The moderating effect of family involvement on substance use risk factors in adolescents with severe emotional and behavioral challenges.
The moderating effect of family involvement on substance use risk factors in adolescents with severe emotional and behavioral challenges.
复制标题
家庭参与对患有严重情绪和行为挑战的青少年物质使用危险因素的调节作用。
DOI：
10.1016/j.addbeh.2013.02.010
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发表时间：
2013
影响因子：
4.4
通讯作者：
Kaufman,JoyS
中科院分区：
文献类型：
--
作者：
Schlauch,RobertC;Levitt,Ash;Connell,ChristianM;Kaufman,JoyS
本研究纵向考察了家庭参与的调节作用，以前的研究表明，这是一个保护因素，对青少年的物质使用参与，对内部和外部的问题，分别与物质使用之间的关联（酒精，大麻，和烟草）和问题在一个独特的样本的青少年严重的情绪和行为问题。作为SAMHSA资助的综合社区心理健康倡议（CMHI）的一部分，他们和他们的父母在一年内接受了三波评估。多层次的增长曲线模型估计使用分层线性模型（HLM）检查随时间变化的内化和外化的问题，分别与物质使用的参与随着时间的推移作为一个功能的家庭参与在baseline.CARTSResults支持的假设，家庭参与保护青少年物质使用的参与缓冲的负面影响，内化和外化的问题之间的关联。具体而言，对于饮酒，家庭参与缓冲了高外部化问题的负面影响。对于烟草使用，家庭参与缓冲了内化和外化问题的负面影响。对于药物使用问题，家庭参与仅缓冲了内化问题的影响。然而，家庭参与并没有减轻情绪和行为问题对大麻使用的影响，一个显着的主效应被观察到，家庭参与是负相关的大麻使用。结论结果表明，有益的影响，家庭参与在风险青少年的物质使用参与取决于青少年经历的情感和行为问题的类型以及物质的类型，青少年使用。以家庭为中心的治疗和治疗的影响进行了讨论。
OBJECTIVEThe current study longitudinally examined the moderating effects of family involvement, which previous research has shown to be a protective factor against adolescents' substance use involvement, on the associations between internalizing and externalizing problems, respectively, and substance use (alcohol, marijuana, and tobacco) and problems in a unique sample of adolescents with severe emotional and behavioral problems.METHODAdolescents (n=4786) and their parents were assessed at three waves over a 1-year period as part of the SAMHSA funded Comprehensive Community Mental Health Initiative (CMHI). Multilevel growth curve models were estimated using Hierarchical Linear Modeling (HLM) to examine the associations between time-varying internalizing and externalizing problems, respectively, and substance use involvement over time as a function of family involvement at baseline.RESULTSResults supported the hypothesis that family involvement protects against adolescent substance use involvement by buffering the adverse effects of both internalizing and externalizing problems. Specifically, for alcohol use, family involvement buffered the negative effects of high externalizing problems. For tobacco use, family involvement buffered the negative effects of both internalizing and externalizing problems, respectively. For substance use problems, family involvement buffered the effects of only internalizing problems. Family involvement did not moderate effects of emotional and behavioral problems on marijuana use, however, a significant main effect was observed such that family involvement was negatively related to marijuana use.CONCLUSIONSResults suggest that the beneficial effects of family involvement on at-risk adolescents' substance use involvement are dependent on the type of emotional and behavioral problems the adolescent experiences as well as the type of substance the adolescent uses. Implications for family- and adolescent-focused treatment are discussed.