Marshal Michael P, Molina Brooke S G, Pelham William E
Department of Psychiatry, Western Psychiatric Institute and Clinic, University of Pittsburgh School of Medicine, Ptitsburgh, PA 15213, USA.
Psychol Addict Behav. 2003 Dec;17(4):293-302. doi: 10.1037/0893-164X.17.4.293.
Deviant peer group affiliation was evaluated as a risk factor for substance use in adolescents with childhood attention-deficit/hyperactivity disorder (ADHD). Results showed that deviant peer affiliation mediated the relationship between ADHD and substance use, suggesting that children with ADHD are more likely than children without ADHD to become involved with deviant peers and, as a result, more likely to use substances. Moreover, the relationship between deviant peer affiliation and substance use was stronger for adolescents with ADHD, suggesting that once they are immersed in a deviant peer group, adolescents with ADHD are more vulnerable to the negative social influences of that group. This study is the first step in identifying high-risk pathways from childhood ADHD to substance use in adolescence.
异常同伴群体关系被评估为患有儿童注意力缺陷多动障碍（ADHD）的青少年使用物质的一个风险因素。结果表明，异常同伴关系在ADHD与物质使用之间起中介作用，这表明患有ADHD的儿童比没有ADHD的儿童更有可能与异常同伴交往，因此更有可能使用物质。此外，对于患有ADHD的青少年来说，异常同伴关系与物质使用之间的关系更强，这表明一旦他们融入异常同伴群体，患有ADHD的青少年更容易受到该群体负面社会影响的伤害。这项研究是确定从儿童ADHD到青少年物质使用的高危途径的第一步。
