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Drug Awareness in Adolescents Attending a Mental Health Service: Analysis of Longitudinal Data

Published online by Cambridge University Press:  10 January 2013

Jaume Arnau
Affiliation:
Universidad de Barcelona (Spain)
Roser Bono*
Affiliation:
Universidad de Barcelona (Spain)
Rosa Díaz
Affiliation:
Hospital ClínicoUniversitario de Barcelona (Spain)
Javier Goti
Affiliation:
Hospital ClínicoUniversitario de Barcelona (Spain)
*
Correspondence concerning this article should be addressed to Roser Bono. Departament de Metodologia de les Ciències del Comportament, Facultat de Psicologia, Universitat de Barcelona, Passeig de la Vall d'Hebron 171, 08035-Barcelona. Phone: +34-933125080; Fax: +34-934021359. E-mail: rbono@ub.edu

Abstract

One of the procedures used most recently with longitudinal data is linear mixed models. In the context of health research the increasing number of studies that now use these models bears witness to the growing interest in this type of analysis. This paper describes the application of linear mixed models to a longitudinal study of a sample of Spanish adolescents attending a mental health service, the aim being to investigate their knowledge about the consumption of alcohol and other drugs. More specifically, the main objective was to compare the efficacy of a motivational interviewing programme with a standard approach to drug awareness. The models used to analyse the overall indicator of drug awareness were as follows: (a) unconditional linear growth curve model; (b) growth model with subject-associated variables; and (c) individual curve model with predictive variables. The results showed that awareness increased over time and that the variable ‘schooling years’ explained part of the between-subjects variation. The effect of motivational interviewing was also significant.

Uno de los procedimientos más recientemente utilizados con datos de carácter longitudinal son los modelos lineales mixtos. Su creciente interés en investigación sanitaria se constata por un aumento de los estudios que utilizan este tipo de análisis. Este trabajo se centra en los modelos lineales mixtos aplicados a un estudio longitudinal sobre el conocimiento acerca del consumo de alcohol y otras drogas en una muestra de adolescentes españoles que inician tratamiento en un centro de salud mental. Concretamente, el objetivo principal fue comparar la eficacia de un programa de entrevista motivacional con otro estándar sobre el conocimiento de las drogas. Los modelos utilizados a fin de analizar el indicador global de conocimiento sobre drogas fueron los siguientes: (a) modelo incondicional lineal de curva de crecimiento, (b) modelo de crecimiento con variables asociadas a las personas y (c) modelo de curvas individuales con variables predictoras. Los resultados mostraron que el conocimiento incrementa con el paso del tiempo y que la escolarización explica parte de la variación entre-sujetos. En cuanto al efecto de la entrevista motivacional resultó ser significativo.

