Tomko Rachel L, Prisciandaro James J, Falls Sandhya Kutty, Magid Viktoriya
Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, 67 President Street, Charleston, SC 29425, USA.
Drug Alcohol Depend. 2016 Apr 1;161:276-83. doi: 10.1016/j.drugalcdep.2016.02.010. Epub 2016 Feb 15.
A youth version of the UPPS Impulsivity Scale (UPPS-R-C) was previously shown to predict drinking initiation among pre-adolescents. The goals of the current study were to confirm the structure of the UPPS-R-C using a sample of treatment-seeking adolescents and to examine the scales' relations with alcohol use, marijuana use, and problems related to substance use.
Participants (N=120; ages 12-18; M=15.7) completed questionnaires at treatment intake. Confirmatory factor analysis (CFA) of the UPPS-R-C was conducted using a 5-factor model with factors corresponding to negative urgency, positive urgency, lack of perseverance, lack of premeditation, and sensation seeking. Relations between UPPS-R-C factors and binge drinking, marijuana use, and problems resulting from substance use were examined using path analysis.
CFA suggested the 5-factor model provided adequate fit to the data. The hypothesized path model was partially supported, positive urgency was associated with frequency of binge drinking, and both negative urgency and frequency of binge drinking was associated with problems due to substance use. Other hypothesized paths were not significant. Although not hypothesized, negative urgency was associated with frequency of marijuana use and lack of perseverance was associated with problems due to use.
Results suggest that the UPPS-R-C can be used with a treatment-seeking sample of adolescents. Furthermore, negative urgency, positive urgency, and lack of perseverance may be indicative of more severe substance use problems in a treatment setting.
先前研究表明,青少年版的UPPS冲动性量表(UPPS-R-C)能够预测青春期前儿童开始饮酒的情况。本研究的目的是通过寻求治疗的青少年样本确认UPPS-R-C的结构,并检验该量表与酒精使用、大麻使用以及物质使用相关问题之间的关系。
参与者(N = 120;年龄12 - 18岁;M = 15.7)在治疗开始时完成问卷调查。使用五因素模型对UPPS-R-C进行验证性因素分析(CFA),这些因素分别对应消极紧迫性、积极紧迫性、缺乏毅力、缺乏预谋和寻求刺激。使用路径分析检验UPPS-R-C各因素与暴饮、大麻使用以及物质使用导致的问题之间的关系。
CFA表明五因素模型与数据拟合良好。假设的路径模型得到部分支持,积极紧迫性与暴饮频率相关,消极紧迫性和暴饮频率均与物质使用导致的问题相关。其他假设路径不显著。尽管未作假设,但消极紧迫性与大麻使用频率相关,缺乏毅力与使用导致的问题相关。
结果表明,UPPS-R-C可用于寻求治疗的青少年样本。此外,消极紧迫性、积极紧迫性和缺乏毅力可能表明在治疗环境中存在更严重的物质使用问题。