Variations in parental monitoring and predictions of adolescent prescription opioid and stimulant misuse.

Variations in parental monitoring and predictions of adolescent prescription opioid and stimulant misuse.
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DOI:
10.1016/j.addbeh.2015.01.022
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发表时间:
2015-06
影响因子:
4.4
通讯作者:
Crano WD
Crano WD
中科院分区:
医学2区
文献类型:
--
作者:
Donaldson CD;Nakawaki B;Crano WD

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这项研究考察了青少年的家庭结构、社会关系和与药物有关的态度与他们滥用处方阿片类药物和兴奋剂之间的关系。根据强调使用这些物质的不同动机的先前研究,预计这些物质之间存在不同的关系。基于青少年药物滥用的早期模型,使用2012年美国全国药物使用与健康调查(NSDUH:N=17,399)中12至17岁的数据对两个路径分析模型进行了测试。女性受访者报告说,父母的热情程度更高,来自富裕家庭的年轻人也是如此。来自富裕和完整家庭的青少年报告说,父母的监督力度更大。父母的监督和温暖预测了青少年的社会关系和与药物使用有关的个人差异,这两个变量都预测了处方阿片类药物和兴奋剂的滥用。与之前的研究相反,对于12至14岁的青少年来说,父母监督水平高,虽然与态度和社会关系呈正相关,但与父母温暖程度低结合起来,也预示着处方兴奋剂滥用的比率更高。结果与2011年NSDUH的数据进行了交叉验证。分析强调了了解和区分与青少年处方兴奋剂和阿片类药物滥用有关的潜在因素以及父母行为在预防中的作用的重要性。
This study examined relations between adolescents’ family structures, social ties, and drug-related attitudes, and their misuse of prescription opioids and stimulants. Different relationships were anticipated for the substances based on prior research highlighting varying motivations for their use. Based on an earlier model of adolescent substance misuse, two path analytic models were tested using data from 12 to 17 year olds in the 2012 U.S. National Survey on Drug Use and Health (NSDUH: N = 17,399). Female respondents reported higher levels of parental warmth, as did youth from wealthier families. Greater parental monitoring was reported by adolescents from wealthier and intact families. Parental monitoring and warmth predicted adolescents’ social ties and individual differences associated with drug use, and both variables predicted prescription opioid and stimulant misuse. Contrary to previous research, for adolescents aged 12 to 14, high levels of parental monitoring, while positively associated with attitudes and social ties, also predicted higher rates of prescription stimulant misuse when combined with low levels of parental warmth. Results were cross-validated with data from the 2011 NSDUH. Analyses highlighted the importance of understanding and differentiating the underlying factors associated with adolescent prescription stimulant and opioid misuse, and the role of parental behaviors in prevention.
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