Relations Among Internalizing and Externalizing Symptoms and Drinking Frequency During Adolescence.
Relations Among Internalizing and Externalizing Symptoms and Drinking Frequency During Adolescence.
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DOI：
10.3109/10826084.2015.1058826
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发表时间：
2015
影响因子：
2
通讯作者：
Camlin EA
中科院分区：
文献类型：
--
作者：
Jun HJ;Sacco P;Bright CL;Camlin EA
在青春期，内化（例如，焦虑、抑郁和孤僻）和外化（例如，攻击性、对立性、犯罪和过度活跃）症状与饮酒有关。然而，内化症状，外化症状和青春期饮酒之间的方向性是模棱两可的。此外，这些行为之间的性别差异和相似性在现有文献中并不明确。本研究探讨了纵向关系的内化和外化症状和过去一个月的酒精使用之间的青少年男孩和女孩。使用来自社区居住青少年（n = 724）研究的纵向调查数据，我们估计了交叉滞后结构方程模型，以检验内化和外化症状（由青年自我报告，YSR [Achenbach，1991]测量）与青少年过去一个月自我报告的酒精使用之间的关系。性别差异在多组结构方程模型进行了测试。12岁时饮酒是男孩和女孩15岁时内化和外化症状的预测因素。关于性别差异，女孩在12岁时表现出内化症状与饮酒之间的关联，而男孩在18岁时表现出外化症状与饮酒之间的关联更强。早期饮酒对青少年来说是个问题，这项研究的结果为青少年预防计划提供了支持。预防或控制早期饮酒可能会抵消后来的外在和内在症状，以及持续的酒精使用，无论性别如何。
In adolescence, internalizing (e.g., anxious, depressive, and withdrawn) and externalizing (e.g., aggressive, oppositional, delinquent, and hyper-active) symptoms are related with alcohol use. However, the directionality among internalizing symptoms, externalizing symptoms, and alcohol use during adolescence is equivocal. Moreover, gender differences and similarities among these behaviors are not definitive in existing literature. This study examined longitudinal relationships between internalizing and externalizing symptoms and past-month alcohol use among adolescent boys and girls. Using longitudinal survey data from a study of community-dwelling adolescents (n = 724), we estimated cross-lagged structural equation models to test relations between internalizing and externalizing symptoms (as measured by the Youth Self Report, YSR [Achenbach, 1991]) and self-report alcohol use in the past month among adolescents. Gender differences were tested in a multiple group structural equation model. Alcohol use at age 12 was a predictor of internalizing and externalizing symptoms at age 15 for both boys and girls. With regard to gender differences, girls demonstrated an association between internalizing symptoms and drinking at age 12, whereas boys showed a stronger association between externalizing symptoms and drinking at age 18. Early alcohol use is problematic for youth, and results of this study lend support to prevention programs for youth. Preventing or curbing early drinking may offset later externalizing and internalizing symptoms, as well as ongoing alcohol use, regardless of gender.