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Tuesday, January 30, 2007
Janice Shaw Crouse :: Townhall.com Columnist
Teen Sex Leads to Depression and Drug Use
by Janice Shaw Crouse
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Researchers have long recognized that risky behavior and depression are linked for adolescents; prevailing theories assumed that depressed teens turned to drugs and sex for self-medication. Now there is solid evidence that teen girls who experiment with risky behaviors (i.e., sex and drugs) are more vulnerable to depression and that teen boys who engage in binge drinking and heavy marijuana use are prone to depression.

In an article published in the American Journal of Preventive Medicine, five authors from different departments (Psychology, Pediatrics, Maternal and Child Health, Research and Evaluation, and Internal Medicine) at The University of North Carolina at Chapel Hill (UNC-CH) explored whether “gender-specific patterns of substance use and sexual behavior precede and predict depression or vice versa.” The data for the UNC-CH study came from the National Longitudinal Study of Adolescent Health — well-known for the large sample size and longitudinal design that allows temporal ordering among a nationally representative sample of U.S. adolescents. Further, aspects of the UNC-CH findings were replicated in five other studies. The UNC-CH study, though, moved beyond previous ones by considering typical patterns found during adolescence and by examining gender differences.

The UNC-CH scholars found conclusively that sex and drug behavior predicted an increased likelihood of depression, but depression did not predict behavior. Among girls, both experimental and high-risk behaviors predicted depression. Among boys, only high-risk behavior increased the odds of later depression.

The message is clear: teens engaging in risky behavior are at risk for depression. No wonder teen depression is so widespread when almost half (47 percent) of high school students reported in 2003 (the number has dropped since then) that during the past month they had had intercourse, 45 percent reporting drinking alcohol and 22 percent reported that they had used marijuana. Almost one-third of the students said that their feelings of sadness and hopelessness had kept them from doing normal activities over the past year.

It is important to also note that only four percent of students who abstained from drugs and sex had a problem with either depression or suicide.

So much for the cultural mantra that “sex is no big deal” and that all we need to do for teens is provide them with condoms and teach them “safe sex” practices.

Not surprisingly, this is another study to report that girls are far more negatively affected by early sexual activity than are boys. Sadly, too, girls who are already engaging in other risky behaviors have increased odds of drug experimentation if they are depressed. Depressed girls who are abstinent, however, have decreased odds of engaging in any high-risk behavior.

So, why is the left so determined to continue the myth that teens are going to “do it anyway”; that they are captive to their hormones so we must provide them with “protection” and ignore everything else?

College counselors tell us that depression on college campuses has doubled over the past decade and instances of suicide have tripled. We cannot afford to continue perpetuating the myth that “sex is no big deal.” It is a big deal; it always has been and always will be. Even if contraception and the prevention of disease transmission were 100 percent effective, which they most certainly are not, the psychological impact of meaningless, casual sexual intimacy – particularly upon young females – can never be eliminated. No amount of argument to the contrary will change that basic biological reality.

We ought to be telling adolescents the truth. We ought to make them aware of the possible consequences and the risks that they are taking when they choose to engage in certain high-risk behaviors. Scientific truths revealed in studies like the one from UNC-CH ought to prevail over the self-serving messages of the National Organization for Women and Planned Parenthood, organizations that perpetuate dangerous myths and whose financial survival depends upon girls and young women buying into those cultural myths.

Fortunately, the abstinence message seems to finally be getting through to teens: the latest data shows that teen sexual activity is down, teen out-of-wedlock births are down and teen abortions are down. Abstinence programs are getting more sophisticated, more effective and more widely available in the nation’s schools. Despite the smoke screen of some supposedly scientific evaluations by liberal researchers that purport to show no appreciable effect from abstinence programs, the hard data on the amazing declines in teen sexual activity and in the teen birthrate indicate that we are seeing positive results from pointing young women to the truth. So much for the phony claim that teens cannot control their sexual urges and that even if they could such repression would be detrimental to their emotional health!

It has been a long time coming, but the accumulating documentation regarding the destructive effects of sexual promiscuity has ultimately exposed the shamelessness, rationalizations and lies of the sexual libertines and radical feminists.

I believe my grandmother would be pleased to see scientific documentation confirming her common sense.

References

1.Denise H. Hallfors, Ph.D., Martha W. Waller, Ph.D., Daniel Bauer, Ph.D., Carol A. Ford, M.D., Carolyn T. Halpren, Ph.D., Which Comes First in Adolescence –– Sex and Drugs or Depression?, American Journal of Preventive Medicine, 2005:29(3), 163-170.

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About The Author
Janice Shaw Crouse is a former speechwriter for George H. W. Bush and now political commentator for the Concerned Women for America Legislative Action Committee.
 
