Childhood risk categories for adolescent substance involvement: a general liability typology
Childhood risk categories for adolescent substance involvement: a general liability typology
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DOI：
10.1016/j.drugalcdep.2004.06.008
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发表时间：
2005-01-07
影响因子：
4.2
通讯作者：
Tarter, RE
中科院分区：
文献类型：
--
作者：
Clark, DB;Cornelius, JR;Tarter, RE
青少年物质参与的儿童风险包括父母物质使用障碍（SUD）。心理失调和早期烟草和酒精实验。这项研究旨在确定儿童菲斯克类别预测加速青少年物质参与药物类型和阶段。指标受试者是560名根据父亲SUD从高风险（n = 266）或低风险（n = 294）家庭招募的儿童。在大约11岁（基线）、13岁、16岁和19岁时进行评估。儿童期预测因素包括父母SUD、早期吸烟或饮酒（即，物质使用）和神经行为去抑制ND，如通过认知、情感和行为去抑制的指标所确定的。聚类分析根据基线特征定义了五个风险类别，如下所示：（1）高（n = 31; 100%的父母双方都患有SUD，100%有早期物质使用。（2）中间-高（n = 76; 45%的父母一方患有SUD，100%早期使用物质，ND = 51.9）：（3）中间（n = 76：100%父母双方均患有SUD，100%早期使用物质，ND = 51.4）：（4）中间-低（n = 161 -9）。100%，有一个SUD父母; 0%，早期物质使用和ND = 49.9）;（5）低（n = 216：无父母SUD，无早期物质使用和ND = 47.5）。与所有其他组相比，高风险组的儿童在所有物质类型和阶段都有显着加速的物质参与。风险类别从低到高的排序也与所有物质参与结果一致。研究结果表明，这五个风险类别构成青少年物质参与的一般责任类别，并可能确定同质群体的儿童需要不同的预防干预措施。(C)2004爱思唯尔爱尔兰有限公司保留所有权利。
Childhood risks for adolescent substance involvement include parental substance use disorders (SUDs). psychological dysregluation and early tobacco and alcohol experimentation. This study was designed to identify childhood fisk categories predicting accelerated adolescent substance involvement across drug types and stages. The index subjects were 560 children recruited from high risk (n = 266) or low risk (n = 294) families based on fathers' SUDs. Assessments were conducted at approximately ages 11 (baseline), 13, 16, and 19 years. Childhood predictors included parent SUDs, early tobacco or alcohol use (i.e., substance use), and neurobehavior disinhibition ND as determined by indicators of cognitive, affective and behavioral disinhibition. A cluster analysis defined five risk categories based on baseline characteristics as follows: (1) High (n = 31; 100% had both parents with SUDs, 100% had early substance use. and the mean NO score = 58-9)- (2) Intemediate-High (n = 76; 45% had one parent with SUD, 100% early substance use and ND = 51.9):(3) Intermediate (n = 76: 100% both parents with SUDs, 100% early substance use and ND = 51.4): (4) Intemiediate-Low (n = 161 -. 100% with one SUD parent; 0%, early substance use and ND = 49.9) and; (5) Low (n = 216: no parental SUD, no early substance use and ND = 47.5). Compared with all other groups, children in the High risk group had significantly accelerated substance involvement across all substance types and stages. The ordering of risk categories from low to high was also consistent for all substance involvement outcomes. The findings indicate that these five risk categories constitute general liability classes for adolescent substance involvement, and may identify homogeneous groups of children requiring distinct preventive interventions. (C) 2004 Elsevier Ireland Ltd. All rights reserved.