Psychopathology as an Antecedent to, and as a “Consequence” of, Substance Use, in Adolescence
Psychopathology as an Antecedent to, and as a “Consequence” of, Substance Use, in Adolescence
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精神病理学作为青春期药物使用的前因和“后果”
作者：
A. S. Friedman;A. Utada;N. Glickman;M. Morrissey
在对两所公立高中的232名学生进行的纵向研究中，通过交叉滞后相关方法发现，早期精神病理学对17个月后的物质使用具有统计学显著性预测，早期物质使用也对后期精神病理学具有统计学显著性预测。因此，似乎有可能存在一种累加或累积的相互作用效应，其中具有精神病症状（精神病理学）有助于使用药物的倾向，而使用药物增加了具有精神病症状的倾向。在九种类型的精神症状测量，强迫症状，敌意，偏执和抑郁症被发现是某种程度上更预测以后增加物质使用比其他类型的精神症状;和恐惧焦虑是没有预测。
In this longitudinal study of 232 student-subjects in two public high schools, it was found, by a cross-lagged correlation method, that earlier psychopathology predicted to a statistically significant degree to substance use seventeen months later, and that earlier substance use also predicted to a statistically significant degree to later psychopathology. Thus it appears likely that there is an additive or cumulative interaction effect in which having psychiatric symptoms (psychopathology) contributes to the tendency to use drugs, and using drugs adds to the tendency to have psychiatric symptoms. Among the nine types of psychic symptoms measured, obsessive-compulsive symptoms, hostility, paranoid ideation and depression were found to be somewhat more predictive of later increase in substance use than the other types of psychic symptoms; and phobic anxiety was not predictive at all.