Tiffany Field
Abstract
A review of recent literature on substance use and misuse in adolescents revealed a prevalence range of 4-88% in different countries that may relate to cultural differences and/or sampling different age groups as well as various types of substance use. Several negative effects have been noted including later substance use in adulthood, more serious substance use and several negative social and psychological problems including homelessness, posttraumatic stress disorder, depression, and suicide. Risk factors have been researched including attitudes about substance use, craving, and early initiation of substance use. Parental factors have included parental substance use and lack of parental monitoring adolescent use. Peer variables include peer misuse, racial discrimination, being a sexual minority, cyberbullying, and cyber victimization. Risk behaviors include excessive screen time and gambling. The only mechanism studies have cited reduced connectivity of different parts of the brain based on fMRI scans. The very few interventions (that probably relate to the significant decline in adolescents seeking intervention) have included youth electronic media messages, skill development, and supportive communities. Limitations of this literature include sampling and measurement variability and a paucity of longitudinal studies and intervention research.