Indiana University Purdue University at Indianapolis, United States.
Indiana University Purdue University at Indianapolis, United States.
Addict Behav. 2018 Sep;84:160-166. doi: 10.1016/j.addbeh.2018.04.010. Epub 2018 Apr 13.
Peer victimization in school is common, with emerging literature suggesting that it may also increase risk for substance abuse. Yet, little is known about the underlying mechanisms within this risk pathway. The objective of this study is to use a prospective 3-wave design to examine the mediating role of depressive symptomatology on the relationship between peer victimization and substance use, as well as examine if the pathway varies based on gender.
801 youth between 6th and 12th grade completed surveys across three years, which included measures on school peer victimization, depression symptomatology and substance use. Models tested the mediational pathway between victimization, depressive symptoms, and substance use. Models were stratified by gender.
Controlling for grade and the effect of each variable across waves, a significant indirect effect of peer victimization on substance use through depressive symptoms was found for females, with a non-significant indirect effect for males.
Results suggest that female youth who are victimized by peers engage in substance use behaviors, at least in part, due to increases in depressive symptoms. Given its effect on depression, female victims may therefore benefit from coping skills training that targets emotion regulation and distress tolerance skills in order to combat increased risk for substance use behaviors as a coping response to their victimization. Further research is warranted to better understand the risk pathway for male youth who also experience peer victimization.
学校同伴侵害很常见,新出现的文献表明,它也可能增加物质滥用的风险。然而,对于这种风险途径中的潜在机制知之甚少。本研究的目的是使用前瞻性的 3 波设计来检验抑郁症状在同伴侵害与物质使用之间关系中的中介作用,以及检验该途径是否因性别而异。
801 名 6 至 12 年级的青少年在三年内完成了调查,其中包括关于学校同伴侵害、抑郁症状和物质使用的测量。模型测试了受害、抑郁症状和物质使用之间的中介途径。根据性别对模型进行分层。
控制年级和各变量在各波次的影响,发现女性青少年同伴侵害对物质使用的间接影响显著,而男性青少年的间接影响不显著。
结果表明,遭受同伴侵害的女性青少年会因抑郁症状的增加而参与物质使用行为,至少在一定程度上是这样。鉴于其对抑郁的影响,因此可能会从应对技能训练中受益,这些训练的目标是情绪调节和应对压力的技能,以对抗因遭受侵害而增加的物质使用行为风险。需要进一步研究以更好地了解也经历同伴侵害的男性青少年的风险途径。