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Internalising (e.g. anxiety and depression) and externalising (e.g. delinquency and anti\u2010social behaviour) behaviours have also been associated with CM, and with AU and SU. This study measured whether externalising or internalising behaviours in adolescence mediate the relationship between agency\u2010reported CM and hospital admissions for AU or SU.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design, setting and participants<\/jats:title>\n                    <jats:p>Observational study linking administrative health data from Queensland, Australia, to prospective birth cohort data comprising agency\u2010reported CM up to 14\u2009years (exposure).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Measurements<\/jats:title>\n                    <jats:p>Externalising and internalising behaviours at 14\u2009years measured using the Youth Self\u2010Report (mediator) and administratively linked inpatient hospital admissions for AU and SU from ages 25\u201339 (outcome).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Findings<\/jats:title>\n                    <jats:p>\n                      Adjusted causal mediation analyses (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20095092) found that externalising behaviours statistically significantly mediated 31% (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.007) of the CM AU relationship, and 22% of the CM SU relationship (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.016). Internalising behaviours did not statistically significantly mediate between CM and either AU or SU.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>In Queensland, Australia, externalising behaviours appear to partially mediate the relationship between agency\u2010reported child maltreatment and hospital admissions for alcohol and substance use, while internalising behaviours do not.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/add.70016","type":"journal-article","created":{"date-parts":[[2025,3,11]],"date-time":"2025-03-11T08:51:11Z","timestamp":1741683071000},"page":"1413-1421","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Do internalising or externalising behaviours in adolescence mediate the child maltreatment\u2010alcohol substance use 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Translation  Brisbane Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7079-2080","authenticated-orcid":false,"given":"Jake Moses","family":"Najman","sequence":"additional","affiliation":[{"name":"School of Public Health The University of Queensland  Herston Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dan","family":"Siskind","sequence":"additional","affiliation":[{"name":"Princess Alexandra Hospital Southside Clinical Unit, Greater Brisbane Clinical School, Medical School The University of Queensland  Woolloongabba Australia"},{"name":"Metro South Addiction and Mental Health Service  Brisbane Australia"},{"name":"Queensland Centre for Mental Health Research The University of Queensland  Woolloongabba Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Urska","family":"Arnautovska","sequence":"additional","affiliation":[{"name":"Princess Alexandra Hospital Southside Clinical 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