Family Dysfunction and Alcohol and Drug Use in Adolescent Psychiatric Inpatients

JAMES R. McKAY, RONALD T. MURPHY, TIMOTHY R. RIVINUS, STEPHEN A. MAISTO

Research output: Contribution to journalArticle

43 Scopus citations

Abstract

This report examines the relationship between family functioning and substance abuse in adolescent psychiatric inpatients. The adolescents, who had been hospitalized after acute psychiatric crises, provided reports of drug and alcohol use, intoxication-related problems, and family functioning during the 4 months preceding hospitalization. Greater degrees of family dysfunction in the areas of affective responsiveness and role functioning were associated with higher levels of substance abuse. When age, sex, and diagnosis were controlled for, family dysfunction in these areas was still significantly associated with alcohol consumption but not with drug use or intoxication-related problems. Implications for treatment are discussed. J. Am. Acad. Child Adolesc, Psychiatry, 1991, 30, 6:967–972.

Original languageEnglish (US)
Pages (from-to)967-972
Number of pages6
JournalJournal of the American Academy of Child and Adolescent Psychiatry
Volume30
Issue number6
DOIs
StatePublished - Jan 1 1991
Externally publishedYes

Keywords

  • adolescent psychopathology
  • dual diagnosis
  • family functioning
  • substance abuse

ASJC Scopus subject areas

  • Developmental and Educational Psychology
  • Psychiatry and Mental health

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