Psychopathology as dynamic markers of alcohol initiation across development: A three-year longitudinal examination.

Psychopathology as dynamic markers of alcohol initiation across development: A three-year longitudinal examination.
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精神病理学作为酒精在整个发展过程中起始的动态标志:一项为期三年的纵向检查。

DOI:
10.1017/s0954579423000184
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发表时间:
2023
影响因子:
3.3
通讯作者:
Sher,KennethJ
Sher,KennethJ
中科院分区:
心理学2区
文献类型:
--
作者:
Watts,AshleyL;Doss,MarkI;Bernard,DonteL;Sher,KennethJ

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啜饮是一种早期的酒精开始形式,与精神病理和个性方面有关,反映了有害酒精使用的长期风险。在青少年大脑和认知发展队列(N = 11872)中,9-10岁时啜饮与冲动性、外化的其他方面和前驱精神分裂症症状同时相关。尽管如此,这些联系本质上是横断面的,留下了这样一种可能性,即精神病理学和人格的这些特征可能不能反映酒精消费的长期风险以及整个发展过程中的相关危害。在这里,我们试图在三波数据中复制基线并发关联,以将并发关联扩展到预期关联。大多数横断面关联在各个波之间都是重复的,例如冲动、外化的其他方面、奖励敏感性(例如,急症、寻求感觉)和前驱精神分裂症症状与12岁前喝过酒的几率增加有关。然而,并非所有并发关联都是前瞻性复制的;冲动性特征并不反映啜饮的长期风险。因此,一些精神病理特征似乎反映了稳定的危险因素,而另一些则反映了依赖状态的危险因素。总而言之,啜饮可能并不能反映有害饮酒的长期风险,而且啜饮的性质可能会随着发育而改变。
Sipping, an early form of alcohol initiation, is associated with aspects of psychopathology and personality that reflect long-term risk for harmful alcohol use. In the Adolescent Brain and Cognitive Development cohort (N = 11,872), sipping by age 9–10 was concurrently associated with impulsivity, other aspects of externalizing, and prodromal schizophrenia symptoms. Still, these associations were cross-sectional in nature, leaving open the possibility that these features of psychopathology and personality might not reflect long-term risk for alcohol consumption and related harm across development. Here, we attempted to replicate baseline concurrent associations across three waves of data to extend concurrent associations to prospective ones. Most cross-sectional associations replicated across waves, such that impulsivity, other aspects of externalizing, reward sensitivity (e.g., surgency, sensation seeking), and prodromal schizophrenia symptoms were associated with increased odds of having sipped alcohol by the age of 12. Nevertheless, not all concurrent associations replicated prospectively; impulsigenic features did not reflect long-term risk for sipping. Thus, some psychopathology features appeared to reflect stable risk factors, whereas others appeared to reflect state-dependent risk factors. All told, sipping might not reflect long-term risk for harmful alcohol use, and the nature of sipping may change across development.
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