The co-occurrence of depression and substance abuse in late adolescence
The co-occurrence of depression and substance abuse in late adolescence
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DOI：
10.1017/s0954579498001746
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发表时间：
1998-06-01
影响因子：
3.3
通讯作者：
Colten, ME
中科院分区：
文献类型：
--
作者：
Aseltine, RH;Gore, S;Colten, ME
本文探讨了青少年的社会关系中的作用，促进抑郁症和药物滥用的发生和共发，使用两波的数据，从社区样本的青少年（N = 900）。估计多项logistic反应模型，以确定青少年的家庭和同伴关系的风险和保护功能与抑郁症状，药物滥用及其共同发生的差异。以一个人内，配置的方法来青少年的适应，对比涉及四个亚组的青少年：那些高抑郁情绪和药物滥用，那些谁的经验都没有问题，那些只证明高水平的抑郁症状，和那些高的药物滥用。抑郁症状的风险是通过与冲突和友谊领域缺乏支持的相关性来区分的。药物滥用与消极的同伴压力有关，但这些青少年在其他方面与没有问题的青少年没有什么不同。而CO;抑郁症和药物使用的发生与家庭和同伴环境中的更多困难有关，最明显的风险是家庭支持不足。讨论集中在青春期共同发生的问题和家庭关系的发展前因。
This article examines the role of adolescent social relationships in fostering the occurrence and co-occurrence of depression and substance abuse, using two waves of data from a community sample of adolescents (N = 900). Multinomial logistic response models were estimated to identify the extent to which risk and protective features of youths' family and peer relations were differentially linked with depressive symptoms, substance abuse, and their co-occurrence. Taking a within-person, configurational approach to adolescent adaptation, contrasts involved four subgroups of adolescents: those high on both depressed mood and substance abuse, those who experience neither problem, those evidencing high levels of depressive symptoms only, and those high on substance abuse only. Risk for depressive symptoms was differentiated by its association with conflict and lack of support in the friendship domain. Substance abuse was associated with negative peer pressure, but these youth were otherwise little different from youths with no problems. Whereas co;occurrence of depression and substance use was associated with more difficulties in both the family and peer environments, the most distinctive risk was that of low family support. Discussion centers on the developmental antecedents of co-occurring problems and family relations during adolescence.