Developmental cascades: linking adolescent substance use, affiliation with substance use promoting peers, and academic achievement to adult substance use disorders.
Developmental cascades: linking adolescent substance use, affiliation with substance use promoting peers, and academic achievement to adult substance use disorders.
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DOI：
10.1017/s0954579410000532
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发表时间：
2010-11
影响因子：
3.3
通讯作者：
Bountress K
中科院分区：
文献类型：
--
作者：
Haller M;Handley E;Chassin L;Bountress K
使用高危社区样本(N=405)，本研究在18年的时间里考察了物质使用、与促进物质使用的同龄人的联系以及学习成绩之间的发展级联，并测试了这些途径是否中介了父母酗酒对成人酒精和药物使用障碍的影响。结果表明，父母酗酒对成人药物障碍的影响是通过三个领域的发育级联反应来实现的，而父母酗酒对成人酒精障碍的影响是通过与物质使用促进同伴的联系和酗酒的持续性来实现的。与青少年饮酒相比，青少年吸毒对成人结局的影响更大，后者不太可能蔓延到其他功能领域。研究结果表明，青春期危险因素对成人物质使用障碍具有间接而不是独特的影响，这表明青春期风险并不是一成不变的，主要是由后来的影响调节的。
Using a high-risk community sample (N = 405), the current study examined developmental cascades among substance use, affiliation with substance use promoting peers, and academic achievement over an 18-year period and tested whether these pathways mediated the influence of parental alcoholism on adult alcohol and drug use disorders. Results showed that the influence of parental alcoholism on adult drug disorders was mediated by developmental cascades across all three domains, whereas the influence of parental alcoholism on adult alcohol disorders was mediated through affiliation with substance use promoting peers and persistence in binge drinking. Adolescent drug use had more implications for adult outcomes than did adolescent alcohol use, which was less likely to spill over into other domains of functioning. Findings indicated that adolescent risk factors had indirect rather than unique effects on adult substance use disorders, suggesting that adolescent risk is not immutable and is largely mediated by later influences.