US Youth Exposed to Parental Substance Use Disorder in the Home: A Comparison of DSM-IV and DSM-5 Criteria.
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| Title: | US Youth Exposed to Parental Substance Use Disorder in the Home: A Comparison of DSM-IV and DSM-5 Criteria. |
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| Authors: | Schepis TS, Veliz PT, West BT, McCabe VV, Hulsey E, Kcomt L, McCabe SE |
| Source: | Journal of addiction medicine [J Addict Med] 2025 Nov-Dec 01; Vol. 19 (6), pp. 722-725. Date of Electronic Publication: 2025 Feb 17. |
| Publication Type: | Journal Article; Comparative Study |
| Language: | English |
| Journal Info: | Publisher: Wolters Kluwer Health, Inc Country of Publication: Netherlands NLM ID: 101306759 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1935-3227 (Electronic) Linking ISSN: 19320620 NLM ISO Abbreviation: J Addict Med Subsets: MEDLINE |
| Imprint Name(s): | Publication: [Alphen aan den Rijn, the Netherlands] : Wolters Kluwer Health, Inc. Original Publication: Hagerstown, MD : Lippincott Williams & Wilkins |
| MeSH Terms: | Diagnostic and Statistical Manual of Mental Disorders* , Substance-Related Disorders*/epidemiology , Substance-Related Disorders*/diagnosis , Child of Impaired Parents*/statistics & numerical data , Parents*, Humans ; Adolescent ; Female ; Male ; United States/epidemiology ; Child |
| Abstract: | Competing Interests: The authors report no conflicts of interest. Purpose: Youth (children and adolescents under 18 yrs) exposed to parental substance use disorder (SUD) are at high risk for poor outcomes that include substance use, psychopathology, and child welfare involvement. With the changing SUD criteria from DSM-IV to DSM-5, revised estimates of youth exposed to parental SUD in the home are needed to provide more recent estimates and investigate whether the change from DSM-IV to DSM-5 may change estimated SUD exposure. Methods: Nationally representative data from the 2020 National Survey on Drug Use and Health were used. Weighted counts of youth exposed to parental nonnicotine SUD in the home were estimated using both DSM-IV and DSM-5 criteria, which were assessed for every substance used by the parent in the past year; further analyses estimated counts by parental race/ethnicity, sex, household income, urbanicity, and substance leading to the SUD diagnosis. Results: Parents with DSM-IV SUD had an estimated 9,341,336 youth in their households, versus an estimated 16,937,783 using DSM-5 criteria (81.3% greater). Larger increases were observed in Asian (262.9%) or multiracial (161.9%) parents versus parents of other racial/ethnic groups and in parents with cannabis use disorder (246.4%), with smaller increases observed in parents with alcohol use disorder (71.2%). Discussion: The change from DSM-IV to DSM-5 criteria resulted in a large increase in youth exposed to parental SUD. The health needs of these youth will require large-scale planning to limit poor outcomes in the roughly 17 million exposed youth; family-based interventions may help limit harms to all members of the family. (Copyright © 2025 American Society of Addiction Medicine.) |
| References: | National Institute on Drug Abuse. Drug Overdose Death Rates. 2024. Accessed January 3, 2025. http://nida.nih.gov/research-topics/trends-statistics/overdose-death-rates. The White House. White House Drug Policy Director Statement on Historic Decline in Drug Overdose Deaths Over the Past Year. 2024. Accessed January 3, 2025. http://www.whitehouse.gov/ondcp/briefing-room/2024/11/14/white-house-drug-policy-director-statement-on-historic-decline-in-drug-overdose-deaths-over-the-past-year/. Jones CM, Zhang K, Han B, et al. Estimated number of children who lost a parent to drug overdose in the US from 2011 to 2021. JAMA Psychiatry. 2024;81:789–796. Webster LR. Risk factors for opioid-use disorder and overdose. Anesth Analg. 2017;125:1741–1748. Anderson AS, Siciliano RE, Pillai A, et al. Parental drug use disorders and youth psychopathology: meta-analytic review. Drug Alcohol Depend. 