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Trajectories of resilience over 25 years of individuals who as adolescents consulted for substance misuse and a matched comparison group
Karolinska Institutet.ORCID iD: 0000-0002-3452-7260
Karolinska Institutet.
Karolinska Institutet.
Karolinska Institutet.
2010 (English)In: Addiction, ISSN 0965-2140, E-ISSN 1360-0443, Vol. 105, no 7, p. 1216-1225Article in journal (Refereed) Published
Abstract [en]

Aims: To examine trajectories of resilience over 25 years among individuals who as adolescents received treatment for substance misuse, the clinical sample (CS) and a matched general population sample (GP). Design: Comparison of the CS and GP over 25 years using Swedish national registers of health care and criminality. Setting: A substance misuse clinic for adolescents in an urban area in Sweden. Measurements: Resilience was defined as the absence of substance misuse, hospitalizations for physical illnesses related to substance misuse, hospitalization for mental illness and law-abiding behaviour from ages 21 to 45 years. Participants: The CS included 701 individuals who as adolescents had consulted a clinic for substance misuse. The GP included 731 individuals selected randomly from the Swedish population and matched for age, sex and birthplace. Findings: A total of 52.4% of the GP and 24.4% of the CS achieved resilience in all domains through 25 years. Among the CS, another one-third initially displayed moderate levels of resilience that rose to high levels over time, one-quarter displayed decreasing levels of resilience over time, while 9.3% showed little but improving resilience and 8.8% showed no resilience. Levels of resilience were associated with the severity of substance misuse and delinquency in adolescence. Conclusions: Individuals who had presented substance misuse problems in adolescence were less likely to achieve resilience over the subsequent 25 years than was a matched general population sample, and among them, four distinct trajectories of resilience were identified. The severity and type of problems presented in adolescence distinguished the four trajectories.

Place, publisher, year, edition, pages
2010. Vol. 105, no 7, p. 1216-1225
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:mdh:diva-23867DOI: 10.1111/j.1360-0443.2010.02914.xISI: 000278563500019Scopus ID: 2-s2.0-77953306889OAI: oai:DiVA.org:mdh-23867DiVA, id: diva2:681402
Available from: 2013-12-19 Created: 2013-12-19 Last updated: 2017-12-06Bibliographically approved

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Larm, Peter

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CiteExportLink to record
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  • apa
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  • de-DE
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  • nn-NO
  • nn-NB
  • sv-SE
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Output format
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  • asciidoc
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