School of Medicine, University of Connecticut.
Center for Behavioral Health, Connecticut Children's Medical Center.
Psychol Addict Behav. 2020 Jun;34(4):541-548. doi: 10.1037/adb0000563. Epub 2020 Feb 10.
Appearance-related teasing is a pervasive form of bullying during adolescence. Yet, the impact of appearance-related teasing on risk for alcohol and marijuana use is unknown. This study, therefore, examined the relationship between appearance-related teasing and the use of alcohol and marijuana in a sample of 1,344 students (52% female; 51% non-Hispanic White; ages 11-14 years, M = 13.20, SD = 0.65) from 5 public middle schools. Participants completed a survey that assessed demographic characteristics, weight status, depressive symptoms, general peer victimization, experiences of appearance-related teasing perpetrated by family and peers, and substance use in the fall of 2016 (Time 1 [T1]) and spring of 2017 (T2). Findings at baseline (T1) indicated that more frequent appearance-related teasing was associated with higher concurrent levels of total alcohol consumption, binge drinking, and marijuana use (ps < .001). Longitudinally, more frequent appearance-related teasing at T1 predicted greater increases in total alcohol consumption (p < .01) and binge drinking frequency (p < .05) by T2 but was unrelated to changes in marijuana use (p > .05), adjusting for age, gender, race and ethnicity, perceived socioeconomic status, body mass index z scores, depressive symptoms, general peer victimization frequency, and substance use at T1. Moderation analyses generally suggested that the positive associations between appearance-related teasing and alcohol use measures were stronger among adolescents who were girls (vs. boys) and who were overweight or obese (vs. nonoverweight). These findings suggest that appearance-related teasing may play a role in the origins of alcohol use during early adolescence and emphasize the need to mitigate the effects of appearance-related teasing and prevent early substance use. (PsycInfo Database Record (c) 2020 APA, all rights reserved).
外貌相关的嘲笑是青少年时期普遍存在的一种欺凌形式。然而，目前尚不清楚外貌相关的嘲笑对酒精和大麻使用风险的影响。因此，本研究在来自 5 所公立中学的 1344 名学生（52%为女性；51%为非西班牙裔白人；年龄 11-14 岁，M = 13.20，SD = 0.65）样本中，检验了外貌相关的嘲笑与酒精和大麻使用之间的关系。参与者在 2016 年秋季（T1）和 2017 年春季（T2）完成了一项调查，该调查评估了人口统计学特征、体重状况、抑郁症状、一般同伴受害、家庭和同伴实施的外貌相关嘲笑经历以及物质使用情况。在基线（T1）时的发现表明，更频繁的外貌相关嘲笑与更高的同时期酒精总摄入量、狂饮和大麻使用相关（ps <.001）。纵向来看，T1 时更频繁的外貌相关嘲笑预示着 T2 时酒精总摄入量（p <.01）和狂饮频率（p <.05）的更大增长，但与大麻使用的变化无关（p >.05），调整了年龄、性别、种族和民族、感知社会经济地位、体重指数 z 分数、抑郁症状、一般同伴受害频率和 T1 时的物质使用情况。适度分析通常表明，外貌相关的嘲笑与酒精使用指标之间的正相关在女孩（与男孩相比）和超重或肥胖（与非超重相比）的青少年中更强。这些发现表明，外貌相关的嘲笑可能在外向青少年时期酒精使用的起源中发挥作用，并强调需要减轻外貌相关的嘲笑的影响并预防早期物质使用。（PsycInfo 数据库记录（c）2020 APA，保留所有权利）。
