Deviant socialization mediates transmissible and contextual risk on cannabis use disorder development: a prospective study

Deviant socialization mediates transmissible and contextual risk on cannabis use disorder development: a prospective study
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DOI:
10.1111/j.1360-0443.2011.03401.x
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发表时间:
2011-07-01
期刊:
影响因子:
6
通讯作者:
Vanyukov, Michael
Vanyukov, Michael
中科院分区:
医学1区
文献类型:
--
作者:
Tarter, Ralph E.;Fishbein, Diana;Vanyukov, Michael

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目的本研究探讨了传播风险的贡献,在儿童和青少年时期的家庭和同龄人的背景因素,在成年期大麻使用障碍的发展。设计家庭高风险设计被用来招募先证者的父亲和没有物质使用障碍和纵向跟踪他们的儿子从童年晚期到成年。这些家庭是在宾夕法尼亚州匹兹堡的教育和药物滥用研究中心的支持下招募的。参与者家中的长子在10-12岁,16岁,19岁和22岁时进行了研究。测量的传染性责任指数(TLI),沿着的措施,质量的亲子关系,在家里的合作行为,社会态度和同龄人的环境进行管理,以模拟大麻使用障碍的发展途径。结果与社会越轨的同龄人和窝藏非规范的态度(16岁)之间的关联中介物质使用障碍(SUD)(10-12岁)和使用非法药物(19岁)的传播风险,导致大麻使用障碍(22岁)。结论:由传染性风险和不良亲子关系导致的偏差社会化是年轻成年期大麻使用障碍发展的组成部分。
Aims This study examined the contribution of transmissible risk, in conjunction with family and peer contextual factors during childhood and adolescence, on the development of cannabis use disorder in adulthood. Design The family high-risk design was used to recruit proband fathers with and without substance use disorder and track their sons longitudinally from late childhood to adulthood. Setting The families were recruited under the aegis of the Center for Education and Drug Abuse Research in Pittsburgh, Pennsylvania. Participants The oldest son in the family was studied at ages 10-12, 16, 19 and 22 years. Measurements The transmissible liability index (TLI), along with measures of quality of the parent-child relationship, cooperative behavior at home, social attitudes and peer milieu were administered to model the developmental pathway to cannabis use disorder. Findings Affiliation with socially deviant peers and harboring non-normative attitudes (age 16) mediate the association between transmissible risk for substance use disorder (SUD) (age 10-12) and use of illegal drugs (age 19), leading to cannabis use disorder (age 22). Conclusions Deviant socialization resulting from transmissible risk and poor parent-child relationship is integral to development of cannabis use disorder in young adulthood.