<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0874-4890</journal-id>
<journal-title><![CDATA[Toxicodependências]]></journal-title>
<abbrev-journal-title><![CDATA[Toxicodependências]]></abbrev-journal-title>
<issn>0874-4890</issn>
<publisher>
<publisher-name><![CDATA[Instituto da Droga e da Toxicodependência, I.P.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0874-48902011000100005</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[Consumo de álcool em adolescentes e psicopatologia associada]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vilela]]></surname>
<given-names><![CDATA[Lara]]></given-names>
</name>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Macho]]></surname>
<given-names><![CDATA[Patrícia]]></given-names>
</name>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Almeida]]></surname>
<given-names><![CDATA[Gaspar]]></given-names>
</name>
</contrib>
</contrib-group>
<aff id="A">
<institution><![CDATA[,  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2011</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2011</year>
</pub-date>
<volume>17</volume>
<numero>1</numero>
<fpage>43</fpage>
<lpage>52</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S0874-48902011000100005&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S0874-48902011000100005&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S0874-48902011000100005&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Os adolescentes que abusam de álcool apresentam, por vezes, psicopatologia associada. A patologia psiquiátrica pode precipitar a Perturbação de Uso de Álcool (PUA) ou resultar do consumo de álcool. Por outro lado, a PUA e a psicopatologia podem coexistir, independentemente, em adolescentes de alto risco, uma vez que par­tilham alguns factores desencadeantes. Das patologias psiquiátricas, as que se associam, com maior frequência, ao consumo de álcool nos adolescentes são a perturbação conduta, a perturbação depressiva, a perturbação de ansiedade e a perturbação de hiperactividade e défice de atenção. O objectivo deste estudo é investigar se há relação entre o consumo de álcool e a presença de psicopatologia na adolescência, numa amostra escolar (236). A exposição ao álcool na adolescência pode originar consequências a longo prazo, assim, a identificação dos factores de risco para uso e abuso de álcool por adolescentes é fulcral para o desenvolvimento de programas de prevenção eficazes.]]></p></abstract>
<abstract abstract-type="short" xml:lang="fr"><p><![CDATA[Les adolescents, qui abusent de l’alcool, présentent, des fois, psycho­lopathologie associée. La pathologie psychiatrique peut précipiter la Perturbation d’Usage d’Alcool (PUA) ou résulter de la consommation d’alcool. En outre, la PUA et la psychopathologie peuvent coexister, indépendamment, chez des ados à grand risque, puisqu’ils partagent quelques facteurs déclencheurs. Des pathologies psychiatriques, celles qui s’associent, le plus souvent, à la consommation d’alcool, ce sont la perturbation de conduite, la perturbation dépressive, la perturbation d’anxiété, la perturbation d’hyperactivité et déficit d’attention. L’objectif de cette étude c’est de rechercher s’il y a une relation entre la consommation d’alcool et la présence de psychopathlogie chez des ados d’un échantillon scolaire. La exposition à l’alcool à l’adolescence peut avoir des conséquences à long terme donc l’identification des facteurs de risque pour usage et abus d’alcool par des ados est essentielle au développement de programmes de prévention éfficaces.