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将童年虐待经历与青少年期及成年期大麻使用联系起来的父母及同伴路径。

Parent and peer pathways linking childhood experiences of abuse with marijuana use in adolescence and adulthood.

作者信息

Alex Mason W, Jean Russo M, Chmelka Mary B, Herrenkohl Roy C, Herrenkohl Todd I

机构信息

Boys Town National Research Institute for Child and Family Studies, 14100 Crawford Street, Boys Town, NE 68010, USA.

Social Science Research Center, Lehigh University, Bethlehem, PA 18015, USA.

出版信息

Addict Behav. 2017 Mar;66:70-75. doi: 10.1016/j.addbeh.2016.11.013. Epub 2016 Nov 17.

Abstract

INTRODUCTION

The social developmental processes by which child maltreatment increases risk for marijuana use are understudied. This study examined hypothesized parent and peer pathways linking preschool abuse and sexual abuse with adolescent and adult marijuana use.

METHODS

Analyses used data from the Lehigh Longitudinal Study. Measures included child abuse (physical abuse, emotional abuse, domestic violence, and neglect) in preschool, sexual abuse up to age 18, adolescent (average age=18years) parental attachment and peer marijuana approval/use, as well as adolescent and adult (average age=36years) marijuana use.

RESULTS

Confirming elevated risk due to child maltreatment, path analysis showed that sexual abuse was positively related to adolescent marijuana use, whereas preschool abuse was positively related to adult marijuana use. In support of mediation, it was found that both forms of maltreatment were negatively related to parental attachment, which was negatively related, in turn, to having peers who use and approve of marijuana use. Peer marijuana approval/use was a strong positive predictor of adolescent marijuana use, which was a strong positive predictor, in turn, of adult marijuana use.

CONCLUSIONS

Results support social developmental theories that hypothesize a sequence of events leading from child maltreatment experiences to lower levels of parental attachment and, in turn, higher levels of involvement with pro-marijuana peers and, ultimately, to both adolescent and adult marijuana use. This sequence of events suggests developmentally-timed intervention activities designed to prevent maltreatment as well as the initiation and progression of marijuana use among vulnerable individuals.

摘要

引言

儿童虐待增加大麻使用风险的社会发展过程尚未得到充分研究。本研究检验了关于父母和同伴途径的假设,这些途径将学前虐待和性虐待与青少年及成人的大麻使用联系起来。

方法

分析使用了利哈伊纵向研究的数据。测量指标包括学前儿童虐待(身体虐待、情感虐待、家庭暴力和忽视)、18岁之前的性虐待、青少年(平均年龄 = 18岁)时期的父母依恋以及同伴对大麻的认可/使用,还有青少年及成人(平均年龄 = 36岁)时期的大麻使用情况。

结果

路径分析证实了儿童虐待导致的风险升高,结果显示性虐待与青少年大麻使用呈正相关,而学前虐待与成人大麻使用呈正相关。为支持中介作用,研究发现两种形式的虐待都与父母依恋呈负相关,而父母依恋又与有使用并认可大麻使用的同伴呈负相关。同伴对大麻的认可/使用是青少年大麻使用的一个强有力的正向预测因素,而青少年大麻使用又是成人大麻使用的一个强有力的正向预测因素。

结论

研究结果支持了社会发展理论,该理论假设了一系列事件,从儿童虐待经历开始,导致父母依恋水平降低,进而导致与支持大麻使用的同伴的接触增加,最终导致青少年及成人使用大麻。这一系列事件表明了按发育阶段安排的干预活动,旨在预防虐待以及易受影响个体中大麻使用的起始和发展。

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