a Nemours Children's Health System , Sidney Kimmel Medical School of Thomas Jefferson University.
b Department of Psychology , Temple University.
J Clin Child Adolesc Psychol. 2019 Mar-Apr;48(2):238-249. doi: 10.1080/15374416.2017.1405351. Epub 2018 Jan 19.
Indices of deviant peer group involvement are inconsistent and confound type, frequency, and severity of deviant peer behaviors. These measurement approaches thus obfuscate potential meaningful differences in deviant peer involvement in terms of subtypes, developmental patterns, and long-term outcomes. The current study employed latent class analysis to derive subtypes of deviant peer involvement and examined relations to substance use disorder in adulthood, a common outcome of deviant peer involvement. Youth (76% Caucasian) completed assessments across four time points: ages 10-12 years (Time 1; N = 775, 71% male), 12-14 years (Time 2; n = 649, 72% male), 16 years (Time 3; n = 613, 73% male), and 22 years (Time 4; n = 425, 71% male). At Times 1 to 3, participants completed an interview assessing deviant peer involvement. At Time 4, participants completed a structured interview assessing substance use disorder. Classes of youth with different profiles of deviant peer associations were derived at Times 1, 2, and 3. Classes varied by type (conduct problems vs. substance use) and severity of deviant peer behavior. Youth reported higher levels of involvement with deviant peers across adolescence, suggesting that some of these deviant peer behaviors may be normative. Earlier involvement with deviant peers and involvement with groups defined by severe conduct problems and substance use were related to the greatest risk for substance use disorder at Time 4. Type and severity of peer deviant behavior differentially relate to long-term risk for substance use disorder and should be included in screening and assessment for risk across adolescence.
偏差同伴卷入的指标不一致,且混淆了偏差同伴行为的类型、频率和严重程度。这些测量方法掩盖了偏差同伴卷入在亚类型、发展模式和长期结果方面潜在的有意义差异。本研究采用潜在类别分析得出偏差同伴卷入的亚类型,并考察了其与成年期物质使用障碍的关系,这是偏差同伴卷入的常见后果。青少年(76%为白种人)在四个时间点完成评估:年龄为 10-12 岁(时间 1;N=775,71%为男性)、12-14 岁(时间 2;n=649,72%为男性)、16 岁(时间 3;n=613,73%为男性)和 22 岁(时间 4;n=425,71%为男性)。在时间 1 到 3 期间,参与者完成了一项评估偏差同伴卷入的访谈。在时间 4,参与者完成了一项评估物质使用障碍的结构化访谈。在时间 1、2 和 3 得出了具有不同偏差同伴关联特征的青年类别。类别因行为问题(品行问题)和物质使用)和偏差同伴行为的严重程度而异。青少年在整个青春期报告了更高水平的偏差同伴参与度,这表明其中一些偏差同伴行为可能是正常的。早期与偏差同伴的卷入以及与严重品行问题和物质使用群体的卷入与时间 4 时物质使用障碍的最大风险相关。同伴偏差行为的类型和严重程度与物质使用障碍的长期风险不同,应纳入整个青春期的筛查和评估。