高危样本中物质使用起始的三种脆弱性模型比较
A comparison of three vulnerability models for the onset of substance use in a high-risk sample.
作者信息
Ohannessian Christine McCauley, Hesselbrock Victor M
机构信息
Department of Individual and Family Studies, 110 Alison Hall, University of Delaware, Newark, Delaware 19716, USA.
出版信息
J Stud Alcohol Drugs. 2008 Jan;69(1):75-84. doi: 10.15288/jsad.2008.69.75.
OBJECTIVE
The purpose of this prospective study was to compare the following three vulnerability models for early-onset substance use in a high-risk sample: the deviance proneness model, the negative affect regulation model, and a comprehensive model including both delinquency and negative affect.
METHOD
The sample included 249 15- to 19-year-old adolescents (57% children of alcoholics) and their fathers, all of whom were seen at follow-up 5 years later. At both times of measurement, participants completed a clinical psychiatric interview and a battery of self-report questionnaires assessing temperament, negative affect, delinquency, and substance use.
RESULTS
Although all of the models fit the data well, the deviance proneness model was parsimonious and provided the best fit. Delinquency played a significant mediating role, whereas negative affect did not. Moreover, negative affect and delinquency were not significantly related to one another.
CONCLUSIONS
Results from this study suggest that the deviance proneness model may be a more useful theoretical framework than the negative affect regulation model or a comprehensive model when examining the onset of substance use, particularly in a high-risk sample.
目的
本前瞻性研究的目的是在一个高风险样本中比较以下三种早发性物质使用的易感性模型：偏差倾向模型、消极情绪调节模型以及一个包含犯罪行为和消极情绪的综合模型。
方法
样本包括249名15至19岁的青少年（其中57%是酗酒者的子女）及其父亲，所有这些人在5年后接受随访。在两次测量时，参与者都完成了一次临床精神病学访谈以及一系列自我报告问卷，这些问卷评估了气质、消极情绪、犯罪行为和物质使用情况。
结果
尽管所有模型都与数据拟合良好，但偏差倾向模型较为简约且拟合度最佳。犯罪行为起到了显著的中介作用，而消极情绪则没有。此外，消极情绪和犯罪行为之间没有显著关联。
结论
本研究结果表明，在研究物质使用的起始情况时，尤其是在高风险样本中，偏差倾向模型可能比消极情绪调节模型或综合模型更有用的理论框架。
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