Brook Judith S, Brook David W, Zhang Chenshu, Cohen Patricia
Department of Psychiatry, New York University School of Medicine, New York, New York, USA.
Am J Addict. 2009 May-Jun;18(3):235-42. doi: 10.1080/10550490902786793.
This 24-year community longitudinal study provides important information regarding parent-child conflict in adolescence (mean ages 14-16), vulnerable personality attributes and peer deviance in the twenties (mean age 22), and marital conflict and partner's illicit drug use in the late twenties and early thirties (mean ages 27-32) as related to a later diagnosis of substance use disorders (SUDs) in the thirties (mean ages 32-37). A community-based sample was interviewed between 1975 and 2007. Results based in structural equation modeling indicated that a weak parent-child bond was related to the development of drug-conducive personality traits, which was associated with the selection of drug-using peers and partners, which in turn, predicted SUDs. Both peer deviance and partner's illicit drug use had the greatest effects on SUDs. The findings should aid in formulating prevention and treatment programs targeting specific risk factors in adolescents, young adults, and adults.
这项为期24年的社区纵向研究提供了重要信息,涉及青少年时期(平均年龄14 - 16岁)的亲子冲突、二十多岁时(平均年龄22岁)易出现问题的人格特质和同伴偏差行为,以及二十多岁后期和三十岁初期(平均年龄27 - 32岁)的婚姻冲突和伴侣的非法药物使用情况,这些都与三十多岁时(平均年龄32 - 37岁)物质使用障碍(SUDs)的后期诊断相关。1975年至2007年间,对一个基于社区的样本进行了访谈。基于结构方程模型的结果表明,薄弱的亲子关系与易导致吸毒的人格特质的发展有关,而这种人格特质又与吸毒同伴和伴侣的选择相关,进而预测了物质使用障碍。同伴偏差行为和伴侣的非法药物使用对物质使用障碍的影响最大。这些发现应有助于制定针对青少年、青年和成年人特定风险因素的预防和治疗方案。