Influences of victimization and comorbid conditions on substance use disorder outcomes in justice-involved youth: A discrete time survival mixture analysis
Influences of victimization and comorbid conditions on substance use disorder outcomes in justice-involved youth: A discrete time survival mixture analysis
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DOI：
10.1017/s0954579419000750
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发表时间：
2020-08-01
影响因子：
3.3
通讯作者：
Monterosso, John
中科院分区：
文献类型：
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作者：
Davis, Jordan P.;Janssen, Tim;Monterosso, John
为了了解在青少年时期暴露于受害和存在共病心理状况如何影响14至25岁严重少年犯的物质使用治疗进入和物质使用障碍诊断，本研究包括1，354名严重少年犯，他们前瞻性地随访了7年。生长混合模型被用来评估青少年（14-17岁）早期受害的概况。离散时间生存混合分析用于评估进入治疗和物质使用障碍诊断的时间。创伤后应激障碍（PTSD）和重性抑郁障碍（MDD）被用作生存时间的预测因子。混合模型揭示了三种受害情况：持续的多重受害、中度/减少的受害和低度受害。持续多次受害类的青年更有可能较早接受治疗，并比其他类更早作出药物使用诊断。创伤后应激障碍是一个显着的预测治疗入口的青年在持续的多受害类，和MDD是一个显着的预测物质使用障碍的诊断为青年在中度/减少受害类。因此，药物使用预防规划针对青少年经历多受害者在早期precence-especially那些有创伤后应激障碍或MDD-is必要的。
To understand how exposure to victimization during adolescence and the presence of comorbid psychological conditions influence substance use treatment entry and substance use disorder diagnosis from 14 to 25 years old among serious juvenile offenders, this study included 1,354 serious juvenile offenders who were prospectively followed over 7 years. Growth mixture modeling was used to assess profiles of early victimization during adolescence (14-17 years). Discrete time survival mixture analysis was used to assess time to treatment entry and substance use disorder diagnosis. Posttraumatic stress disorder (PTSD) and major depressive disorder (MDD) were used as predictors of survival time. Mixture models revealed three profiles of victimization: sustained poly-victimization, moderate/decreasing victimization, and low victimization. Youth in the sustained poly-victimization class were more likely to enter treatment earlier and have a substance use diagnosis earlier than other classes. PTSD was a significant predictor of treatment entry for youth in the sustained poly-victimization class, and MDD was a significant predictor of substance use disorder diagnosis for youth in the moderate/decreasing victimization class. Therefore, substance use prevention programming targeted at youth experiencing poly-victimization in early adolescence-especially those who have PTSD or MDD-is needed.