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It never fails to amaze me
how absolutely fanatical we are as a nation about teen smoking. We arrest those who sell tobacco to underage teens. We spend millions on education programs. We wouldn't think of saying "well heck, they're going to do it anyway so let's give out free teen-friendly cigarettes with specially engineered filters and less nicotine." Nor would we think of opening a network of planned addiction centers around the nation that spend 99% of their time explaining how to smoke safely rather than discouraging the teen from smoking at all.

Yet when it comes to sex, something infinitely more powerful to the human psyche, with a much higher potential to ruin a young teen's life through disease or a child they aren't prepared to rear, we can't talk straight to them because it would be "moralizing."

Exactly what part of "don't smoke" is not moralizing? And why is it we can't bring ourselves to deliver that same message about teen sex?

meh
now is this a causation or correlation and yes there is a big difference between the two. it seems to me the more depressed a teen is the more likely they are to have early sex and do dangerous drugs as they already don't care about themselves.

The real question is how many of these teens decided to have sex early or experiment with drugs because they were depressed already. it is like that study a while back kids who listen to raunchy music are more likely to have sex it is a correlation not a cause and effect relationship this study needs to be looked into deeper.

Who'd a thunk it?
When I was a teen not getting any sex is what lead to my depression spiraling into drug abuse. The times they are a changin'!

oh boy...
"So, why is the left so determined to continue the myth that teens are going to “do it anyway”; that they are captive to their hormones so we must provide them with “protection” and ignore everything else?"


Probably becqause human nature has not changed over the past 5,000 years, no matter how much pie-in-the-sky wishful thinking Crouse indulges in. I would rather that my teenaged offspring be alive (and not pregnant, or have a pregnant girlfriend) for me to scold, then have HIV or Syphllis. I was preached to for years about abstinence, and i was still determined to lose the "stigma" of virginity at the earliest opportunity. I don't want my child making a mistake with sex, but I'm not a fool. Crouse is foolish, and dangerous.

Gateways...
I have no doubt that prolonged heavy use of marijuana causes mental health issues. But then so does prolonged heavy use of any drug. I remember when my grandmother came off prescription drugs that she had been using for years; she went off her rocker and never got back on it. As for sex, well, like most kids I my school I was desperate to lose my virginity as soon as possible. I doubt if kids are any different today. They are going to have sex, like it or not. And like Celtic Dragon, if my kids are going to have sex I would rather they knew what they were up to and used plenty of precautions. But are sex and drugs gateways to depression? If you end up engulfed by either, yes they are, but most people who do have problems with either will get them regardless of when they lose thier virginity or take their first toke. Bicycles are a gateway to motorcycles, machines that kill many more young people each year than sex or drugs, yet we see no problem in giving children bikes from a very early age. Same difference. People will do what they will, become what they will, regardless of what road takes them there. Better that they are given real life advice rather than pie in the sky nonsense that Crouse favours.

Better correct myself...
... before someone else does. I think motorcyle deaths run at about 4,000 per year in the States. no idea what the global toll is. But I suspect the global death toll from drugs is significantly higher when taking into account the number of linked shooting deaths. Even so, 4,000 a year is a big number.

parenting is not for cowards
It seems to me that we have some posts from parents who don't want to do the hard work it takes to keep kids sexually pure. If that is you, then fine, give your kids a condom and send them on their way. You better be willing,however, to pick up the pieces later. I will not apologize for being a mother who teaches my five daughters( ages 11-18) that remaining pure until marriage and faithful in marriage is the only good option. I tell them it will be a difficult journey, one full of temptations, but one worth making. It is but one of the areas of their lives where I help them to practice discipline and self-control.
Is it possible that one or more of my daughters will fall off the purity bandwagon? Sure, but it will be because they made a freewill choice to ignore my instruction. It will not be because I failed to tell them the truth. They alone will be responsible for their choice. If you have failed as a parent to point your children in the direction of purity, then the consequences rest on your shoulders as well.

celtic-dragon-- you say that Ms. Crouse is dangerous. Please enlighten me as to how it is dangerous to remain pure, marry someone who remained pure and remain faithful in marriage. I'm all ears. You said you were preached to as a youth about abstinence. It seems to me, then, that you were either undisciplined, rebellious or a fool.

momof5girls
I strongly suspect there are 5 boys out there somewhere that are deeply indebted to you and don't realize it yet.

momof5girls
Were you a virgin when you married? It's a fair question if you're expecting your daughters to do the same. I'm just interested; this is anonymous so no one is going to know who you are... you clearly have a decent and happy sex life now, or you wouldn't have had so many children.