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Teenagers who abuse alcohol sometimes have associated psychopathology. Psychiatric Disorder may precipitate Alcohol Use Disorder (AUD) or result from the consumption of alcohol. Furthermore, the AUD and psychopathology can exist independently in high-risk adolescents, because they share some triggers. The psychiatric disorders more often associated to alcohol use in adolescents are conduct disorder, depressive disorder, anxiety Disorder and attention deficit hyperactivity disorder. The aim of this study is to investigate whether there is a relationship between alcohol consumption and the presence of psychopathology in a school sample (236). As the use of alcohol in adolescence can have long-term consequences, the identification of risk factors for use and abuse of alcohol by adolescents is central to the development of effective prevention programs.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Los adolecentes que abusan del alcohol presentan, por veces, psicopatología asociada. La patología psiquiátrica puede precipitar la Perturbación del Uso de Alcohol o resultar del consumen de alcohol. Por otro lado, esta Perturbación y la psicopatología pueden coexistir, independientemente, en adolescentes de gran riesgo, una vez que comparten algunos factores desencadenantes. Entre las patologías psiquiátricas, aquellas que se asocian con más gran frecuencia al consumo de alcohol en los adolescentes son la perturbación de conducta, la perturbación depresiva, la perturbación de ansiedad y la perturbación de hiperactividad y déficit de atención. El objetivo de este estudio es investigar la existencia de una relación entre el consumo de alcohol y la presencia de psicopatología en la adolescencia, en una muestra escolar (236). La exposición al alcohol en la adolescencia puede originar consecuencias a gran plazo, así, el identificación de los factores de riesgo para el uso y abuso de alcohol por adolescentes es esencial para el desarrollo de programas de prevención eficaces.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[Adolescentes]]></kwd>
<kwd lng="pt"><![CDATA[Álcool]]></kwd>
<kwd lng="pt"><![CDATA[Psicopatologia]]></kwd>
<kwd lng="fr"><![CDATA[Adolescence]]></kwd>
<kwd lng="fr"><![CDATA[Álcool]]></kwd>
<kwd lng="fr"><![CDATA[Psychopathlogie]]></kwd>
<kwd lng="en"><![CDATA[Adolescent]]></kwd>
<kwd lng="en"><![CDATA[Alcohol]]></kwd>
<kwd lng="en"><![CDATA[Psychopathology]]></kwd>
<kwd lng="es"><![CDATA[Adolescentes]]></kwd>
<kwd lng="es"><![CDATA[Alcohol]]></kwd>
<kwd lng="es"><![CDATA[Psicopatología]]></kwd>
</kwd-group>
</article-meta>
</front><body><![CDATA[ <p><b>Consumo de álcool em adolescentes e psicopatologia associada</b></p>     <p>&nbsp;</p>      <p><b>Lara Vilela*, Patr&iacute;cia Macho**, Gaspar Almeida***</b></p>     <p>*Interna Complementar de Pedopsiquiatria Rua da Vilar, nº 328, 4º esQ 4465-360    S. Mamede Infesta tlm. 916 538 736 <a href="mailto:larabvilela@gmail.com">larabvilela@gmail.com</a>  </p>     <p><b> </b>**Assistente Hospitalar de Pedopsiquiatria tlm. 917 049 737 <a href="mailto:patriciamacho@sapo.pt">patriciamacho@sapo.pt</a></p>     <p>***Assistente Hospitalar Graduado de Psiquiatria tlm. 965 295 174 <a href="mailto:gasparalmeida51@gmail.com">gasparalmeida51@gmail.com</a>  </p>     <p>&nbsp;</p>     <p><b>RESUMO </b></p>      <P>Os adolescentes que abusam de álcool apresentam, por vezes, psicopatologia    associada. A patologia psiquiátrica pode precipitar a Perturbação de Uso de    Álcool (PUA) ou resultar do consumo de álcool. Por outro lado, a PUA e a psicopatologia    podem coexistir, independentemente, em adolescentes de alto risco, uma vez que    par­tilham alguns factores desencadeantes. Das patologias psiquiátricas, as    que se associam, com maior frequência, ao consumo de álcool nos adolescentes    são a perturbação conduta, a perturbação depressiva, a perturbação de ansiedade    e a perturbação de hiperactividade e défice de atenção. O objectivo deste estudo    é investigar se há relação entre o consumo de álcool e a presença de psicopatologia    na adolescência, numa amostra escolar (236). A exposição ao álcool na adolescência    pode originar consequências a longo prazo, assim, a identificação dos factores    de risco para uso e abuso de álcool por adolescentes é fulcral para o desenvolvimento    de programas de prevenção eficazes. </p>      <P><B>Palavras-chave: </b>Adolescentes; Álcool; Psicopatologia. </p>     ]]></body>
