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研究物质使用治疗中新兴成年人受害经历和社会风险对大麻使用的个体内效应和个体间效应。

Examining within-person and between-person effects of victimization and social risk on cannabis use among emerging adults in substance-use treatment.

作者信息

Davis Jordan P, Merrin Gabriel J, Berry Daniel J, Dumas Tara M, Hong Jun Sung, Smith Douglas C

机构信息

School of Social Work, University of Illinois at Urbana-Champaign.

College of Education, University of Illinois at Urbana-Champaign.

出版信息

Psychol Addict Behav. 2016 Feb;30(1):52-63. doi: 10.1037/adb0000121. Epub 2015 Oct 5.

Abstract

The goals of this study were to examine associations between within- and between-person social risk and victimization and cannabis use among emerging adults in substance-use treatment. We also tested gender differences for both victimization and social risk. Participants consisted of 3,052 emerging adults (M(age) = 20.0 years; SD = 2.21) entering substance-use treatment in a wide range of treatment centers across the United States. Individuals were assessed on all measures at baseline 3, 6, and 12 months. We fitted a taxonomy of multilevel growth curve models to test main effects, and interactive relations between within- and between-person social risk, victimization, and gender on cannabis use. Several significant interactions were evident. Irrespective of gender, within-person increases in social risk were associated with contemporaneous increases in cannabis use; however, the magnitude of this relation was comparatively more pronounced for men. Similar gender differences emerged between individuals. Males experiencing heightened social risk over time tended to show high levels of early cannabis use. Simple slope analyses revealed that reporting more (+1 SD) social risk than one's own mean resulted in significant increases in cannabis use for both men and women. Cross-level simple slope analyses revealed no differences in cannabis use among individuals reporting low (-1 SD) social risk and victimization, but significant increases in cannabis use for individuals reporting high (+ 1 SD) victimization and social risk. Results demonstrate support for gender differences in social risk on cannabis use and the importance of considering within-person effects. (PsycINFO Database Record

摘要

本研究的目的是检验在接受物质使用治疗的新兴成年人中,个体内部和个体之间的社会风险、受害经历与大麻使用之间的关联。我们还测试了受害经历和社会风险方面的性别差异。参与者包括3052名新兴成年人(年龄中位数 = 20.0岁;标准差 = 2.21),他们在美国各地的各类治疗中心接受物质使用治疗。在基线、3个月、6个月和12个月时对个体进行了所有测量。我们拟合了一个多层次增长曲线模型分类法,以检验个体内部和个体之间的社会风险、受害经历以及性别对大麻使用的主效应和交互关系。有几个显著的交互作用很明显。无论性别如何,个体内部社会风险的增加与同期大麻使用的增加有关;然而,这种关系的强度在男性中相对更为明显。个体之间也出现了类似的性别差异。随着时间推移经历较高社会风险的男性往往早期大麻使用水平较高。简单斜率分析表明,报告的社会风险比自己的平均水平高(+1个标准差)会导致男性和女性的大麻使用显著增加。跨层次简单斜率分析表明,报告低(-1个标准差)社会风险和受害经历的个体在大麻使用方面没有差异,但报告高(+1个标准差)受害经历和社会风险的个体大麻使用显著增加。结果表明支持社会风险在大麻使用方面存在性别差异,以及考虑个体内部效应的重要性。(《心理学文摘数据库记录》

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