ArticleAmerican journal of epidemiology2024
The InterSECT Framework: a proposed model for explaining population-level trends in substance use and emotional concerns.
Article in American journal of epidemiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Adolescent cannabis use and psychological distress from 2013 to 2023: A population-based study in Ontario, Canada.Addiction (Abingdon, England) · 2026Article
- Changes in Cross-Sectional Associations Between Cannabis Use and Anxiety, Depression, and Suicidality in a Nationally Representative Sample of Canadians From 2012 to 2022: Évolution des relations transversales entre la consommation de cannabis et la dépression, l'anxiété et les idées suicidaires au sein d'un échantillon représentatif de Canadiens à l'échelle nationale, de 2012 à 2022.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2026Article
- The Descriptive Epidemiology of Panic Attacks and Panic Disorder in Australia 2020-22: Prevalence, Correlates, Age of Onset and Changes Over Time.Depression and anxiety · 2026Article
- Scrolling, Chatting, and Posting: Longitudinal Changes in Distinct Social Media Behaviors and Their Relationship With Psychological Distress and Mental Wellbeing in Adolescents.Journal of adolescence · 2026Article
- Policy implications of the 2020-22 Australian study of mental health and wellbeing.The Australian and New Zealand journal of psychiatry · 2025Article
- Diverging trends in alcohol use and mental health in Australian adolescents: A cross-cohort comparison of trends in co-occurrence.JCPP advances · 2024Article
- Examining temporal trends in psychological distress and the co-occurrence of common substance use in a population-based sample of grade 7-12 students from 2013 to 2019.Social psychiatry and psychiatric epidemiology · 2024Article
- Delay discounting is associated with addiction and mental health measures while controlling for health behaviors and health barriers in a large US sample.Addictive behaviors reports · 2024Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
Across high-income countries, adolescent emotional concerns have been increasing in prevalence over the past two decades and it is unclear why this is occurring, including whether and how substance use relates to these changing trends. On the other hand, substance use has been generally declining, and little is known about the role of emotional concerns in these trends. Several studies have explored the changes in co-occurring substance use and emotional concerns among adolescents over time, with mixed results and inconsistent messaging about the implications of the findings. In response, we developed a theoretical framework for exploring the intersection between trends in substance use and emotional concerns (InterSECT Framework). This framework includes a discussion and related examples for 3 core hypotheses: (1) strengthening of co-occurrence, or the "hardening" hypothesis; (2) co-occurrence staying the same, or the "consistency" hypothesis; and (3) weakening of co-occurrence, or the "decoupling" hypothesis. This framework seeks to guide the conceptualization, evaluation, and understanding of changes in the co-occurrence of substance use and emotional concerns over time, including outlining a research agenda informed by pre-existing research and youth perspectives.
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Registered trials
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