Heavy alcohol use in early adulthood as a function of childhood ADHD: developmentally specific mediation by social impairment and delinquency.
Heavy alcohol use in early adulthood as a function of childhood ADHD: developmentally specific mediation by social impairment and delinquency.
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DOI：
10.1037/a0035656
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发表时间：
2014-04
影响因子：
2.3
通讯作者：
Pelham WE
中科院分区：
文献类型：
--
作者：
Molina BSG;Walther CAP;Cheong J;Pedersen SL;Gnagy EM;Pelham WE
在成年早期，特别是在21岁之前经常大量饮酒，与多种健康和法律后果有关，包括成年后继续饮酒的问题。患有注意力缺陷/多动障碍（ADHD）的儿童在成年后有酒精使用障碍的风险，但人们对他们年轻时未成年饮酒的频率知之甚少，也不知道可能导致这种危险结果的中介途径。目前的研究使用了匹兹堡ADHD纵向研究（PALS）的数据，对患有（n=148）和没有（n=117）儿童ADHD的个体进行了从儿童ADHD到成年早期酗酒的社会障碍和犯罪途径的测试。虽然ADHD不能预测酗酒，但却发现了相反方向的间接中介作用。从儿童多动症到酗酒增加的犯罪途径包括青少年和随后的成人犯罪行为。从儿童多动症到酗酒减少的社会障碍途径包括青少年，但不包括成人的社会障碍。这些发现有助于解释ADHD个体酒精使用结果的异质性，并表明常见的ADHD相关损伤可能彼此不同，并且在发育时期具有明显的差异。
Frequent heavy drinking in early adulthood, particularly prior to age 21, is associated with multiple health and legal consequences including continued problems with drinking later into adulthood. Children with Attention-Deficit/Hyperactivity Disorder (ADHD) are at risk of alcohol use disorder in adulthood, but little is known about their frequency of underage drinking as young adults or about mediational pathways that might contribute to this risky outcome. The current study used data from the Pittsburgh ADHD Longitudinal Study (PALS) to test social impairment and delinquency pathways from childhood ADHD to heavy drinking in early adulthood for individuals with (n=148) and without (n=117) childhood ADHD. Although ADHD did not predict heavy drinking, indirect mediating effects in opposing directions were found. A delinquency pathway from childhood ADHD to increased heavy drinking included adolescent and subsequently adult delinquent behavior. A social impairment pathway from childhood ADHD to decreased heavy drinking included adolescent, but not adult, social impairment. These findings help to explain the heterogeneity of results for alcohol use among individuals with ADHD and suggest that common ADHD-related impairments may operate differently from each other and distinctly across developmental periods.
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DOI：
10.1097/01.chi.0000189134.97436.e2
发表时间：
2006-02-01
影响因子：
13.3
作者：
Barkley, RA;Fischer, M;Fletcher, K
通讯作者：
Fletcher, K
DOI：
10.1001/archpediatrics.2010.180
发表时间：
2010-10-01
影响因子：
--
作者：
Brook, David W.;Brook, Judith S.;Koppel, Jonathan
通讯作者：
Koppel, Jonathan
影响因子：
1.7
作者：
Barnes, GM;Welte, JW;Hoffman, JH
通讯作者：
Hoffman, JH
影响因子：
--
作者：
Elkins, Irene J.;McGue, Matt;Iacono, William G.
通讯作者：
Iacono, William G.
影响因子：
5.3
作者：
Biederman, Joseph;Petty, Carter R.;Faraone, Stephen V.
通讯作者：
Faraone, Stephen V.