Parental-Adolescent Drug Use Discussions: Physiological Responses and Associated Outcomes
Parental-Adolescent Drug Use Discussions: Physiological Responses and Associated Outcomes
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DOI：
10.1016/j.jadohealth.2014.05.001
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发表时间：
2014-12-01
影响因子：
7.6
通讯作者：
Crowley, Michael J.
中科院分区：
文献类型：
--
作者：
Chaplin, Tara M.;Hansen, Amysue;Crowley, Michael J.
目的：虽然与青少年谈论毒品经常被推荐给父母，但我们对父母如何与孩子讨论毒品以及父母的建议如何与青少年觉醒和物质使用联系在一起知之甚少。本研究探讨了观察到的父母吸毒的建议和父母的行为，在父母青少年吸毒的讨论和青少年的生理反应和substance use.Methods协会：五十八12-17奥尔兹和他们的主要照顾者参加了一个实验室会议，在该会议中，父母和青年讨论的主题酒精和/或药物使用10分钟。对这一讨论进行录像，并对药物使用建议（反对药物使用的规则、药物使用后果的信息、场景或学习建议[讨论药物使用场景和儿童对药物的了解]）和一般父母行为（父母的温暖和/或支持、消极和/或批评父母）进行编码。在讨论之前，期间和之后，青少年的心率，血压（BP），和唾液皮质醇水平进行了assessed.Results：父母讨论的情况和/或学习与青少年BP反应较低的讨论和物质使用的可能性较低。父母讨论反对使用毒品的规则与更高的心率和BP反应以及更大的物质使用可能性相关。批评和/或消极的养育与更高的皮质醇反应和更大的可能性，物质使用的趋势level.Conclusions：父母的特点是更多的讨论药物使用的情况下，少说明反对药物使用和批评的规则可能会使青年感到更舒适，并与较低的物质使用。(C)2014年青少年健康和医学协会。All rights reserved.
Purpose: Although talking to youth about drugs is often recommended to parents, we know little about how parents actually discuss drugs with their children in the moment and how parental advice is linked to youth arousal and substance use. This study examined observed parental drug use advice and parenting behaviors during parent-adolescent drug use discussions and associations with adolescent physiological responses and substance use.Methods: Fifty-eight 12-17 year olds and their primary caregivers participated in a laboratory session in which parents and youth discussed the topic of alcohol and/or drug use for 10 minutes. This discussion was videotaped and coded for drug use advice (rules against drug use, information on drug use consequences, scenarios or learning advice [discussing drug use scenarios and what the child has learned about drugs]) and general parenting behaviors (parental warmth and/or support, negative and/or critical parenting). Before, during, and after the discussions, adolescents' heart rate, blood pressure (BP), and salivary cortisol levels were assessed.Results: Parental discussion of scenarios and/or learning was associated with lower adolescent BP responses to the discussions and lower likelihood of substance use. Parental discussion of rules against drug use was associated with higher heart rate and BP responses and greater likelihood of substance use. Criticism and/or negative parenting was associated with higher cortisol responses and greater likelihood of substance use at a trend level.Conclusions: Parenting characterized by greater discussion of drug use scenarios and less stating of rules against drug use and criticism may make youth feel more comfortable and be linked to lower substance use. (C) 2014 Society for Adolescent Health and Medicine. All rights reserved.