<body><![CDATA[<P>&nbsp;</p>      <p><b>RÉSUMÉ </b></p>  Les adolescents, qui abusent de l’alcool, présentent, des fois, psycho­lopathologie associée. La pathologie psychiatrique peut précipiter la Perturbation d’Usage d’Alcool (PUA) ou résulter de la consommation d’alcool. En outre, la PUA et la psychopathologie peuvent coexister, indépendamment, chez des ados à grand risque, puisqu’ils partagent quelques facteurs déclencheurs. Des pathologies psychiatriques, celles qui s’associent, le plus souvent, à la consommation d’alcool, ce sont la perturbation de conduite, la perturbation dépressive, la perturbation d’anxiété, la perturbation d’hyperactivité et déficit d’attention. L’objectif de cette étude c’est de rechercher s’il y a une relation entre la consommation d’alcool et la présence de psychopathlogie chez des ados d’un échantillon scolaire. La exposition à l’alcool à l’adolescence peut avoir des conséquences à long terme donc l’identification des facteurs de risque pour usage et abus d’alcool par des ados est essentielle au développement de programmes de prévention éfficaces.</p>      <p><b>Mots-clé: </b>Adolescence; Álcool; Psychopathlogie. </p>      <P><B>&nbsp;</b></p>      <p><b>ABSTRACT </b></p>      <P>Teenagers who abuse alcohol sometimes have associated psychopathology. Psychiatric    Disorder may precipitate Alcohol Use Disorder (AUD) or result from the consumption    of alcohol. Furthermore, the AUD and psychopathology can exist independently    in high-risk adolescents, because they share some triggers. The psychiatric    disorders more often associated to alcohol use in adolescents are conduct disorder,    depressive disorder, anxiety Disorder and attention deficit hyperactivity disorder.    The aim of this study is to investigate whether there is a relationship between    alcohol consumption and the presence of psychopathology in a school sample (236).    As the use of alcohol in adolescence can have long-term consequences, the identification    of risk factors for use and abuse of alcohol by adolescents is central to the    development of effective prevention programs. </p>      <P><b>Key Words: </b>Adolescent; Alcohol; Psychopathology. </p>     <P>&nbsp;</p>      <p><b>RESUMEN </b></p>      <p>Los adolecentes que abusan del alcohol presentan, por veces, psicopatología    asociada. La patología psiquiátrica puede precipitar la Perturbación del Uso    de Alcohol o resultar del consumen de alcohol. Por otro lado, esta Perturbación    y la psicopatología pueden coexistir, independientemente, en adolescentes de    gran riesgo, una vez que comparten algunos factores desencadenantes. Entre las    patologías psiquiátricas, aquellas que se asocian con más gran frecuencia al    consumo de alcohol en los adolescentes son la perturbación de conducta, la perturbación    depresiva, la perturbación de ansiedad y la perturbación de hiperactividad y    déficit de atención. El objetivo de este estudio es investigar la existencia    de una relación entre el consumo de alcohol y la presencia de psicopatología    en la adolescencia, en una muestra escolar (236). La exposición al alcohol en    la adolescencia puede originar consecuencias a gran plazo, así, el identificación    de los factores de riesgo para el uso y abuso de alcohol por adolescentes es    esencial para el desarrollo de programas de prevención eficaces.</p>     ]]></body>
