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具有严重刑事犯罪的青年队列中未来取向与物质使用的纵向关系观察

The Observed Longitudinal Relationship between Future Orientation and Substance Use Among a Cohort of Youth with Serious Criminal Offenses.

机构信息

a Children's Hospital of Philadelphia, Global Health Center , Department of Pediatrics , Philadelphia , Pennsylvania , USA.

b University of Pittsburgh School of Medicine , Pittsburgh , Pennsylvania , USA.

出版信息

Subst Use Misuse. 2018 Oct 15;53(12):1925-1936. doi: 10.1080/10826084.2018.1441311. Epub 2018 Mar 6.

Abstract

BACKGROUND

Future orientation (FO), an essential construct in youth development, encompassing goals, expectations for life, and ability to plan for the future. This study uses a multidimensional measure of future orientation to assess the relationship between change in future orientation and change in substance use over time.

METHODS

Data were from the Pathways to Desistence study. Justice involved youth (n = 1,354), ages 14 to 18 at time of recruitment, completed interviews every six months for three years. Multiple measures were chosen a priori as elements of future orientation. After evaluating the psychometrics of a new measure for future orientation, we ran mixed effects cross-lagged panel models to assess the relationship between changes in future orientation and substance use (tobacco, marijuana, hard drugs, and alcohol).

RESULTS

There was a significant bidirectional relationship between future orientation and all substance use outcomes. Adjusted models accounted for different sites, sex, age, ethnicity, parental education, and proportion of time spent in a facility. In adjusted models, higher levels of future orientation resulted in smaller increases in substance use at future time points.

CONCLUSIONS

Future orientation and substance use influence each other in this sample of adolescent offenders. Treating substance use disorders is also likely to increase future orientation, promoting positive youth development more generally. This study expands our understanding of the longitudinal relationship between changes in future orientation and changes in levels of substance use in a sample of justice involved youth with high levels of substance use, a group of considerable clinical and policy interest.

摘要

背景

未来取向(FO)是青少年发展的一个重要结构,包括目标、对生活的期望以及规划未来的能力。本研究使用多维未来取向测量来评估未来取向的变化与随时间推移的物质使用变化之间的关系。

方法

数据来自于《摆脱途径研究》。涉及司法的青少年(n=1354),在招募时年龄为 14 至 18 岁,在三年内每六个月完成一次访谈。预先选择了多种措施作为未来取向的要素。在评估未来取向新测量工具的心理测量学特性后,我们运行了混合效应交叉滞后面板模型,以评估未来取向的变化与物质使用(烟草、大麻、硬毒品和酒精)之间的关系。

结果

未来取向与所有物质使用结果之间存在显著的双向关系。调整后的模型考虑了不同地点、性别、年龄、族裔、父母教育程度以及在设施中度过的时间比例。在调整后的模型中,未来取向水平越高,未来时间点物质使用的增加幅度越小。

结论

在本研究中,未来取向和物质使用在青少年罪犯样本中相互影响。治疗物质使用障碍也可能增加未来取向,更普遍地促进青少年的积极发展。本研究扩展了我们对具有高度物质使用的涉及司法的青少年样本中未来取向变化与物质使用水平变化之间的纵向关系的理解,这是一个具有相当临床和政策意义的群体。

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