Childhood psychopathology and adolescent cigarette smoking: A prospective survival analysis in children at high risk for substance use disorders

Childhood psychopathology and adolescent cigarette smoking: A prospective survival analysis in children at high risk for substance use disorders
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DOI:
10.1016/j.addbeh.2004.02.019
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发表时间:
2004-06-01
影响因子:
4.4
通讯作者:
Cornelius, J
Cornelius, J
中科院分区:
医学2区
文献类型:
--
作者:
Clark, DB;Cornelius, J

文献摘要

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父母患有物质使用障碍(SUD)的儿童在青春期吸烟的风险增加。在这项前瞻性研究中,我们假设青少年吸烟的风险是由儿童期破坏性行为障碍和父母吸烟造成的。青春期前儿童(年龄10-12岁)的父亲与SUD认为在高平均风险(HAR; n = 274)和儿童的父亲没有SUD或主要精神病理学认为在低平均风险(LAR; n = 298)参加了结构化访谈,以确定精神障碍的诊断和物质使用史。父母双方都接受了评估。在青春期后期进行的三次随访评估中确定了每日烟草使用的开始年龄。行为障碍(CD)和父母吸烟预测早期每日吸烟,并介导风险状态和后代每日吸烟之间的关系。通过识别儿童期特征预测青少年期每日吸烟,这些结果可能有助于针对儿童早期预防干预措施。(C)2004爱思唯尔有限公司保留所有权利。
Children of parents with substance use disorders (SUDs) have been shown to demonstrate an increased risk for cigarette smoking in adolescence. In this prospective study, we hypothesized that adolescent cigarette smoking risk would be accounted for by childhood disruptive behavior disorders and parent cigarette smoking. Preadolescent children (ages 10-12 years) of fathers with SUD considered at high average risk (HAR; n = 274) and children of fathers without SUD or major psychopathology considered at low average risk (LAR; n = 298) participated in structured interviews to determine mental disorder diagnoses and substance use history. Both parents were assessed. The age of onset of daily tobacco use was determined in three follow-up assessments conducted through late adolescence. Conduct disorder (CD) and parental smoking predicted earlier daily cigarette smoking, and mediated the relationship between risk status and offspring daily cigarette smoking. Through the identification of childhood characteristics predicting daily cigarette smoking in adolescence, these results may facilitate targeting of early childhood preventive interventions. (C) 2004 Elsevier Ltd. All rights reserved.