@article{ref1,
title="Adolescents' insight in heavy drinking",
journal="Journal of Adolescent Health",
year="1998",
author="McLennan, J. D. and Shaw, E. and Shema, S. J. and Gardner, W. P. and Pope, S. K. and Kelleher, Kelly J.",
volume="22",
number="5",
pages="409-416",
abstract="PURPOSE: Because so few adolescents with alcohol problems seek treatment, this study examined the factors associated with adolescents' recognition or insight into having a substance use problem. METHOD: Data were extracted from a self-report questionnaire used in an epidemiological study of public middle school students on substance abuse in Arkansas. Those drinking heavily were divided into &quot;admitters&quot; and &quot;deniers&quot; based on their response to the question of having a substance use problem. Odds ratios were calculated to measure the association of several variables with admitting a problem. RESULTS: Of 3395 adolescents, 13.4% (455) met or exceeded our threshold for heavy drinking. Only 15.9% (65) of these heavy drinkers acknowledged having a substance use problem. Reporting more types of negative social events related to alcohol use and scoring higher on a measure of positive alcohol expectancies were significantly related to admitting to a substance use problem. Recent health care contact and perceived environmental factors did not independently contribute to insight. CONCLUSIONS: If these results are generalizable, treatment and educational interventions should emphasize linking alcohol use and negative social consequences.<p /><p>Language: en</p>",
language="en",
issn="1054-139X",
doi="",
url="http://dx.doi.org/"
}