<body><![CDATA[<p><b>Palabras Clave: </b>Adolescentes; Alcohol; Psicopatología. </p>     <p>&nbsp;</p>      <P>Texto completo dispon&iacute;vel apenas em PDF.</p>     <p>Full text only available in PDF format.</p>     <p>&nbsp;</p>      <P><b>REFERÊNCIAS BIBLIOGRÁFICAS </b></p>      <P>Alati, R., Lawlor, D. A., Najman, J. M. (2005). “J-shape or linear Relationship Between alcohol Consumption and depression: it matters. A Response to taylor &amp; Rehm (2005)”. Addiction 100 (6): 872-873. </p>      <P>Barkley, R., Fischer m., edelbrock, C. e smallish, l. (1990). “the adolescent outcome of hyperactive children diagnosed by research criteria: i. an 8-year prospective follow-up study”. <i>Journal of the American Academy of Child and Adolescent Psychiatry</i>, 29, 546-557. </p>  Barrias, J., neves, g., enes, F., pimentel, l. (1984). “a propósito de uma escala  de envolvimento alcoólico no adolescente de John mayer e William Filstead”. paper  apresentado ao ii encontro nacional sobre o ambulatório em saúde mental, setúbal. </p>      <P>Bonomo, Y., Bowes, g., Coffey, C., Carlin, J., patton, g (2004). “teenage drinking and the onset of alcohol dependence: a cohort study over seven years”. <i>Addiction. </i>99 (12): 1520-1528. </p>      <P>Burke, J., Loeber, R., Lahey, B. (2001). “Which aspects of adHd are associated    with tobacco use in early adolescence?”. <i>Journal of Child Psychology and    Psychiatry</i>, 42, 493-502. </p>      ]]></body>
<body><![CDATA[<P>Cadoret, R. J., Troughton, e., Bagford, J. <i>et al</i>. (1995). “adoption    study demonstrating two genetic pathways to drug abuse”. archives of general    psychiatry 52: 42–52. </p>      <P>Clark, D., BuKstein, O. (1998). “psychopathology in adolescent alcohol abuse    and dependence“. <i>Alchool Health &amp; Research World. </i>Vol. 22, no. 2,    117-121. </p>      <P>Clark, D., Lesnick, L., and Hegedus, a. (1997). “traumas and other adverse    life events in adolescents with alcohol abuse and dependence”. <i>Journal of    the American Academy of Child &amp; Adolescent Psychiatry </i>36 (12): 1744–1751.  </p>      <P>Deas, d. &amp; Thomas, S. (2002). <i>Alcohol Research &amp; Health </i>Vol.    26, no. 2, pp. 116-121. </p>      <P>Deas-Nesmith, D., Brady, K., and Campbell, s. (1998). “Comorbid substance use    and anxiety disorders in adolescents”. <i>Journal of Psychopathology and Behavioral    Assessment </i>20 (2): 139–148. </p>      <P>Dixit, A. R., Crum, R. M. (2000). “depression and the risk of heavy alcohol    use in women: a prospective study”. am Journal of psychiatry 157: 751-758. </p>      <!-- ref --><P>Feijão, F. (2010). “epidemiologia do consumo de álcool entre os adolescentes escolarizados a nível nacional e nas diferentes regiões geográficas”. <i>Revista Toxicodependências. Edição IDT</i>. Vol. 16, no 1, pp. 29-46. &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;[&#160;<a href="javascript:void(0);" onclick="javascript: window.open('/scielo.php?script=sci_nlinks&ref=000039&pid=S0874-4890201100010000500001&lng=','','width=640,height=500,resizable=yes,scrollbars=1,menubar=yes,');">Links</a>&#160;]<!-- end-ref --><P>Goodman, R., Scott, S. (1999). “Comparing the strengths and difficulties Questionnaire    and the Child Behaviour Checklist: is small beautiful?”. <i>Journal of Abnormal    Child Psychology, </i>27, 17-24. </p>      <P>Goodman, R. (1999). <i>Questionário de Capacidades e Dificuldades (SDQ) Disponível    em <a href="http://www.sdqinfo.com" target="_blank">www.sdqinfo.com</a>. </i>acesso    em 28/3/2007. traduzida e validada em portugal por Bacy Fleitlich, mário Jorge    loureiro, antónio Fonseca e Filomena gaspar. </p>      <P>Graham, K., Massak, A., Demers A., Rehm, J. (2007). “does the association Between    alcohol Consumption and depression depend on How they are measured?”. <i>Alcohol    Clin Exp Res</i>, Vol 31, no 1: 78 pp. 78–88. </p>      ]]></body>
<body><![CDATA[<P>Grant, B. J., Dawson, d. a (1997). “age of onset of alcohol use and its association    with dsm-iV alcohol abuse and dependence: results from de national longitudinal    alcohol epidemiologic survey“. <i>J Subst Abuse</i>. 