Critical Bill
Sadly, Bill, I was not a virgin when I got married. I lost my virginity when I thought that I was in love my senior year in high school. When that relationship ended I entered into what I describe as the darkest year of my life--freshman year of college. Since I no longer had something to save and cherish I foolishly slept around with guys in search of someone to love. I have never felt worse about myself then I did during that period of my life. I brought all that baggage with me into my marriage. It wasn't until becoming a Christian that I was able to let all that go and have the incredible sex life God intended me to have.
Do I intend to share this story with my daughters? Absolutely!! They need to know that in saving themselves for marriage they are missing NOTHING except heartache and they will be gaining EVERYTHING. This I learned too late for myself, but not for my precious daughters.

Dullhammer
Thank you for the kind comment. I am counting on the mothers and fathers of sons out there to raise up purity minded young men that will be worthy of the gift that my daughters and others like them are saving just for them.

momof5girls
Appreciate your honesty. My view is that I'm very glad that I wasn't a virgin when I married and neither was my wife. Not by a long shot, on both our parts...! But I would hate to be married to someone that I was not sexually compatible with; it's a big part of a happy marriage, and the only way to find out is to experiment... just my opinion.

Critical Bill
It seems to me that if a husband and wife are not sexually compatible it means that they have a communication problem, not a sex problem. Communication problems can be recognized without jumping into the sack.
I hope that you and your wife didn't bring STD's, illegitimate children, abortion histories etc. into the marriage from your years of experimentation. If you didn't you are apparently a couple of the lucky ones. Most are not so lucky.
I've appreciated your honest and polite communication. The best to you and your wife.

Did you people not read the article?
It states at the beginning that with large sample size and longitudinal structure, they are able to factor for whether depression was the causation or the result and it turned out to be the result of early sexualization and drug use. So, debating it is sort of ridiculous.

Sexual compatibility -- interesting, but I know a lot of people who claim to have been virgins when they married and none of them seem to have a problem with sexual compatibility. A big part of a happy marriage is getting to know one another as individuals and not as comparisons. Virgins have that option. Those who have slept around do not and I have counseled with enough devastated friends who have had spouses say the wrong name during the act to know without a doubt that past partners force themselves into otherwise happy marriages and destroy them, as often as not. If that hasn't happened to you, good, but I think you're the exception not the rule.

While my wedding night virgin friends all seem to be interacting fine, I have counseled with three friends in as many years whose husbands were comparing them to former lovers and finding them wanting. In one case, the guy was actually speaking his comparisons aloud. In the other two, my husband had to talk with the guys to find out why their wives were in tears for months on end. Both times, the guy was comparing his wife to someone(s) he had had sex with in the past. Yeah, sexual compatibility by experimentation is a wonderful thing -- NOT! Two of those marriages are now in divorce court. The third one is in professional counseling and we'll see how it turns out.

I work for community mental health and the marriage counselors here will tell you (as they have told me) that old lovers are as harmful as current cheats when they are allowed into the marriage and far too often they are there, just not acknowledged. Oddly enough, these same social workers will turn around and say that teens ought to be allowed to have sex in their parents' home with their parents' full knowledge. They either don't see the disconnect or they recognize it as future income. I think it's mostly the latter, knowing my coworkers.

Why is it that so many people will look at a well-constructed study that comes up with a premise they disagree with and they will attack the writer who reports on the study? Do you just reject truth so readily because you don't like the truth? Of course, Christians couldn't possibly have been right all these years and statistical studies couldn't possibly bear us out because you and your spouse aren't having any trouble in your marriage despite having had prior partners. That obviously is solid proof that the study and those who have been saying these things for a lot longer than the study are wrong!

Just a suggestion, but maybe you just got lucky!


sexual experimentation
Preparing for marriage by sexual experimentation is to have your first swimming lesson in the deep end of the pool. Some may seem to be okay with that, but it's the failures we really need to pay attention to. And I believe Crouse's article here (as well as the following discussion, short as it may be) is a step toward that. Thanks to all.


Purity?
The word sounds like something out of the middle ages. It seems sadly out place in a contemporary discussion of sexual practices. I didn't realize there were still people who thought in those terms. It seems almost quaint.

I made it clear to my daughter that I wanted her to refrain from sex until she was 35 and married. I also told her how to protect herself if she chose not to take my sage advice. Needless to say, she did what she wanted to when she wanted to and she is comfortable with the decisions she made.

