VULNERABILITY TO DRUG-ABUSE AMONG OPIOID ADDICTS SIBLINGS - INDIVIDUAL, FAMILIAL, AND PEER INFLUENCES

VULNERABILITY TO DRUG-ABUSE AMONG OPIOID ADDICTS SIBLINGS - INDIVIDUAL, FAMILIAL, AND PEER INFLUENCES
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DOI:
10.1016/0010-440x(92)90029-p
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发表时间:
1992-05-01
影响因子:
7.3
通讯作者:
ROUNSAVILLE, BJ
ROUNSAVILLE, BJ
中科院分区:
医学2区
文献类型:
--
作者:
LUTHAR, SS;ANTON, SF;ROUNSAVILLE, BJ

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在132名阿片类药物成瘾先证者的兄弟姐妹中探索了药物滥用的脆弱性。在个人,家庭和同龄人群体的水平上的多个风险因素进行了检查,包括感觉寻求,青少年实验药物,相对于成瘾先证者,出生顺序,在家庭中的顺序位置,以及在青少年时期同龄人使用药物和提供药物的程度。通过问卷调查和访谈数据评估风险因素,而成人药物滥用的诊断来自结构化访谈。早期尝试毒品被发现是一个强大的风险变量:在青少年时期尝试过毒品的兄弟姐妹成年后成为吸毒者的可能性几乎是其他人的五倍。成人药物滥用的其他重要相关因素包括青少年同龄人群体中的感觉寻求和药物使用。研究结果进行了讨论,在药物滥用领域的预防性干预的影响。
Vulnerability to drug abuse was explored among 132 siblings of opioid-addicted probands. Multiple risk factors at the levels of the individual, family, and peer group were examined, including sensation-seeking, teenage experimentation with drugs, ordinal position in the family relative to the addicted proband, birth order, and the extent to which peers used drugs and offered drugs to the individual during adolescence. Risk factors were assessed via questionnaire and interview data, while diagnoses of adult drug abuse were derived from structured interviews. Early experimentation with drugs was found to be a powerful risk variable: siblings who had tried drugs as teenagers were almost five times as likely as others to be drug abusers as adults. Other significant correlates of adult drug abuse included sensation-seeking and drug use among the adolescent peer group. Results of the study are discussed in terms of implications for preventive intervention in the field of substance abuse.