9: 103-110. </p>      <P>Grunbaum, J. A., Kann, l., Kinchen, s. a., Williams, B., Ross, J. G., lowry,    R. &amp; Kolbe, l. (2002). “Youth risk behavior Surveillance – united states,    2001“. <i>Morbidity and Mortality Weekly Report. Surveillance Summaries/Centers    for Disease Control </i>51, 1–62. </p>      <P>Hartka, e., Johnstone, B., Leino e. V. <i>et al</i>. (1991). “a meta-analysis    of depressive symptomatology and alcohol consumption over time”. British Journal    of addiction 86: 1283-298. </p>      <P>Inskip, H. M., Harris, e. C. &amp; Barraclough, B. (1998). “lifetime risk of    suicide for affective disorder, alcoholism and schizophrenia“. <i>British Journal    of Psychiatry </i>150, 935-940. </p>      <P>Johnston, L. D., Bachman, J. g., O’Malley,P. M. (1996). <i>Drug Survey. University    of Michigan News and Information Services</i>. ann arbor, mi: University of    Michigan; december 19: 11–12. </p>      <P>Kilpatrick, d. g., acierno, R., saunders, B. <i>et al. </i>(2000). “Risk factors for adolescent substance abuse and dependence: data from a national sample“. <i>Journal of Consulting and Clinical Psychology </i>68: 19–30. </p>      <P>Knight, J., Shrier L., Bravender, T. <i>et al. </i>(1999). “A New Brief Screen for Adolescent Substance Abuse”. <i>Arch Pediatr Adolesc Med</i>, vol 153: 591-596. </p>      <P>Lipton, R. I. (1997). “The relationship between alcohol, stress and depression in Mexican Americans and non-Hispanic whites”. Behav Med 23: 101–111. Acesso em 28/3/2007. </p>      <P>Matos, M., Simões, C., Carvalhosa, S. <i>et al</i>. (2000; 2003; 2006). A saúde    dos adolescentes portugueses. Lisboa: FMH /PEPT-Saúde. Disponível <a href="http://www.aventurasocial.com" target="_blank">www.aventurasocial.com</a></p>      <P>Mayer, J., Filstead, W. J. (1979). “The Adolescent Alcohol Involvement Scale. An instrument for measuring adolescents use and misure de alcohol“. <i>Journal of Studies on Alcohol</i>, 3, 291-300. </p>      ]]></body>
<body><![CDATA[<P>Molina, B., Smith, B., Pelham, W. (1999). “Interactive effects of ADHD and CD on early adolescent substance use“. <i>Psychology of Addictive Behaviors</i>, 13, 348-358. </p>      <P>Molina, B., Pelham, W. (2003). “Childhood Predictors of Adolescent Substance Use in a Longitudinal Study of Children With ADHD“. <i>Journal of Abnormal Psychology</i>, 112, 3, 497-507. </p>      <P>Ping Wu, Hector, R., Xinhua, L., Bin, F., Cordelia, F., Sa, S., Duarte &amp; Canino (2006). “Childhood Depressive Symptoms and Early Onset of Alcohol Use“. <i>Pediatrics</i>, Vol. 118, No. 5, pp. 1907-1915. </p>      <P>Pirkola, S., Marttunen, M., Henriksson, M. (1999). “Alcohol-related problems    among adolescent suicides in Finland“. <i>Alcohol &amp; Alcoholism </i>Vol 34,    No. 3, pp. 320-329. </p>      <P>Rodgers, B., Korten, A. E., Jorm, A. F., <i>et al</i>. (2000). “Non-linear relationships in associations of depression and anxiety with alcohol use”. <i>Psychol Med </i>30: 421–432. </p>      <P>Rohde, P., Lewinsohn, P. M., Seeley, J. R. (1996). “Psychiatric comor­bidity with problematic alcohol use in high school students”. <i>Journal of the American Academy of Child &amp; Adolescent Psychiatry </i>35 (1): 101–109. </p>      <P>Spear, L. P. (2000). ”The adolescent brain and age-related behavioral manifestations”. <i>Neuroscience and Biobehavioral Reviews </i>24: 417-463. </p>      <P>Zucker, R. A. (1987). “The four alcoholisms: A developmental account of the    etiologic process”. In <i>P. C. Rivers (Ed.), Alcohol and addictive behaviors:    Nebraska symposium on motivation</i>, 1986 (pp. 27–83). Lincoln, NE: University    of Nebraska Press. </p>     <P>&nbsp;</p>      <P><b>BIBLIOGRAFIA CONSULTADA </b></p>      ]]></body>
<body><![CDATA[<P>Biederman, J., Wilens, T., Mick, B. (1997). “Is ADHD a risk factor for psychoactive    substance use disorders? Findings from a four-year prospective follow-up study”.    <i>Journal of the American Academy of Child and Adolescent Psychiatry</i>, 36,    21-29. </p>     <P>&nbsp;</p>     <P>Artigo recebido em 20/05/10; versão final aceite em 12/02/11.</p>      ]]></body><back>
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<source><![CDATA[Revista Toxicodependências]]></source>
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<volume>16</volume>
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