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童年晚期评估的可传播责任指数(TLI)能否预测青年期的自杀症状?

Does the Transmissible Liability Index (TLI) assessed in late childhood predict suicidal symptoms at young adulthood?

作者信息

Cornelius Jack R, Kirisci Levent, Reynolds Maureen, Vanyukov Michael, Tarter Ralph

机构信息

Center for Education and Drug Abuse Research (CEDAR), University of Pittsburgh , Pittsburgh, PA , USA.

出版信息

Am J Drug Alcohol Abuse. 2015 May;41(3):264-8. doi: 10.3109/00952990.2015.1011744. Epub 2015 Feb 20.

DOI:10.3109/00952990.2015.1011744
PMID:25699562
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4435565/
Abstract

OBJECTIVE

Our previous work demonstrated that the Transmissible Liability Index (TLI), an instrument designed as an index of liability for substance use disorder (SUD), is associated with risk of substance use disorder. This longitudinal study assessed whether TLI measured in 10-12-year-olds (late childhood) predicts suicidal behavior from age 12-14 (preadolescence) to age 25 (young adulthood). We hypothesized that TLI would predict number and severity of suicide attempts.

METHODS

Subjects were sons of men who had lifetime history of SUD (n = 250), called the High Average Risk (HAR) group, and sons of men with no lifetime history of a SUD (n = 250), called the Low Average Risk (LAR) group. The TLI was delineated at baseline (age 10-12), and age-specific versions were administered at 12-14, 16, 19, 22, and 25 years of age.

RESULTS

TLI was significantly associated with number and severity of lifetime suicide attempts.

CONCLUSIONS

These findings confirm the hypothesis that TLI assessed at late childhood is a predictor of frequency and severity of suicidal behavior from preadolescence to young adulthood.

摘要

目的

我们之前的研究表明,可传播责任指数(TLI),一种被设计为物质使用障碍(SUD)责任指数的工具,与物质使用障碍风险相关。这项纵向研究评估了在10至12岁儿童期测量的TLI是否能预测从12至14岁青春期前期到25岁青年期的自杀行为。我们假设TLI能预测自杀未遂的次数和严重程度。

方法

研究对象为有物质使用障碍终生史男性的儿子(n = 250),称为高平均风险(HAR)组,以及无物质使用障碍终生史男性的儿子(n = 250),称为低平均风险(LAR)组。在基线(10至12岁)时划定TLI,并在12至14岁、16岁、19岁、22岁和25岁时使用特定年龄版本进行测量。

结果

TLI与终生自杀未遂的次数和严重程度显著相关。

结论

这些发现证实了以下假设,即在儿童晚期评估的TLI是青春期前期到青年期自杀行为频率和严重程度的一个预测指标。

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本文引用的文献

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Am J Drug Alcohol Abuse. 2014 May;40(3):225-9. doi: 10.3109/00952990.2014.895833. Epub 2014 Apr 15.
2
Psychological dysregulation during adolescence mediates the association of parent-child attachment in childhood and substance use disorder in adulthood.青春期的心理失调在童年期的亲子依恋与成年期的物质使用障碍之间起中介作用。
Am J Drug Alcohol Abuse. 2014 Jan;40(1):67-74. doi: 10.3109/00952990.2013.848876.
3
Longitudinal modeling of transmissible risk in boys who subsequently develop cannabis use disorder.男孩随后发展为大麻使用障碍的可传播风险的纵向建模。
Am J Drug Alcohol Abuse. 2013 May;39(3):180-5. doi: 10.3109/00952990.2013.774009.
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Could a continuous measure of individual transmissible risk be useful in clinical assessment of substance use disorder? Findings from the National Epidemiological Survey on Alcohol and Related Conditions.个体可传播风险的连续衡量指标在物质使用障碍的临床评估中是否有用?来自全国酒精相关情况的流行病学调查。
Drug Alcohol Depend. 2011 Dec 1;119(1-2):10-7. doi: 10.1016/j.drugalcdep.2011.05.018. Epub 2011 Jun 29.
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PTSD contributes to teen and young adult cannabis use disorders.创伤后应激障碍会导致青少年和年轻成年人出现大麻使用障碍。
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Behav Genet. 2009 May;39(3):233-44. doi: 10.1007/s10519-009-9269-9. Epub 2009 Apr 18.
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Childhood predictors of completed and severe suicide attempts: findings from the Finnish 1981 Birth Cohort Study.儿童期完成自杀企图和严重自杀企图的预测因素:来自芬兰1981年出生队列研究的结果。
Arch Gen Psychiatry. 2009 Apr;66(4):398-406. doi: 10.1001/archgenpsychiatry.2009.21.
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