Type
Research Article
Copyright
Copyright © Cambridge University Press 2011

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References

Agencia Antidroga de la comunidad de Madrid [Anti-drug Agency of Madrid] (2003). Banco de Instrumentos para la Evaluación de Intervenciones Preventivas [Instrument bank for evaluating preventive interventions]. Madrid, Spain: Author.Google Scholar
Akaike, H. (1974). A new look at the statistical model identification. IEEE Transaction on Automatic Control, 19, 716723. doi:10.1109/TAC.1974.1100705CrossRefGoogle Scholar
Al-halabi-Díaz, S., Secades-Villa, R., Erraste-Pérez, J. M., Fernández-Hermida, J. R., García-Rodríguez, O., & Carballo-Crespo, J. L. (2006). Family predictors of parent participation in an adolescent drug abuse prevention program. Drug and Alcohol Review, 25, 327331. doi:10.1080/09595230600741149CrossRefGoogle Scholar
Ariza, C, Nebot, M., Tomás, Z., Giménez, E., Valmayor, S., Tarilonte, V., & de Vries, H. (2008). Longitudinal effects of the European smoking prevention framework approach (ESFA) project in Spanish adolescents. European Journal of Public Health, 18, 491497. doi:10.1093//ckn050Google Scholar
Baker, A., Lewin, T., Reichler, H., Clancy, R., Carr, V., Garrett, R., … Terry, M. (2002). Evaluation of a motivational interview for substance use within psychiatric in-patient services. Addiction, 97, 13291337. doi:10.1046/j.1360-0443.2002.00178.xGoogle Scholar
Bono, R., Arnau, J., & Vallejo, G. (2008). Técnicas de análisis aplicadas a datos longitudinales en Psicología y Ciencias de la Salud: Período 1985–2005 [Analytical techniques applied to longitudinal data in psychology and health sciences: 1985–2005]. Papeles del Psicólogo, 29, 136146.Google Scholar
Castro-Fornieles, J., Díaz, R., Goti, J., Calvo, R., González, L., Serrano, L., & Gual, A. (2010). Prevalence and factors related to substance use among adolescents with eating disorders. European Addiction Research, 16, 6168. doi:10.1159/000268106Google Scholar
Chassin, L., Hussong, A. M., Barrera, M., Molina, B. S. G., Trim, R., & Ritter, J. (2004). Adolescent substance use. In Lerner, R. M. and Steinberg, L. (Eds.), Handbook of adolescent psychology (2nd ed.) (pp. 665696). Hoboken, NJ: Wiley & Sons.CrossRefGoogle Scholar
Díaz, R. (2009). Prevención del trastorno dual en niños y adolescents [Preventing dual disorder in children and adolescents]. In de los Cobos, J. Pérez (Ed.), Trastornos duales, adicciones relacionadas con trastornos mentales en la infancia o la adolescencia. Un reto de asistencia y prevención [Dual disorders: addictions related to mental disorders in childhood and adolescence. A challenge for services and prevention]. Barcelona, Spain: Ars Médica.Google Scholar
Díaz, R., Castro-Fornieles, J., Serrano, L., González, L., Calvo, R., Goti, J., … Gual, R. (2008a). Clinical and research utility of Spanish Teen-Addiction Severity Index (T-ASI). Addictive Behaviors, 33, 188195. doi:10.1016/j.addbeh.2007.06.002CrossRefGoogle ScholarPubMed
Díaz, R., Gual, A., García, M., Arnau, J., Pascual, F., Cañuelo, B., … Garbayo, I. (2008b). Children of alcoholics in Spain: from risk to pathology. Results from de ALFIL program. Social Psychiatry and Psychiatric Epidemiology, 43, 110. doi:10.1007/s00127-007-0264-2Google Scholar
Díaz, R., Gual, A., Serrano, L., Costa, S., Ferri, M. J., & Fonollosa, C. (2001). Programa ALFIL: evaluación de marcadores de riesgo e intervención preventiva en hijos de alcohólicos [The ALFIL programme: evaluating risk markers and preventive intervention in children of alcoholics]. Adicciones, 13, 3949.Google Scholar
Duarte, R., & Molina, J. A. (2004). Alcohol abuse among adolescents: regional evidence from Spain. International Journal of Consumer Studies, 28, 1827. doi:10.1111/j.1470-6431.2004.00329.xGoogle Scholar
Fernández, P., Livacic-Rojas, P., & Vallejo, G. (2007). Cómo elegir la mejor prueba estadística para analizar un diseño de medidas repetidas [How to choose the best statistical test for analysing a repeated measures design]. International Journal of Clinical and Health Psychology, 7, 153175.Google Scholar
Gill, P. S. (2000). A robust mixed linear model analysis for longitudinal data. Statistics in Medicine, 19, 975987. doi:10.1002/(SICI)1097-0258(20000415)3.0.CO;2-9>CrossRefGoogle ScholarPubMed
Goti, J., Diaz, R., Serrano, L., González, L., Calvo, R., Gual, A., & Castro, J. (2010). Brief intervention in substance-use among adolescent psychiatric patients: a randomized controlled trial. European Child and Adolescent Psychiatry, 19, 503511. doi:10.1007/s00787-009-0060-5Google Scholar
