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Young adults in drug treatment : the function of substance use to alleviate anxiety and depression

By Catherine Blair


Section 1- Literature review\ud Young adults in drug treatment have predominantly been heroin users, many with mental health problems. (1) Young adulthood is a distinct developmental period. It encompasses transisitons to adulthood that are now more difficult to negotiate than in the past and may be disrupted by dependent heroin use; (2) Mental health problems are common amongst those in drug treatment but few studies report separate young adult results; (3) Models including the use of drugs to regulate uncomfortable mood states are reviewed as possible explanations for the relationship between substance misuse and mental health problems. In conclusion, more research is needed on the effect of substance misuse on the transition to adulthood and the relevance of self regulation of affect to young adults in drug treatment.\ud Section 2- Research report\ud Relationships were explored between mental health problems and perceived functions for using heroin, crack cocaine, alcohol and cannabis. Participants were fifty-one young adults in drug treatment aged 16-25 years, 96% were opiate users. Questionnaire measures included: Substance use history; negative mood functions/social functions of past year use of heroin, crack cocaine, alcohol and cannabis; Hospital Anxiety and Depression Scale. Clinically significant mental health problems were common (anxiety 47%; depression 24%). Heroin was most often taken to block out negative mood states and such use showed a statistically significant relationship with anxiety and depression. Use of alcohol to alleviate negative mood showed a significant relationship with anxiety but not depression. These relationships were primarily explained by the pharmacological effects of each substance with heroin particularly effective at reducing awareness of uncomfortable mood states. Drug treatment interventions therefore need to address young adult mental health problems and the relationships between mental health and functions of use.\ud Section 3- Critical Appraisal\ud Reflections on the process of conducting the literature review and research report

Publisher: University of Leicester
Year: 2005
OAI identifier: oai:lra.le.ac.uk:2381/4617

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  1. (1988). A motivational model of alcohol use. doi
  2. (1997). A Theoretical Model of the Behavioural Addictions - Applied to Offending. In
  3. (1993). An epidemiological study of disorders in late childhood and adolescence. Age and gender specific prevalence. doi
  4. (2000). BPS Division of Clinical Psychology. doi
  5. (1999). Bright futures: Promoting Children and Young People's Mental Health. London: Mental Health Foundation. doi
  6. (2002). Community studies on adolescent Substance Use Abuse or Dependence and Psychiatric Comorbidity. doi
  7. (2005). Comparing the compliance rates of young adults with the general adult population. Clinical Psychology.
  8. (2002). Delay of gratification: Impulsive choices and problem behaviours in early and late adolescence. doi
  9. (2000). Drug dependence and child abuse.
  10. (2000). Drug use functions predict cocaine-related problems in young people. Drug and Alcohol Review. doi
  11. (2004). Druglink Guide to Drugs.
  12. (2000). Emerging Adulthood: A theory of development from the late teens zist, 55(5), 469-480. through the twenties. doi
  13. (2003). First steps in identifying young people's substance related needs.
  14. (2003). Getting the rig ght start: National Service Framework for Children. Emermin - Findings.
  15. (1968). Identity: Youth and crisis. doi
  16. (2004). Making Reading Easier. doi
  17. (1993). Manual for the Beck Anxiety Inventga. San Antonio:
  18. (2002). Mental Health Policy Good Practice Guide: Dual Diajznosis Good Practice Guide. London: Department of Health.
  19. (2004). More than just methadone dose: enhancing outcomes of methadone maintenance treatment with counselling and other psychosocial and 'ancilla! y' services.
  20. (1994). Motivations for Alcohol Use Among Adolescents: Development and validation of a Four-Factor Model. Psychological Assessment, doi
  21. (2004). National Service Framework for Children, Young People and Matemity Services: The Mental Health and Psychological Wellbeing o Children and Young People. London: Department of Health. doi
  22. (2003). Perceived functions predict intensity of use and problems in young polysubstance users. doi
  23. (1997). Psychiatric and Substance use comorbidity among treatment-seeking opioid abusers. doi
  24. (1999). Psychiatric comorbidity with substance misuse in children and teenagers. doi
  25. (2004). Quantitative psychological research: a students handbook.
  26. (1980). Relapse: Prevention and prediction. In doi
  27. (2004). SPSS Survival Manual: A step by step guide to data analysis using SPSS. Maidenhead: doi
  28. Substance use among young people: the relationship between perceived functions and intentions. doi
  29. (1994). The Diagnostic and Statistical doi
  30. (1998). The Maudsley Addiction Profile: A brief instrument for treatment outcome research. London: National Addiction Centre/ Institute of Psychiatry.
  31. (1994). The Psychology of Addiction. doi
  32. (2002). The relative influence of friends and functions: modelling frequency of substance use in a non-treatment sample of 16-22 year olds. doi
  33. (2002). The relative influence of friends and functions: modelling frequency of substance use in a non-treatment sample of 16-22 year olds. Health Education. doi
  34. (2001). The substance of young needs: review
  35. (2001). The Theory of Planned Behaviour and 'ecstasy' use: Roles for habit and perceived control over taking versus obtaining substances. doi
  36. (2002). The validity of the Hospital Anxiety and Depression Scale: An updated literature review. doi
  37. (1996). Transitions to adulthood: A family matter?
  38. (1999). What influences Young Peoples Use of Drugs? A qualitative study of decision-making. Drugs: education, prevention and policy, doi
  39. (1999). What influences Young Peoples Use of Drugs? A qualitative study of decision-making. Drugs: education. prevention and policy. doi

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