Associations between early internalizing symptoms and speed of transition through stages of alcohol involvement.
Associations between early internalizing symptoms and speed of transition through stages of alcohol involvement.
复制标题
早期内化症状与酒精参与阶段的过渡速度之间的关联。
DOI：
10.1017/s0954579417000384
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发表时间：
2017
影响因子：
3.3
通讯作者：
Chassin,Laurie
中科院分区：
文献类型：
--
作者：
Menary,KyleR;Corbin,WilliamR;Chassin,Laurie
酒精使用障碍和内化障碍是高度并存的，但这种共病是如何在发育过程中展开的还不是很清楚。本研究调查了儿童后期内化症状对三个酒精参与里程碑之间转换速度的影响：第一次饮酒，第一次狂欢，第一次酒精依赖症状开始。较大的早期内化症状预计预示着第一次饮酒的年龄较晚，从第一次饮酒到第一次狂欢的转变较慢，从第一次狂欢到第一次依赖症状的转变较快。还考察了年龄的影响和性别的调节作用。数据来自对酗酒者和匹配对照组儿童(N=454)从童年后期到中年的纵向研究。一般来说，特定阶段的假设不被支持；相反，更大的内化症状预示着第一次饮酒的年龄更早，从第一次饮酒到第一次依赖症状的整个时间间隔的转换速度更快。关于性别适度，内在化大大预示了在每个里程碑之间以及在女性而不是男性之间的整个过渡时间段将更快地过渡。这些结果表明，早期的内化问题会带来在酒精参与的所有阶段快速过渡的风险，这种风险可能仅限于女性。
Alcohol use disorders and internalizing disorders are highly comorbid, but how this comorbidity unfolds over development is not well understood. The present study investigated effects of internalizing symptoms in late childhood on speed of transition between three alcohol involvement milestones: first drink, first binge, and onset of first alcohol dependence symptom. Greater early internalizing symptoms were expected to predict a later age of first drink, a slower transition from first drink to first binge, and a faster transition from first binge to first dependence symptom. The effects of age and moderating effects of gender were also examined. Data were from a longitudinal study of children of alcoholics and matched controls (N = 454) followed from late childhood to midlife. Generally, stage-specific hypotheses were not supported; rather, greater internalizing symptoms predicted an earlier age of first drink and a faster transition through the full interval from first drink to first dependence symptom. Regarding gender moderation, internalizing significantly predicted a faster transition between each milestone as well as through the full interval among women but not men. These results suggest that early internalizing problems confer risk for a rapid transition through all stages of alcohol involvement, and this risk may be limited to women.