Henry, K. L. (2008). Low prosocial attachment, involvement with drug-using peers, and adolescent drug use: A longitudinal examination of mediational mechanisms. Psychology of Addictive Behaviors, 22, 302–208. doi:10.1037/0893-164X.22.2.302Google Scholar
Johnson, J. G., Cohen, P., Pine, D. S., Klein, D.F., Kasen, S., & Brook, J. S. (2000). Association between cigarette smoking and anxiety disorders during adolescence and early adulthood. Journal of the American Medical Association, 284, 23482351.CrossRefGoogle ScholarPubMed
Kaminer, Y., Bukstein, O., & Tarter, R. E. (1991). The Teen-Addiction Severity Index: rationale and reliability. International Journal of the Addictions, 26, 219226. doi:10.1080/08897070802219230Google Scholar
MacKinnon, D. P., & Lockwood, C. M. (2003). Advances in statistical methods for substance abuse prevention research. Prevention Science, 4, 155171. doi:1389-4986/03/0900-0155/1Google Scholar
McCambridge, J., & Strang, J. (2003). Development of a structured generic drug intervention model: a brief application of motivational interviewing with young people. Drug and Alcohol Review, 22, 391399. doi:10.1080/09595230310001613903Google Scholar
Migneault, J. P., Pallonen, U. E., & Velicer, W. F. (1997). Decisional balance and stage of change for adolescent drinking. Addictive Behaviors, 22, 339351. doi:10.1016/S0306-4603(96)00252-3Google Scholar
Miller, W. R., & Rollnick, S. (2002). Motivational interviewing. Preparing people for change (2nd ed.). New York, NY: The Guilford Press.Google Scholar
Ministerio del Interior [Spanish Interior Ministry] (2000). Estrategia nacional sobre drogas 2000–2008 [National Strategy on Drugs 2000–2008]. Madrid, Spain: Ministerio del Interior.Google Scholar
Moral-Jiménez, M. V., Rodríguez-Díaz, F. J., & Sirvent-Ruiz, C. (2006). Factores relacionados con las actitudes juveniles hacia el consumo de alcohol y otras sustancias psicoactivas [Factors related to young people's attitudes toward the consumption of alcohol and other psychoactive substances]. Psicothema, 18, 5258.Google Scholar
Morales, E., Ariza, C., Nebot, M., Pérez, A., & Sánchez, F. (2008). Consumo de cannabis en los estudiantes de secundaria de Barcelona: inicio en el consumo, efectos experimentados y expectativas [Cannabis use in secondary-school pupils in Barcelona: initiation, effects experienced and expectations]. Gaceta Sanitaria, 22, 321329.Google Scholar
Oliva, A., Parra, A., & Sánchez-Queija, I. (2008). Consumo de sustancias durante la adolescencia: trayectorias evolutivas y consecuencias para el ajuste psicológico [Consuming substances during adolescence: trajectories and consequences for psychological adjustment]. International Journal of Clinical and Health Psychology, 8, 153169.Google Scholar
Pérez, A., Ariza, C., Sánchez-Martínez, F., & Nebot, M. (2010). Cannabis consumption initiation among adolescents: A longitudinal study. Addictive Behaviors, 35, 129134. doi:10.1016/j.addbeh.2009.09.018Google Scholar
Plan Nacional sobre Drogas [Spanish Government's National Plan on Drugs] (2007). Informe de la encuesta estatal sobre uso de drogas en estudiantes de enseñanzas secundarias (ESTUDES) 2006–2007 [Report of the national survey of drug use among secondary-school pupils (ESTUDES) 2006-2007]. Madrid, Spain: Ministerio de Sanidad y Consumo.Google Scholar
Sánchez-Hervás, E. (2000). Uso de drogas en una muestra de adolescents [Drug use in a sample of adolescents]. Anales de Psicología, 16, 7985.Google Scholar
Schwartz, R. H. (2002). Marijuana: A decade and a half after, still a crude drug with underappreciated toxicity. Pediatrics, 109, 284289.CrossRefGoogle Scholar
Swift, W., Coffey, C., Carlin, J. B., Degenhardt, L., & Patton, G. C. (2008). Adolescent cannabis users at 24 years: trajectories to regular weekly use and dependence in young adulthood. Addiction, 103, 13611370. doi:10.1111/j.1360-0443.2008.02246.xGoogle Scholar
Tait, R. J, Hulse, G. K., & Robertson, S. I. (2004). Effectiveness of a brief intervention and continuity of care in enhancing attendance for treatment by adolescent substance users. Drug and Alcohol Dependence, 74, 289296. doi:10.1016/j.drugalcdep.2004.01.003Google Scholar
Vega, W. A., Aguilar-Gaxiola, S., Andrade, L., Bijl, R., Borges, G., Caraveo-Anduaga, J. J., … Wittchen, H. U. (2002). Prevalence and age of onset for drug use in seven international sites: results from the international consortium of psychiatric epidemiology. Drug and Alcohol Dependence, 68, 285297. doi:10.1016/S0376-8716(02)00224-7CrossRefGoogle Scholar
Wolfinger, R. D. (1996). Heterogeneous variance-covariance structures for repeated measurements. Journal of Agricultural, Biological, and Environmental Statistics, 1, 205230. doi:10.2307/1400366Google Scholar