | 34.4, 30.4–38.4 | 23.5, 20.5–26.4* |
| 2+ | 32.4, 29.4–35.5 | 43.9 39.2–48.7* | 35.9 32.3–39.6 | 43.8 39.1–48.4 | 58.7, 54.6–62.9 | 20.2, 17.4–23.1* |
CI: confidence interval; SUD: substance use disorder; ----: a zero cell.
1
Mean age (years) at first psychiatric visit.
2
Number of comorbid diagnoses included: any mood, conduct, attention deficit hyperactive, relational, any anxiety, adjustment, psychotic or schizophrenia, eating, impulse-control, any personality, learning, mental retardation, and other childhood disruptive diagnoses.
*
P<0.05 between two groups by sex, race, or treatment setting status.