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Substance Use Disorders in Young Adults With and Without LD

Predictive and Concurrent Relationships

Hospital for Sick Children, the head of the Child Psychiatry Program at the Centre for Addiction and Mental Health, and the head of the Division of Child Psychiatry at the University of Toronto in Toronto, Canada, Joe_Beitchman{at}camh.net

Beth Wilson

Centre for Addiction and Mental Health

Lori Douglas

Centre for Addiction and Mental Health

Arlene Young

Centre for Addiction and Mental Health and the Hospital for Sick Children

Edward Adlaf

Centre for Addiction and Mental Health and the Department of Public Health Science at the University of Toronto

This article reports on young people with and without learning disabilities (LD) and substance use disorders (SUD). Participants were assessed for LD at ages 12 and 19 and for SUD and psychiatric disorders at age 19. Participants with LD at ages 12 and 19 were more likely to develop an SUD or a psychiatric disorder compared to participants without consistent LD. Participants with LD at age 19 were more likely to have a concurrent SUD or psychiatric disorder compared to those without LD at age 19, while participants with LD at age 12 showed only a trend toward increased rates of SUD at age 19 when compared to participants without LD at age 12. Participants with and without LD did not differ in substance use, consumption levels, or onset history. In a multivariate model, adolescent LD was associated with a three-fold increased risk for SUD after behavioral problems and family structure had entered the model. Although these results provide some support for the notion that adolescents with LD are at increased risk for SUD, LD also appears to confer a general risk for adverse outcomes.

Journal of Learning Disabilities, Vol. 34, No. 4, 317-332 (2001)
DOI: 10.1177/002221940103400407


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