Putniņs Aldis L
Children, Youth and Family Services, South Australia and University of South Australia, Adelaide, Magill SA 5072, Australia.
Subst Use Misuse. 2006;41(3):415-22. doi: 10.1080/10826080500409068.
The relationships of conduct problems, attention deficit hyperactivity disorder (ADHD) signs, and depression to substance use were examined between 1994 and 1999 among 900 incarcerated young offenders in South Australia, 206 of whom were reassessed when later readmitted to secure care. At the first and second assessments, conduct problems, ADHD signs, and depression scores all had significant concurrent associations with a measure of recent substance use. Prospectively, there were no significant associations between depression and substance use. At the zero-order level, both ADHD signs and conduct problems predicted future substance use. ADHD signs remained significantly predictive after controlling for concurrent associations. The results lend support to the view that substance use is related to general deviance and that the arousal needs associated with increased ADHD signs increase the risk of substance use. There was no support for the view that substance use in this population is self-medication in response to internalizing problems.
1994年至1999年间，对南澳大利亚州900名被监禁的青少年罪犯进行了研究，探讨品行问题、注意力缺陷多动障碍（ADHD）症状和抑郁与物质使用之间的关系，其中206人在后来再次被送进安全护理机构时接受了重新评估。在第一次和第二次评估中，品行问题、ADHD症状和抑郁得分均与近期物质使用量存在显著的同时关联。前瞻性地看，抑郁与物质使用之间没有显著关联。在零阶水平上，ADHD症状和品行问题均能预测未来的物质使用情况。在控制了同时关联后，ADHD症状仍然具有显著的预测性。这些结果支持了这样一种观点，即物质使用与一般偏差行为有关，且与ADHD症状增加相关的唤醒需求会增加物质使用的风险。没有证据支持该人群中的物质使用是为应对内化问题而进行自我药物治疗这一观点。