2023;244:109793. Bosk EA, Paris R, Hanson KE, et al. Innovations in child welfare interventions for caregivers with substance use disorders and their children. Child Youth Serv Rev. 2019;101:99–112. Lipari RN, Van Horn SL. Children living with parents who have a substance use disorder. The CBHSQ Report. Substance Abuse and Mental Health Services Administration. 2017. Bartoli F, Carrà G, Crocamo C, et al. From DSM-IV to DSM-5 alcohol use disorder: an overview of epidemiological data. Addict Behav. 2015;41:46–50. Hasin D. DSM-5 SUD diagnoses: changes, reactions, remaining open questions. Drug Alcohol Depend. 2015;148:226–229. Johnson K, Rigg KK, Hopkins Eyles C. Receiving addiction treatment in the US: do patient demographics, drug of choice, or substance use disorder severity matter? Int J Drug Policy. 2020;75:102583. Trivedi C, Desai R, Rafael J, et al. Prevalence of Substance use disorder among young adults hospitalized in the US hospital: a decade of change. Psychiatry Res. 2022;317:114913. Substance Abuse and Mental Health Services Administration. NSDUH 2020 Methodological Resource Book (MRB). Substance Abuse and Mental Health Services Administration. 2020. Accessed 2023, May 8. http://www.samhsa.gov/data/report/nsduh-2020-methodological-resource-book-mrb. Center for Behavioral Health Statistics and Quality. 2020 National Survey on Drug Use and Health Public Use File Codebook. Rockville, MD: Substance Abuse and Mental Health Services Administration; 2021. Substance Abuse and Mental Health Services Administration. CBHSQ Methodology Report. Reliability of Key Measures in the National Survey on Drug Use and Health. Substance Abuse and Mental Health Services Administration. 2010. Barrett S, Muir C, Burns S, et al. Interventions to reduce parental substance use, domestic violence and mental health problems, and their impacts upon children’s well-being: a systematic review of reviews and evidence mapping. Trauma Violence Abuse. 2024;25:393–412. |
| Grant Information: | N/A Texas State University Translational Health Research Center; N/A University of Michigan Office of the Vice President for Research |
| Contributed Indexing: | Keywords: adolescent; child; parent; substance use disorder |
| Entry Date(s): | Date Created: 20251112 Date Completed: 20251113 Latest Revision: 20251113 |
| Update Code: | 20251113 |
| DOI: | 10.1097/ADM.0000000000001469 |
| PMID: | 41220059 |
| Database: | MEDLINE |
Nájsť tento článok vo Web of Science | Abstract: | Competing Interests: The authors report no conflicts of interest.<br />Purpose: Youth (children and adolescents under 18 yrs) exposed to parental substance use disorder (SUD) are at high risk for poor outcomes that include substance use, psychopathology, and child welfare involvement. With the changing SUD criteria from DSM-IV to DSM-5, revised estimates of youth exposed to parental SUD in the home are needed to provide more recent estimates and investigate whether the change from DSM-IV to DSM-5 may change estimated SUD exposure.<br />Methods: Nationally representative data from the 2020 National Survey on Drug Use and Health were used. Weighted counts of youth exposed to parental nonnicotine SUD in the home were estimated using both DSM-IV and DSM-5 criteria, which were assessed for every substance used by the parent in the past year; further analyses estimated counts by parental race/ethnicity, sex, household income, urbanicity, and substance leading to the SUD diagnosis.<br />Results: Parents with DSM-IV SUD had an estimated 9,341,336 youth in their households, versus an estimated 16,937,783 using DSM-5 criteria (81.3% greater). Larger increases were observed in Asian (262.9%) or multiracial (161.9%) parents versus parents of other racial/ethnic groups and in parents with cannabis use disorder (246.4%), with smaller increases observed in parents with alcohol use disorder (71.2%).<br />Discussion: The change from DSM-IV to DSM-5 criteria resulted in a large increase in youth exposed to parental SUD. The health needs of these youth will require large-scale planning to limit poor outcomes in the roughly 17 million exposed youth; family-based interventions may help limit harms to all members of the family.<br /> (Copyright © 2025 American Society of Addiction Medicine.) |
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| ISSN: | 1935-3227 |
| DOI: | 10.1097/ADM.0000000000001469 |