Rohde Paul, Lewinsohn Peter M, Seeley John R, Klein Daniel N, Andrews Judy A, Small Jason W
Oregon Research Institute, Eugene, OR 97403-1983, USA.
Psychol Addict Behav. 2007 Jun;21(2):155-64. doi: 10.1037/0893-164X.21.2.155.
The authors examined whether substance use disorder (SUD) before age 19 was associated with functioning at age 30. Participants (N = 773) were assessed twice during adolescence and at ages 24 and 30. Eight of 14 adult measures were associated with adolescent SUD: education, unemployment, income, risky sexual behavior, suicide attempt, coping, stressful life events, and global adjustment. After adolescent comorbidity and functioning and adult SUD were controlled for, education and unemployment remained associated, and three variables emerged as significant: being a parent (significant only for participants without adult SUD), being currently married, and having decreased life satisfaction (significant only for participants with adult SUD). Adolescent SUD is associated with numerous functioning difficulties at age 30, some of which appear to be related to recurrent SUD, comorbid adolescent disorders, or functioning problems already evident in adolescence.
作者们研究了19岁之前的物质使用障碍(SUD)是否与30岁时的功能状况相关。参与者(N = 773)在青春期、24岁和30岁时接受了两次评估。14项成人测量指标中的8项与青少年SUD相关:教育、失业、收入、危险性行为、自杀未遂、应对方式、压力性生活事件和总体适应情况。在控制了青少年共病情况、功能状况和成人SUD之后,教育和失业仍然相关,并且出现了三个显著变量:为人父母(仅对没有成人SUD的参与者有显著意义)、目前已婚、以及生活满意度下降(仅对有成人SUD的参与者有显著意义)。青少年SUD与30岁时的众多功能困难相关,其中一些似乎与复发性SUD、青少年共病障碍或青春期已明显存在的功能问题有关。