An Internalizing Pathway to Alcohol Use and Disorder
An Internalizing Pathway to Alcohol Use and Disorder
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DOI：
10.1037/a0024519
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发表时间：
2011-09-01
影响因子：
3.4
通讯作者：
Boeding, Sara
中科院分区：
文献类型：
--
作者：
Hussong, Andrea M.;Jones, Deborah J.;Boeding, Sara
来自发展科学领域的研究表明，饮酒和精神障碍的最初危险因素可能在儿童早期就很明显。将这些最初的风险因素与随后的酒精参与联系起来的一条主要发展途径集中在不抑制或外化行为的核心作用上。在目前的论文中，我们描绘了第二条专注于症状内化的途径。几项研究表明，童年早期和中期的内化症状预示着青春期和青春期的酒精参与。我们使用发展精神病理学框架来描述一个风险模型，该模型追踪这种内化途径的潜在发育标记物，并考虑内化途径和更广泛研究的外化途径之间的关系。我们概述了这一途径中的风险标记物，并讨论了这一模式对预防工作和未来研究的影响。通过这种方式，我们努力实现一个转化目标，将我们对内化过程、酒精使用和紊乱的现有理解与我们制定有效预防计划的努力联系起来。
Research emanating from the field of developmental science indicates that initial risk factors for alcohol use and disorder can be evident in early childhood. One dominant developmental pathway connecting these initial risk factors with subsequent alcohol involvement focuses on the central role of disinhibited or externalizing behaviors. In the current paper, we delineate a second pathway that focuses on internalizing symptomatology. Several studies indicate that internalizing symptoms in early and middle childhood predict alcohol involvement in adolescence and young adulthood. We use a developmental psychopathology framework to describe a risk model that traces the potential developmental markers of this internalizing pathway and to consider the relation between the internalizing pathway and the more widely researched externalizing pathway. We outline the markers of risk in this pathway and conclude with a discussion of the implications of this model for prevention efforts and future research. In this manner, we strive for a translational goal, linking our existing understanding of internalizing processes and alcohol use and disorder with our efforts to develop effective prevention programs.