Sex-related substance use and the externalizing spectrum
Sex-related substance use and the externalizing spectrum
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DOI：
10.1016/j.drugalcdep.2017.01.008
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发表时间：
2017-05-01
影响因子：
4.2
通讯作者：
Eaton, Nicholas R.
中科院分区：
文献类型：
--
作者：
Rodriguez-Seijas, Craig;Arfer, Kodi B.;Eaton, Nicholas R.
背景：性活动前和性活动期间的物质使用与许多负面健康结果相关。据估计，每年至少有430万美国成年人定期进行与性有关的酒精消费，这表明物质使用和性行为的交叉是公共卫生问题。然而，如果考虑到更广泛的与性有关的物质使用，估计数可能会高得多。虽然物质使用障碍和反社会人格障碍与性相关的酒精消费有关，但没有研究调查定期使用性相关物质与更广泛的transdiagnosis externalizing谱之间的关系。此外，没有研究评估是否性冒险行为可以整合到externalizingspectrum.Methods：在一个大的互联网样本（N= 936），我们使用验证性因素分析，项目反应理论，和逻辑回归链接性相关的酒精和药物使用的一个externalizing潜变量，确定这些行为的心理测量学特征;并确定了一个人的外化水平与经常使用性相关物质的几率变化的相关程度。然后，我们在一个全国性的代表性样本（N= 34，653）复制这些发现。结果：结果突出了性相关物质的使用和外部化之间的密切联系，与外部化的增加与定期性相关物质use.Conclusions的显着增加的几率：这些研究结果承担显着的影响概念化和治疗性相关物质的使用。跨诊断干预可以是解决这种问题行为以及其他共病表现的有效手段。结果扩展了目前的外化频谱的概念。(C)2017爱思唯尔B. V.保留所有权利。
Background: Substance use before and during sexual activity is associated with many negative health outcomes. Estimates suggest that at least 4.3 million American adults annually engage in regular sex related alcohol consumption, indicating that the intersection of substance use and sexual behavior is of public health concern. However, it is likely that when considering broader sex-related substance use, estimates would be notably higher. While substance use disorders and antisocial personality disorder have been associated with sex-related alcohol consumption, no study has investigated how regular sex related substance use is associated with the broader transdiagnostic externalizing spectrum. Further, no studies have assessed whether or not sexual risk-taking behaviors can be integrated into the externalizing spectrum.Methods: In a large internet sample (N= 936), we used confirmatory factor analysis, item response theory, and logistic regression to link sex-related alcohol and drug use to an externalizing latent variable; identified psychometric characteristics of these behaviors; and determined the extent to which one's externalizing level was associated with changes in odds of regular sex-related substance use. We then replicated these findings in a nationally representative sample (N=34,653).Results: Results highlighted the close association between sex-related substance use and externalizing, with externalizing increases being associated with significantly increased odds of regular sex-related substance use.Conclusions: These findings bear notable implications for conceptualization and treatment of sex-related substance use. Transdiagnostic intervention can be an efficient means of addressing this problematic behavior as well as other comorbid presentations. Results expand the current conceptualization of the externalizing spectrum. (C) 2017 Elsevier B.V. All rights reserved.