In my discussions with her, the word "purity" never came up.

question
It states at the beginning that with large sample size and longitudinal structure, they are able to factor for whether depression was the causation or the result and it turned out to be the result of early sexualization and drug use. So, debating it is sort of ridiculous.
but what is a large sample size where were these children from how long was the study these are important details that are strangely absent and no just because the study is long and large does not mean it proves causation it just suggests it. No i don't think teens should be having sex they are not emotionally or mentally ready for it and the consequences

You can't legislate morality
It is when the Republicans start going off on these tangents that it scares swing voters AND frustrated Democrats (with their party) to death. These statistics sound like so much bologna, I don't know where to start. I'm a degreed economist and I can make stats say about anything someone would want them to. 90% of my college friends had pre-marital sex, got drunk occasionally, smoked pot and generally tried to make college as much fun as possible and not one of them has had anything short of an exemplary life. And most of them are conservatives, too. We sowed our wild oats and moved on - the same as any adolescent/young adult does. It was usually the up-tight, homely, feminists who did not even try to have fun who was never asked out and who never went to a party that stayed celibate - not by choice. Keep putting this crap like this article out for consumption and continue to scare people away from the Republican party.

JJBiener, SizzleLean
JJ- How sad. I'm sure the reason your daughter didn't follow your "advice" was that she knew you were not serious. Our children know that their father and I are dead serious about purity. It is a high standard to be sure,but why would we set low standards for those we love? Yes, those who feel this way are alive and well. Whether or not you feel purity is out of the Middle Ages largely depends on the company you keep, I suppose.

Sizzle- Who is talking about making it a law that you cannot have premarital sex???? It is just not something that should be encouraged or glamourized. By the way, morality is legislated everyday- ex. laws against murder, beating your children, underage drinking/smoking, stealing etc. Obviously we have different standards as to what makes an exemplary life.

dullhammer, aurorawatcher
dullhammer: "Preparing for marriage by sexual experimentation is to have your first swimming lesson in the deep end of the pool."

Isn't that backwards? Virgins tend to fumble their first time pretty badly: is that your idea of a great wedding night and a good start to the marriage?


aurorawatcher: it used to be that marriage counselors had to deal with many problems caused by sexual ignorance, is that no longer the case?

Nothing Wrong With Purity!
As a pastor's wife who has worked with teens for 27 years, I have seen exactly what Ms. Crouse was talking about.

It's not just girls either. I've seen many a young man devistated by a break up when sex was involved.

Our church sponsors purity seminars and we always have a huge attendance. Especially from college students who have "been there, done that" and are more than eager to share their stories and encourage teens to wait till they get married before they have sex.

It's amazing that it's taken this long for this imformation to come out. But no........

Which behavior came first?
In response to the entry by Janice Crouse, it must be noted that the data for The University of North Carolina at Chapel Hill study, which claims that “sex and drug behavior predicted an increased likelihood of depression, but depression did not predict behavior,” came from the National Longitudinal Study of Adolescent Health. Longitudinal studies are correlational research studies, which indicate that no causal relationships can be detected because it is not a controlled experiment; it is merely observation. Therefore, there is not “solid evidence” claiming those who engage in risky behaviors like sex and drugs will become depressed. In contradiction to Crouse, the message is certainly not clear. Are teens who engage in risky behavior at risk for depression, as Crouse claims? Possibly. But isn’t it also possible that depressed teens are at risk for engaging in risky behavior? The relationship between the two is in fact, quite fuzzy. In addition, it is not sensible to state that it is a myth that teens are going to ‘do it anyway,’ referring to sex, because some teens most certainly will. Even if only a few teens ‘do it anyway,’ isn’t it vital that these teens know about safe-sex practices? It is true that contraceptive methods and the prevention of disease transmission is not entirely effective, however it is still important that teens be educated on theses issues in case they decide to buy into this so-called ‘myth.’ I agree that “we ought to be telling adolescents the truth…and make them aware of the possible consequences and risks that they are taking,” but part of this truth involves providing them with “condoms and teach[ing] them safe-sex practices,” which Crouse undermines. Adolescents will only be denied the truth if they are not given all resources and information regarding sex, the consequences that come of it, and safe-sex practices. Providing abstinence-only programs not only misguides adolescents to believe that abstinence is the only option, but by limiting sex education and “protection,” teens or even adults who do become sexually active may be uninformed and thus perpetuate the spread of disease and cause harm to others.

What about the results?
Studies have shown that while early adolescent sex is not predictive of depressive symptoms, it is likey to cause them. That is not to necessarily say that every single teenager that has sex will therefore be depressed, but it is important for parents to note that there is an increased likelihood of depression, based on this and dozens of other studies.
This study has shown that, among abstinent teens, depression did not increase the likelihood of engaging in experiemental behavior patterns, and it greatly lowered the likelihood of engaging in high-risk behavior patterns by the second wave. So if your kid is abstinent, depression is not likely to effect his or her chances of becoming sexually careless. The same study also noted that even modest involvement in sexual experimentation elevated depression risk. These are based on statistics between two waves of 13,500 teens, and the numbers cannot be denied.
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