Substance use and risky sexual behavior in female adolescents
Substance use and risky sexual behavior in female adolescents
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DOI：
10.1016/s0376-8716(96)01333-6
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发表时间：
1997-03-14
影响因子：
4.2
通讯作者：
Parks, S
中科院分区：
文献类型：
--
作者：
Mezzich, AC;Tarter, RE;Parks, S
本研究的目的是阐明青少年女性药物滥用者的药物使用和危险性行为的病因学途径。本研究有三个目的：(1)确定行为失调、负性情感和儿童受害与药物使用和危险性行为之间的关系；(2)确定这些关系是否由内化症状、反社会行为和与成年男友的关系介导；(3)确定初潮年龄是否调节中介变量与物质使用和危险性行为之间的关系。多重行为和精神病学访谈。采用自我报告方法对125名14-18岁女性青少年的行为失调、负性情感、童年受害、内化症状、反社会行为、与成年男友的关系、药物使用和危险性行为进行指数分析。采用结构方程模型确定病因途径。结果表明，行为失调、消极情感和童年受害与药物使用和危险性行为有关。初潮的年龄与是否有年长的男朋友和危险性行为显著相关。反社会行为在行为失调、负性情感和儿童受害与物质使用和危险性行为之间起中介作用。与成年男友的关系与药物使用直接相关，并解释了实足年龄与危险性行为之间的关系。最后，月经初潮晚增强了内化症状与药物使用涉及之间的联系。研究结果强调了行为失调、消极情感和童年受害在预测药物使用和危险性行为方面的重要性，同时发现反社会行为和与成年男友的关系可能在预测这些结果方面具有重要的病因学意义。因此，从预防和治疗的角度来看，行为和情感失调、童年受害以及反社会行为可能是改变高危和药物滥用青少年物质使用和危险性行为发展轨迹的临床“门户”。例如，通过为行为障碍儿童开发的行为矫正程序来减少失调，似乎是一种启发式的调查途径，源于本研究获得的结果。(C) 1997爱思唯尔科学爱尔兰有限公司
The purpose of this study was to elucidate the etiological pathways towards substance use and risky sexual behavior in female adolescent substance abusers. The study had three aims: (1) to determine the relations between behavioral dysregulation, negative affectivity, and childhood victimization with substance use and risky sexual behavior, (2) to determine whether these relations are mediated by internalizing symptomatology, antisocial behavior, and affiliating with an adult boyfriend; and (3) to determine whether age of menarche moderates the relation between the mediating variables and substance use and risky sexual behavior. Multiple behavioral, psychiatric interview. and self-report measures were used to index behavioral dysregulation, negative affectivity, childhood victimization, internalizing symptomatology, antisocial behavior, affiliation with adult boyfriends, substance use, and risky sexual behavior in 125 substance abusing female adolescents and 78 controls between the ages of 14-18 years. Structural equation modeling was used to determine the etiological pathways. Results indicated that behavioral dysregulation, negative affectivity, and childhood victimization were related to substance use and risky sexual behavior. Age of menarche was significantly correlated with affiliation with an older boyfriend and risky sexual behavior. Antisocial behavior mediated the associations between behavioral dysregulation, negative affectivity and childhood victimization with substance use and risky sexual behavior. Affiliation with an adult boyfriend was directly associated with substance use involvement and accounted for the relationship between chronological age and risky sexual behavior. Finally, late menarche enhanced the association between internalizing symptomatology and substance use involvement. The results highlight the importance of behavioral dysregulation, negative affectivity, and childhood victimization in predicting substance use and risky sexual behavior, as well as the finding that antisocial behavior and affiliation with an adult boyfriend may be etiologically important in predicting these outcomes. Therefore, from a prevention and treatment standpoint, behavioral and affective dysregulation, childhood victimization as well as antisocial behavior may serve as clinical 'gateways' for altering the developmental trajectory toward substance use and risky sexual behavior in high risk and substance abusing youth. For example, reducing dysregulation through behavior modification procedures that have been developed for conduct disordered children would appear to be a heuristic avenue of investigation emanating from the results obtained in this study. (C) 1997 Elsevier Science Ireland Ltd.