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与青少年醉酒及烟草和大麻使用相关的情绪和社会心理因素:独立效应还是交互效应?

Emotional and Psychosocial Factors Associated With Drunkenness and the Use of Tobacco and Cannabis in Adolescence: Independent or Interactive Effects?

作者信息

García-Moya Irene, Ortiz Barón María José, Moreno Carmen

机构信息

a Department of Developmental and Educational Psychology , University of Seville , Seville , Spain.

b Department of Basic Psychological Processes and Their Development , University of Basque Country , San Sebastián , Spain.

出版信息

Subst Use Misuse. 2017 Jul 3;52(8):1039-1050. doi: 10.1080/10826084.2016.1271431. Epub 2017 Mar 21.

DOI:10.1080/10826084.2016.1271431
PMID:28323506
Abstract

BACKGROUND

Although previous research has examined emotional and psychosocial factors associated with substance use, there is a paucity of studies examining both at the same time, and insufficient attention has been paid to how these factors may interact.

OBJECTIVES

The aim of this study was to simultaneously examine the contributions from emotional (emotional control and depression) and psychosocial (peers' conventional behavior, peers' substance use and parent-child relationships) factors to drunkenness and the use of tobacco and cannabis in adolescence.

METHODS

Sample consisted of 1,752 adolescents aged 15 to 16 years who had participated in the 2014 edition of the WHO Health Behaviour in School-aged Children survey in Spain. Data were collected by means of anonymous online questionnaires, and hierarchical multiple regression models (with sex and age as controls and including interactions among the examined predictors) were used for statistical analysis.

RESULTS

Emotional and psychosocial factors showed significant interactive effects on substance use. Emotional control, which tended to buffer the effects of potential risk factors, and peers' substance use were consistent predictors of substance use. In contrast, the role of other factors depended on the substance under study, with depression and peers' conventional behavior being part of interactive terms for tobacco use and cannabis use only, and the quality of parent-child relationships being absent from the final model on cannabis use. Conclusions/Importance: Exploring interactions and potential substance-specific effects is fundamental to reach a better understanding of how emotional and psychosocial factors work in concert relative to substance use in adolescence.

摘要

背景

尽管先前的研究已经考察了与物质使用相关的情绪和心理社会因素,但同时考察这两者的研究却很少,而且对于这些因素如何相互作用也没有给予足够的关注。

目的

本研究的目的是同时考察情绪因素(情绪控制和抑郁)和心理社会因素(同伴的传统行为、同伴的物质使用以及亲子关系)对青少年醉酒以及烟草和大麻使用的影响。

方法

样本包括1752名年龄在15至16岁的青少年,他们参与了2014年西班牙版的世界卫生组织学龄儿童健康行为调查。数据通过匿名在线问卷收集,并使用分层多元回归模型(以性别和年龄作为对照,并包括所考察预测因素之间的相互作用)进行统计分析。

结果

情绪和心理社会因素对物质使用显示出显著的交互作用。情绪控制往往会缓冲潜在风险因素的影响,同伴的物质使用是物质使用的一致预测因素。相比之下,其他因素的作用取决于所研究的物质,抑郁和同伴的传统行为仅作为烟草使用和大麻使用交互项的一部分,而亲子关系质量在大麻使用的最终模型中未出现。结论/重要性:探索相互作用和潜在的物质特异性影响对于更好地理解情绪和心理社会因素在青少年物质使用方面如何协同作用至关重要。

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