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Summary Aim. To determine whether the following symptoms: depressive symptoms, eating disorder symptoms among adolescents in Cracow secondary schools are associated with an increased risk of psychoactive substance use. Method. A representative sample of the population of Krakow secondary school pupils was tested. A twostage draw method identified a group of 2034 2nd form pupils of all types of secondary schools: grammar schools, technical schools and vocational schools (17-year olds). They were tested using the following screening questionnaires: Beck Depression Scale, EAT-26 eating disorders scale and author’s drug questionnaire. Results . The prevalence of depressive symptoms among boys and girls is associated with an increased alcohol use (74.8% among depressive boys and 65.8% in the depressive group of girls), cigarette smoking (41.7% and 46.7%) and drug use (29.0% and 18.6%). All of the relationships are statistically significant in both sexes. 41.7% of depressive boys admit to smoking, versus. only 32.6% in the non-depressive group. In the girls’ group, these relationships are as follows: 46.7% versus 32.1%. The relationships are statistically significant in both sexes. The prevalence of eating disorder symptoms among boys and girls is associated with a higher alcohol use (respectively: 73.5% and 61.9%), cigarette smoking (42.1% and. 46.9%), and drug use (31.6% and 21.5%). Compared with a group of young people without eating disorder symptoms, the relationships are of statistical significance. Conclusions . Comorbidity of the following symptoms was found: depressive symptoms, eating disorder symptoms and symptoms of psychoactive substance use. The presence of depressive symptoms increases the risk of the use of psychoactive substances, especially alcohol and tobacco, to a lesser extent – drugs, both in the boys and in the girls. The presence of eating disorder symptoms increases the risk of smoking and drug use among both boys and girls.

archives of psychiatry and psychotherapy

Comorbidity in adolescence: simultaneous declaration of depressive, eating symptoms and use of psychoactive substances in general population of 17 year old students in a big city.