Effects of major depression on crack use and arrests among women in drug court
Article first published online: 7 APR 2011
© 2011 The Authors, Addiction © 2011 Society for the Study of Addiction
Volume 106, Issue 7, pages 1279–1286, July 2011
How to Cite
Johnson, J. E., O'Leary, C. C., Striley, C. W., Abdallah, A. B., Bradford, S. and Cottler, L. B. (2011), Effects of major depression on crack use and arrests among women in drug court. Addiction, 106: 1279–1286. doi: 10.1111/j.1360-0443.2011.03389.x
- Issue published online: 3 JUN 2011
- Article first published online: 7 APR 2011
- Accepted manuscript online: 10 FEB 2011 07:13AM EST
- Submitted 30 September 2010; initial review completed 24 November 2010; final version accepted 26 January 2011
- drug court;
- major depression;
Aims We examined whether a current major depressive episode (MDE) at baseline predicted crack use and arrests at follow-up among women enrolled in drug court.
Design Primary analyses used zero-inflated Poisson (ZIP) and zero-inflated negative binomial (ZINB) regression analyses to predict both yes/no and number of (i) days of crack use and (ii) arrests at 4-month follow-up from current (30-day) MDE at baseline. Secondary analyses addressed risk conferred by current versus past MDE at baseline.
Setting/Participants Participants were 261 women in drug court.
Measurements MDE was assessed using the Diagnostic Interview Schedule. Days using crack and number of arrests were assessed using the Washington University Risk Behavior Assessment for Women.
Findings Having a current MDE at baseline predicted likelihood of crack use at follow-up, but not days of crack use among those who used. Current MDE at baseline did not predict presence or number of arrests at the 4-month follow-up. Women with current MDE at baseline were more likely to be using crack at follow-up than were those with recent (31+ days to 12 months) but not current MDE (odds ratio = 5.71); past MDE at baseline did not increase risk of crack use.
Conclusions Predictors of any versus no crack use or arrests appear to differ from predictors of frequency of these behaviors. Current major depression, but not past major depression, appears to be associated with increased risk of crack use among women attending drug court.