Brook Judith S, Saar Naomi S, Zhang Chenshu, Brook David W
Department of Psychiatry, New York University School of Medicine, 215 Lexington Ave, New York, NY 10016, USA.
Am J Public Health. 2009 Mar;99(3):563-8. doi: 10.2105/AJPH.2007.127225. Epub 2008 Jul 16.
We examined the relationship between psychosocial antecedents in earlier adolescence and problems related to substance use and related adverse health consequence (e.g., respiratory diseases, neurocognitive symptoms, and general malaise) in adulthood. We specifically focused on parent-child bonding in earlier adolescence and internalizing behaviors in later adolescence and their effects on problems related to substance use in the mid-20s and health problems in the mid-30s.
Our team interviewed a community-based sample of 502 participants over a 30-year period (1975, 1983, 1985-1986, 1997, 2002, and 2005).
We found a strong relationship between internalizing behaviors in later adolescence and adverse health consequences in the mid-30s. Internalizing behaviors in later adolescence served as a mediator between low parent-child bonding in earlier adolescence and later adverse health consequences. Problems related to substance use in the late 20s and early 30s were related directly to later adverse health consequences and indirectly as mediators between earlier psychosocial difficulties (i.e., internalizing behaviors, externalizing behaviors, poor ego integration, and maladaptive coping) and later adverse health consequences.
Policies and programs that address parent-child bonding and internalizing behaviors should be created to reduce problems related to substance use and, ultimately, later health problems.
我们研究了青春期早期的心理社会因素与成年期物质使用相关问题及相关不良健康后果（如呼吸系统疾病、神经认知症状和全身不适）之间的关系。我们特别关注青春期早期的亲子关系以及青春期后期的内化行为，以及它们对25岁左右物质使用相关问题和35岁左右健康问题的影响。
我们的团队在30年期间（1975年、1983年、1985 - 1986年、1997年、2002年和2005年）对502名参与者的社区样本进行了访谈。
我们发现青春期后期的内化行为与35岁左右的不良健康后果之间存在密切关系。青春期后期的内化行为在青春期早期低亲子关系和后期不良健康后果之间起中介作用。25岁后期和30岁早期与物质使用相关的问题与后期不良健康后果直接相关，并作为早期心理社会困难（即内化行为、外化行为、自我整合不良和适应不良应对）与后期不良健康后果之间的中介间接相关。
应制定解决亲子关系和内化行为的政策和项目，以减少与物质使用相关的问题，并最终减少后期的健康问题。
