Children's Hospital Los Angeles, The Saban Research Institute Community, Health Outcomes and Intervention Research Program, 4650 Sunset Boulevard, Mailstop #30, Los Angeles, CA 90027, United States.
Drug Alcohol Depend. 2013 Sep 1;132(1-2):165-71. doi: 10.1016/j.drugalcdep.2013.01.024. Epub 2013 Feb 28.
Deficits in the ability to organize, integrate, and modulate emotions, thoughts, and behaviors when dealing with stress have been found to be related to the onset and escalation of substance use among adolescents and young adults. However, limited research has focused on understanding how coping and emotion regulation tendencies might be associated with different patterns of prescription and illicit drug use, particularly among high-risk young adults who may already face additional challenges relative to lower-risk populations.
Young adults aged 16-25 years who had misused prescription drugs within the past 90 days were interviewed in Los Angeles and New York. The current study utilized latent profile analysis to empirically derive coping and emotion regulation typologies/profiles that are then used to predict different patterns of substance use (N=560).
Four latent classes/groups were identified: (1) suppressors, (2) others-reliant copers, (3) self-reliant copers and (4) active copers. Distinct patterns of prescription and illicit drug misuse were found among different coping/emotion regulation profiles, including differences in age of initiation of opiates, tranquilizers, and illicit drugs, recent injection drug use, substance use-related problems, and past 90-day use of tranquilizers, heroin, and cocaine. Specifically, suppressors and others-reliant copers evidenced more problematic patterns of substance use compared to active copers.
This is among the first studies to show how coping and emotion regulation profiles predict distinct patterns of substance use. Results provide the groundwork for additional investigations that could have significant prevention and clinical implications for substance-using high-risk young adults.
在应对压力时，组织、整合和调节情绪、思想和行为的能力缺陷已被发现与青少年和年轻人开始和加剧物质使用有关。然而，很少有研究关注理解应对和情绪调节倾向如何与不同模式的处方和非法药物使用相关，特别是在已经面临相对于低风险人群更多挑战的高风险年轻成年人中。
在过去 90 天内滥用处方药物的 16-25 岁的年轻人在洛杉矶和纽约接受了采访。本研究利用潜在剖面分析从经验上得出应对和情绪调节的类型/特征，然后用于预测不同模式的物质使用（N=560）。
确定了四个潜在类别/群体：（1）抑制者，（2）依赖他人的应对者，（3）自我依赖的应对者和（4）积极的应对者。在不同的应对/情绪调节特征之间发现了不同模式的处方和非法药物滥用，包括阿片类药物、镇静剂和非法药物使用的起始年龄、最近的注射药物使用、与物质使用相关的问题以及过去 90 天内镇静剂、海洛因和可卡因的使用情况存在差异。具体来说，抑制者和依赖他人的应对者表现出比积极应对者更有问题的物质使用模式。
这是首批研究之一，表明应对和情绪调节特征如何预测不同模式的物质使用。研究结果为进一步研究奠定了基础，这可能对有物质使用风险的年轻成年人具有重要的预防和临床意义。
