Real-Time Social Stress Response and Subsequent Alcohol Use Initiation Among Female Adolescents
Real-Time Social Stress Response and Subsequent Alcohol Use Initiation Among Female Adolescents
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DOI：
10.1037/adb0000454
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发表时间：
2019-05-01
影响因子：
3.4
通讯作者：
Anderson, Kristen G.
中科院分区：
文献类型：
--
作者：
Cloutier, Renee M.;Blumenthal, Heidemarie;Anderson, Kristen G.
对社会压力特别敏感的青少年可能更容易过早饮酒和出现相关问题。虽然一个小的文献支持这一论点，以前的研究大多依赖于回顾性自我报告。目前的研究使用离散时间生存分析（DTSA），以测试是否实时社会压力反应（通过实验室诱导）和社交焦虑症状预测12个月的酒精发作的年轻女性青少年的酒精天真的样本。这项任务引起的焦虑预计会预测更大和更早的酒精发病率，特别是在自我报告的社交焦虑症状水平较高的女孩中。参与者是104名社区招募的女孩（年龄12-15岁），她们完成了修改后的特里尔社会压力测试和问卷调查;在实验室访问后的3、6、9和12个月进行了随访。自我报告的焦虑进行了评估后适应（基线），指令（预期）和语音（任务后）的压力。12个月。30.8%的人喝了一杯全酒精饮料。DTSA显示，与基线相比，社交焦虑水平较高和预期（但不是任务后）焦虑水平较高的女孩饮酒时间较早。这是第一个研究的作用，实验室引起的焦虑反应和回顾性报告的社交焦虑作为酒精发病率的前瞻性预测。这些初步研究结果表明，对社会压力更敏感的青春期女孩可能比同龄人更早尝试酒精。
Adolescents who are particularly sensitive to social stress may be vulnerable to earlier alcohol consumption and related problems. Although a small literature supports this contention, previous studies mostly relied on retrospective self-report. The current study used discrete-time survival analysis (DTSA) to test whether real-time social stress responding (via laboratory induction) and social anxiety symptoms predicted 12-month alcohol onset in an alcohol-naive sample of young female adolescents. Anxiety elicited by the task was expected to predict greater and earlier rates of alcohol incidence, particularly among girls with higher levels of self-reported social anxiety symptoms. Participants were 104 community-recruited girls (ages 12-15 years) who completed a modified Trier Social Stress Test and questionnaires; follow-up calls were conducted at 3,6,9, and 12 months after the laboratory visit. Self-reported anxiety was assessed in response to the stressor following acclimation (baseline), instruction (anticipation), and speech (posttask). By 12 months. 30.8% of the sample had consumed a full alcoholic beverage. The DTSA revealed that girls with higher levels of social anxiety and greater elevations in anticipatory (but not posttask) anxiety compared to baseline had earlier alcohol initiation. This is the first study to examine the role of both laboratory-induced anxious responding and retrospective reports of social anxiety as prospective predictors of alcohol incidence. These preliminary findings suggest that adolescent girls who are more sensitive to social stress may be at risk for experimenting with alcohol earlier than their peers.