Study assessed whether differences exist in levels of psychological distress in abused, chemically dependent adolescents when compared to non-abused counterparts, and non-abused, non-chemically dependent adolescents. Results indicated abused adolescents demonstrated more severe levels of distress, and earlier onset of alcohol and drug use. Findings are discussed with regard to early identification and treatment implications. (Contains 31 references and 3 tables.) (ADT)