Longitudinal associations between depressive symptoms and alcohol problems: The influence of comorbid delinquent behavior.

Longitudinal associations between depressive symptoms and alcohol problems: The influence of comorbid delinquent behavior.
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DOI:
10.1016/j.addbeh.2010.01.004
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发表时间:
2010-06
影响因子:
4.4
通讯作者:
Marmorstein, Naomi R.
Marmorstein, Naomi R.
中科院分区:
医学2区
文献类型:
--
作者:
Marmorstein, Naomi R.

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尽管许多研究已经证明抑郁症状与酒精问题及相关障碍之间存在正相关,但尚不清楚这种联系是否可以用这些障碍与犯罪行为的共同发生来解释。这项研究调查了抑郁症状和酒精问题之间的纵向联系,从青春期早期到成年早期,同时考虑了犯罪行为和犯罪行为与这些问题之间潜在的相互作用。全国青少年健康纵向研究样本为20,728名青少年,随访6年。男性和女性分别接受检查。多层模型用于预测基于抑郁症状和犯罪行为水平(及其相互作用)的酒精问题的初始水平和变化率,以及基于酒精问题和犯罪行为(及其相互作用)的抑郁症状的初始水平和变化率。一旦犯罪行为被纳入模型,酒精问题和抑郁症状之间的相互正相关关系倾向于保持显著。青少年的不良行为与这些问题之间存在交互作用,主要发生在女性中。随着时间的推移,酒精问题和抑郁症状之间的相互正相关关系并不完全是由于它们与犯罪行为共同出现,尽管在某些情况下,犯罪行为确实会缓和这些联系。
Although numerous studies have demonstrated a positive association between depressive symptoms and alcohol problems and related disorders, it remains unclear whether this link can be explained by the joint co-occurrence of these disorders with delinquent behavior. This study examined the longitudinal associations between depressive symptoms and alcohol problems from early adolescence through early adulthood, while accounting for delinquent behavior and the potential interaction effects between delinquent behavior and each of these problems. The National Longitudinal Study of Adolescent Health sample of 20,728 adolescents, followed for 6 years, was used. Males and females were examined separately. Multilevel modeling was used to predict both initial levels and rate of change in alcohol problems based on levels of depressive symptoms and delinquent behavior (and their interaction), and initial level and rate of change in depressive symptoms based on alcohol problems and delinquent behavior (and their interaction). Once delinquent behavior was included in the model, the reciprocal positive associations between alcohol problems and depressive symptoms tended to remain significant. Some interactive effects between delinquent behavior and these problems were found, mainly in females. The reciprocal positive associations between alcohol problems and depressive symptoms over time are not fully due to their joint co-occurrence with delinquent behavior, though delinquent behavior does moderate these links in some cases.
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