Childhood and adolescent predictors of heavy drinking and alcohol use disorders in early adulthood: a longitudinal developmental analysis
Childhood and adolescent predictors of heavy drinking and alcohol use disorders in early adulthood: a longitudinal developmental analysis
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DOI：
10.1111/j.1360-0443.2008.02174.x
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发表时间：
2008-05-01
期刊：
影响因子：
6
通讯作者：
Collins, W. Andrew
中科院分区：
文献类型：
--
作者：
Englund, Michelle M.;Egeland, Byron;Collins, W. Andrew
目的确定区分成年早期重度饮酒者与较中度饮酒者或戒酒者的儿童和青少年因素。低收入的参与者从出生到28岁。参与者共有178名成年人（95名男性），他们是明尼苏达州明尼阿波利斯低收入母亲的第一个孩子，在怀孕的第三个月。测量方法：母亲的敌意（24/42个月），外化和内化行为问题（9年），同伴接受和学业成就（12年），母亲饮酒和参与者饮酒行为（16年），每次饮酒量（19、23和26年），酒精使用障碍（28年）。男性的研究结果：(i)与不饮酒者（19岁）和适度饮酒者（23岁和26岁）相比，16岁时大量饮酒增加了成为重度饮酒者的几率；（ii）与适度饮酒者（26岁）相比，12岁时较低的成就分数和16岁时母亲饮酒较多的参与者成为重度饮酒者的几率增加。9岁时外化行为问题水平较高，16岁时饮酒较多，这些都增加了男性在28岁时出现当前酒精使用障碍的几率。对于女性：(1)与戒酒或适度饮酒者（26岁）相比，16岁时喝得更多增加了成为重度饮酒者的几率；（ii）与23岁时戒酒的人相比，12岁时成绩较高的人成为酗酒者的几率更高。青少年酒精使用介导了9岁外化行为与26岁女性酒精使用之间的关系。结论：饮酒问题可能是一个长期发展过程的结果，其中儿童外化行为问题设置了导致青春期和青春期后大量饮酒的途径。
Aims To identify childhood and adolescent factors differentiating heavy alcohol users in early adulthood from more moderate users or abstainers. Design Low-income participants followed from birth to age 28 years. Participants A total of 178 adults (95 males) who were first-born children of low-income mothers recruited in Minneapolis, Minnesota, during their third trimester of pregnancy. Measurements Maternal hostility (24/42 months), externalizing and internalizing behavior problems (9 years), peer acceptance and academic achievement (12 years), maternal alcohol use and participants' drinking behavior (16 years), quantity of alcohol use per occasion (19, 23 and 26 years), alcohol use disorders (28 years). Findings For men: (i) higher amounts of alcohol consumption at age 16 increased the odds of being a heavy drinker compared to an abstainer (age 19) and a moderate drinker (ages 23 and 26); (ii) lower achievement scores at age 12 and having a mother who drank more when the participant was age 16 increased the odds of being a heavy drinker compared to moderate drinker (age 26). Higher levels of externalizing behavior problems at age 9 and drinking more when the participants were age 16 increased the odds that men would have a current alcohol use disorder at age 28. For women: (i) drinking more at age 16 increased the odds of being a heavy drinker compared to being either an abstainer or a moderate drinker (age 26); (ii) having higher levels of achievement at age 12 increased the odds of being a heavy drinker compared to an abstainer at age 23. Adolescent alcohol use mediated the relation between externalizing behavior at age 9 and alcohol use at age 26 for women. Conclusions Problem drinking may be the result of a long-term developmental process wherein childhood externalizing behavior problems sets a pathway leading to heavy drinking during and after adolescence.