Department of Psychiatry, Oregon Health & Science University.
Department of Psychiatry, University of California, San Diego.
Psychol Addict Behav. 2018 Aug;32(5):517-527. doi: 10.1037/adb0000371. Epub 2018 Jul 2.
Positive alcohol expectancies (PAE) and associating with drinking peers are reliable predictors of adolescent alcohol use. Knowledge of when and for whom these risk factors are most influential could enhance intervention effectiveness. Reciprocal relations between PAE and adolescent and peer alcohol use were examined between the ages of 13 and 18 in a sample (N = 566; 50% female) from the National Consortium on Alcohol and NeuroDevelopment in Adolescence (NCANDA), as well as sex differences in these associations. Associating with drinking peers prospectively predicted more frequent alcohol use for both sexes, although peer socialization was evident earlier for girls compared with boys. Higher PAE influenced later drinking in mid-adolescence, from age 14 to 16, for boys only. PAE influenced peer group selection for both sexes, although the influence was evident earlier in boys than girls. The relative impact of environmental risk factors for problematic alcohol use may vary over time and across developmental periods. These results suggest that prevention and treatment efforts for adolescent drinking can be improved by targeting age-appropriate risk factors. Early adolescent interventions may be best served by minimizing involvement with drinking peers and correcting normative beliefs of peer use. Among adolescent girls, early interventions focused on reducing peer influence may be most effective. Prevention and treatment programs aimed at addressing PAE would likely prove more effective for boys in mid- to late adolescence. (PsycINFO Database Record
正性酒精期望(PAE)和与饮酒同伴交往是青少年饮酒的可靠预测因素。了解这些风险因素何时以及对谁最具影响力,可以提高干预效果。在青少年酒精研究全国联合会(NCANDA)的样本中(N=566;女性占 50%),从 13 岁到 18 岁之间,考察了 PAE 与青少年和同伴饮酒之间的互惠关系,以及这些关联在性别上的差异。与饮酒同伴交往前瞻性地预测了两性更频繁的饮酒,尽管与男孩相比,女孩的同伴社会化更早出现。只有男孩在从中年到青春期中期,即 14 岁到 16 岁,更高的 PAE 影响了后来的饮酒。PAE 对两性的同伴群体选择都有影响,尽管在男孩中比女孩更早显现出来。与问题性饮酒相关的环境风险因素的相对影响可能随时间和发展阶段而变化。这些结果表明,通过针对适合年龄的风险因素,青少年饮酒的预防和治疗工作可以得到改善。针对青少年的早期干预措施最好通过减少与饮酒同伴的接触并纠正同伴使用的规范信念来实现。在青春期女孩中,减少同伴影响的早期干预措施可能最有效。针对 PAE 的预防和治疗计划可能对青春期中期和后期的男孩更为有效。