Risk factors for adolescent substance abuse and dependence: Data from a national sample

Risk factors for adolescent substance abuse and dependence: Data from a national sample
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DOI:
10.1037/0022-006x.68.1.19
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发表时间:
2000-02-01
影响因子:
5.9
通讯作者:
Schnurr, PP
Schnurr, PP
中科院分区:
心理学1区
文献类型:
--
作者:
Kilpatrick, DG;Acierno, R;Schnurr, PP

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通过电话采访了4,023名12至17岁青少年的全国家庭概率样本,内容涉及物质使用、受害经历、家庭物质使用和创伤后反应,以确定《精神障碍诊断和统计手册》(第4版;美国精神病学协会,1994年)定义了药物滥用/依赖。有3,907名参与者的年龄和种族数据。主要发现是:(a)曾遭受身体攻击、性攻击、目睹暴力或家庭成员有酗酒或吸毒问题的青少年目前滥用/依赖药物的风险增加;(B)创伤后应激障碍独立增加大麻和硬性药物滥用/依赖的风险;以及(c)当控制其他变量的影响时,非裔美国人,而不是西班牙裔或美洲原住民,药物滥用/依赖的风险约为高加索人的1/3。
A national household probability sample of 4,023 adolescents aged 12 to 17 years was interviewed by telephone about substance use, victimization experiences, familial substance use, and posttraumatic reactions to identify risk factors for Diagnostic and Statistical Manual of Mental Disorders - (4th ed.; American Psychiatric Association, 1994) defined substance abuse/dependence. Age and ethnicity data were available for 3,907 participants. Major findings were (a) adolescents who had been physically assaulted, who had been sexually assaulted, who had witnessed violence, or who had family members with alcohol or drug use problems had increased risk for current substance abuse/dependence; (b) posttraumatic stress disorder independently increased risk of marijuana and hard drug abuse/dependence; and (c) when effects of other variables were controlled, African Americans, but not Hispanics or Native Americans, were at approximately 1/3 the risk of substance abuse/dependence as Caucasians.