注意力缺陷多动障碍、品行障碍、物质使用障碍和非处方兴奋剂使用。
ADHD, Conduct Disorder, Substance Use Disorder, and Nonprescription Stimulant Use.
作者信息
Brook Judith S, Balka Elinor B, Zhang Chenshu, Brook David W
机构信息
1 New York University School of Medicine, New York, NY, USA.
出版信息
J Atten Disord. 2017 Jul;21(9):776-782. doi: 10.1177/1087054714528535. Epub 2014 Apr 28.
OBJECTIVE
To assess whether the relationship of an ADHD diagnosis by adolescence to nonprescription stimulant use in adulthood is direct or indirect, via Conduct Disorder (CD) and/or Substance Use Disorder (SUD).
METHOD
Data were obtained from multiple waves of interviews and questionnaires completed by 551 community-based participants when they were between the mean ages of 14.1 and 36.6 years.
RESULTS
The results of the structural equation model (SEM) supported both a direct association between early ADHD and later nonprescription stimulant use ( B = .18, z = 2.74) and the relationship from ADHD to later nonprescription stimulant use ( B = .01, z = 1.72) via CD and SUD.
CONCLUSION
The longitudinal data supporting these paths suggest that efforts to prevent and treat the misuse of nonprescription stimulants may be more effective if attention is paid to those with a history of ADHD, as well as to those who also had CD and SUD.
目的
评估青少年期被诊断为注意力缺陷多动障碍（ADHD）与成年期使用非处方兴奋剂之间的关系是直接的还是间接的，是否经由品行障碍（CD）和/或物质使用障碍（SUD）。
方法
数据来自551名社区参与者在平均年龄14.1岁至36.6岁期间多次接受的访谈和填写的问卷。
结果
结构方程模型（SEM）的结果支持早期ADHD与后期非处方兴奋剂使用之间的直接关联（B = 0.18，z = 2.74），以及ADHD经由CD和SUD与后期非处方兴奋剂使用之间的关系（B = 0.01，z = 1.72）。
结论
支持这些路径的纵向数据表明，如果关注有ADHD病史的人以及同时患有CD和SUD的人，预防和治疗非处方兴奋剂滥用的努力可能会更有效。
Zotero 插件