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焦虑作为男孩首次使用物质和发展为物质使用问题的预测指标。

Anxiety as a predictor of age at first use of substances and progression to substance use problems among boys.

机构信息

Department of Psychology, Rutgers University, Camden, NJ 08102, USA.

出版信息

J Abnorm Child Psychol. 2010 Feb;38(2):211-24. doi: 10.1007/s10802-009-9360-y.

Abstract

This study examined associations of generalized and social anxiety with (1) age at first use of tobacco, alcohol, and marijuana and (2) interval from first use to first problem use of each substance. Participants were 503 males who comprised the youngest cohort (first assessed in the first grade) of the Pittsburgh Youth Study, a longitudinal community-based study of boys. Annual assessments of generalized and social anxiety, delinquency, and substance use from first grade through high school were included. Both types of anxiety predicted earlier first use of alcohol and tobacco, and generalized anxiety predicted earlier first use of marijuana. Both types of anxiety predicted the progression from first use to problems related to marijuana. The effect of generalized anxiety tended to be significant above and beyond the effect of delinquency, while the effect of social anxiety on risk for first use of substances was not. Overall, the associations between anxiety and substance use and related problems depend on the class of substance and the type of anxiety.

摘要

这项研究考察了广泛性焦虑和社交焦虑与以下方面的关联

(1)首次使用烟草、酒精和大麻的年龄;(2)每种物质从首次使用到首次出现问题使用的间隔时间。参与者是 503 名男性,他们是匹兹堡青年研究的最年轻队列(在一年级首次评估)的成员,这是一项针对男孩的基于社区的纵向研究。从一年级到高中,每年都会评估广泛性焦虑和社交焦虑、违法行为和物质使用情况。这两种焦虑都预示着较早地首次使用酒精和烟草,而广泛性焦虑则预示着较早地首次使用大麻。这两种焦虑都预示着从首次使用到与大麻相关的问题的进展。广泛性焦虑的影响往往超过违法行为的影响,而社交焦虑对物质使用风险的影响则不明显。总的来说,焦虑和物质使用及相关问题之间的关联取决于物质的类别和焦虑的类型。

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