Are psychotic experiences among detained juvenile offenders explained by trauma and substance use?

Abstract Objective High rates of psychotic experiences among detained adolescents have been reported. However, the significance of psychotic experiences in detained juveniles is still poorly understood. The current study, therefore, (1) examines whether psychotic experiences could be explained by su...

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Bibliographic Details
Published in:Drug and alcohol dependence 2009-02, Vol.100 (1), p.39-46
Main Authors: Colins, Olivier, Vermeiren, Robert, Vreugdenhil, Coby, Schuyten, Gilberte, Broekaert, Eric, Krabbendam, Anne
Format: Article
Language:English
Subjects:
Addictive behaviors
Adolescent
Adolescents
Adult and adolescent clinical studies
Amphetamines
Biological and medical sciences
Child
Child Abuse - diagnosis
Child Abuse - psychology
Child neglect
Childhood abuse
Childhood neglect
Children
Cocaine
Diagnosis, Dual (Psychiatry) - psychology
Drug addiction
Emotional abuse
Humans
Juvenile Delinquency - psychology
Male
Marihuana
Medical sciences
Other psychotic disorders
Paranoia
Prisoners - psychology
Psychiatry
Psychology
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Psychoses
Psychotic Disorders - diagnosis
Psychotic Disorders - etiology
Psychotic Disorders - psychology
Psykologi
Substance abuse
Substance-Related Disorders - complications
Substance-Related Disorders - diagnosis
Substance-Related Disorders - psychology
Surveys and Questionnaires
Symptoms
Victimology
Wounds and Injuries - complications
Wounds and Injuries - psychology
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Summary:Abstract Objective High rates of psychotic experiences among detained adolescents have been reported. However, the significance of psychotic experiences in detained juveniles is still poorly understood. The current study, therefore, (1) examines whether psychotic experiences could be explained by substance use and/or traumatic experiences, and (2) investigates this objective without taking into account the frequently occurring paranoia-related symptoms that may not be psychosis-related in detained minors. Method Data were derived from 231 detained adolescents. By means of the Diagnostic Interview Schedule for Children, psychotic experiences, life-threatening events and substance use were assessed while the Child Traumatic Questionnaire was used for a history of abuse and neglect. Results In univariate logistic regression analyses, having psychotic experiences was positively associated with substance-related (e.g. past year intense marihuana use) and trauma-related (e.g. emotional abuse) variables. However, without taken paranoia-related experiences into account, different associations between psychotic experiences and substance-related and/or trauma-related variables were found. After building best fitting models, logistic regression analyses demonstrated a preponderance of trauma-related over substance-related variables in predicting the number of psychotic experiences (i.e. 0, 1–2, >2). Conclusion These findings suggest that psychotic experiences in detained adolescents may be explained by trauma and substance use. In addition, paranoia-related experiences seemed to be particularly associated with emotional abuse.
ISSN:0376-8716
1879-0046
1879-0046
DOI:10.1016/j.drugalcdep.2008.08.013