Ferdinand R F, Blüm M, Verhulst F C
Department of Child and Adolescent Psychiatry, Academic Hospital Rotterdam-Sophia/Erasmus University Rotterdam, The Netherlands.
Addiction. 2001 Jun;96(6):861-70. doi: 10.1046/j.1360-0443.2001.9668617.x.
To investigate prospective associations between psychopathology in adolescence and tobacco, alcohol and drug use in young adulthood.
A sample of 787 10-14-year-olds from the Dutch general population was prospectively followed-up across an 8-year interval. The Child Behavior Checklist (CBCL) was administered at initial assessment, and at 2- and 4-year follow-ups. Substance abuse was assessed with the Young Adult Self-Report (YASR) at 8-year follow-up.
The Thought Problems scale of the CBCL was the strongest predictor of alcohol use, while smoking was predicted by the Thought Problems and Delinquent Behavior scales. The strongest association with drug use in young adulthood was for the CBCL Delinquent Behavior scale. Predictive value of predictors in early adolescence was as important as in late adolescence.
To investigate pathways towards substance use in young adulthood, studies assessing a broad range of possible predictors, including Thought Problems, at different developmental stages of adolescence, are needed.
调查青少年期精神病理学与青年期烟草、酒精和药物使用之间的前瞻性关联。
从荷兰普通人群中抽取787名10至14岁的青少年作为样本，进行为期8年的前瞻性随访。在初次评估时以及2年和4年随访时使用儿童行为量表（CBCL）。在8年随访时使用青年成人自评量表（YASR）评估药物滥用情况。
CBCL的思维问题量表是酒精使用的最强预测指标，而吸烟则由思维问题量表和违纪行为量表预测。与青年期药物使用关联最强的是CBCL违纪行为量表。青春期早期预测指标的预测价值与青春期晚期一样重要。
为了研究青年期药物使用的途径，需要开展研究，在青春期的不同发育阶段评估包括思维问题在内的广泛可能预测指标。
