Resilience profiles predict polysubstance use in adolescents with a history of childhood maltreatment.
Resilience profiles predict polysubstance use in adolescents with a history of childhood maltreatment.
复制标题
复原力概况预测有童年虐待史的青少年会使用多种物质。
DOI：
10.1080/16066359.2022.2132237
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发表时间：
2023
影响因子：
2.9
通讯作者：
Rose,EmmaJ
中科院分区：
文献类型：
--
作者：
Picci,Giorgia;Linden-Carmichael,AshleyN;Rose,EmmaJ
背景儿童期虐待(CM)可能是规范发展的障碍，并不断预示着物质滥用和多物质使用(PolySU)的风险增加。然而，一部分经历过CM的人在一生中表现出了成功的适应。虽然有大量的文献介绍了社会情绪和认知保护因素可以缓解CM的影响，但关于其他促进个体内部韧性的因素(如积极的未来取向)在青春期缓解高危SU模式方面知之甚少。方法本研究考察了受虐青少年个体水平弹性特征的异质性，因为它与CM特征和青春期SU模式有关。参与者包括纵向龙扫描样本中的受虐待青年(N= 355；181名女性)。潜在概况分析被用来根据五个复原力指标变量(即对目标的承诺、从事苛刻的活动、自力更生、积极的未来取向和外化行为)来识别暴露于CM的个体的亚群。结果数据模型根据受试者的复原力特征揭示了三种潜在的复原力特征(即低复原力、中等复原力和高复原力)。在CM特征的基础上，没有侧貌差异。与平均恢复力特征相比，高恢复力特征中的人参与PolySU的可能性较小。这些发现强调了个人水平的韧性因素的前景，这些因素不一定依赖于照顾者或环境投入，以防止CM后PolySU的发生。这项工作为未来针对高危青少年突发SU行为的预防性干预努力提供了一条很有希望的途径。
BackgroundChildhood maltreatment (CM) can be an impediment to normative development and consistently predicts increased risk for substance misuse and polysubstance use (polySU). Yet, a subset of individuals who experience CM exhibit successful adaptations across the lifespan. Although there is an expansive literature on socioemotional and cognitive protective factors that mitigate impacts of CM, less is known about other, intra-individual resilience-promoting factors (e.g. positive future orientation) known to assuage high-risk SU patterns during adolescence.MethodThis study examined heterogeneity in individual-level resilience characteristics in maltreated youth as it related to CM characteristics and SU patterns during adolescence. Participants included maltreated youth from the longitudinal LONGSCAN sample (N= 355; 181 females). Latent Profile Analysis was used to identify subgroups of CM-exposed individuals based on five resilience indicator variables (i.e. commitment to goals, engaging in demanding activities, self-reliance, positive future orientation, and externalizing behaviors). Tests for differences in SU patterns and CM characteristics between the resultant profiles were performed.ResultsData models revealed three latent profiles based on participants’ resilience traits (i.e. Low Resilience, Average Resilience, and High Resilience). There were no profile differences on the basis of CM characteristics. Those in the High Resilience profile were less likely to engage in polySU compared to the Average Resilience profile.ImplicationsThese findings highlight the promise of individual-level resilience factors that are not necessarily dependent upon caregiver or environmental inputs as protective against polySU following CM. This work represents a promising avenue for future preventative intervention efforts targeting emergent SU behaviors in high-risk youth.