Bradley Hasbro Children's Research Center , Providence, RI, USA.
Department of Psychiatry and Human Behavior, Alpert Medical School of Brown University , Providence, RI, USA.
Am J Drug Alcohol Abuse. 2020 Sep 2;46(5):659-669. doi: 10.1080/00952990.2020.1789159. Epub 2020 Sep 15.
: Adolescent cannabis misuse may be associated with serious academic, conduct, and health problems. Identifying factors associated with adolescent cannabis misuse over time may provide insight to address these factors in interventions. Parent-adolescent relationship characteristics (i.e., attachment, discipline) have been linked to adolescent cannabis misuse and may be important factors to study. : We investigated time-varying associations between parent-adolescent relationship domains and weekly adolescent-reported cannabis misuse. We hypothesized that during times when parents reported less positive aspects of their relationship with their adolescents, adolescents would report higher levels of cannabis misuse. : Data were drawn from a community clinic treatment study for adolescents with substance use and co-occurring psychiatric disorders (n=110; average age=15.71; 57.3% male). Latent growth modeling with time-varying predictors (parent-adolescent relationship characteristics) was used to examine if the associations between adolescent cannabis misuse and relational frustration, discipline, and attachment varied across the study period (baseline, 3-, 6-, and 12-months). : Weekly cannabis misuse significantly increased over time, even after accounting for parental relationship characteristics. When parents rated higher levels of relational frustration relative to their average level of frustration, adolescents reported higher cannabis misuse at all study periods except 12-month follow-up. : Results support the importance of considering how specific aspects of the parentadolescent relationship, in this case elevated parental frustration, are associated with adolescent cannabis misuse during treatment and after its completion. Findings suggest parental relationship frustration is a key factor to assess and address within individually tailored interventions for co-occurring cannabis misuse and psychiatric disorders.
青少年滥用大麻可能与严重的学业、行为和健康问题有关。确定与青少年大麻滥用有关的随时间变化的因素，可以为干预措施提供解决这些因素的思路。父母与青少年的关系特征（即依恋、纪律）与青少年大麻滥用有关，可能是需要研究的重要因素。
我们调查了父母与青少年关系领域与青少年每周报告的大麻滥用之间随时间变化的关联。我们假设，当父母报告与青少年关系的积极方面较少时，青少年会报告更高水平的大麻滥用。
数据来自于一个针对青少年物质使用和共病精神障碍的社区诊所治疗研究（n=110；平均年龄=15.71；57.3%为男性）。使用具有时变预测因子（父母与青少年的关系特征）的潜在增长模型来检验青少年大麻滥用与关系受挫、纪律和依恋之间的关联是否在研究期间（基线、3 个月、6 个月和 12 个月）有所不同。
每周大麻滥用随着时间的推移显著增加，即使考虑到父母关系特征也是如此。当父母相对于平均挫折水平报告更高水平的关系受挫时，青少年在除 12 个月随访外的所有研究期间都报告了更高水平的大麻滥用。
研究结果支持了考虑父母与青少年关系的特定方面（在这种情况下是父母的受挫感）如何与治疗期间和治疗结束后青少年大麻滥用相关的重要性。研究结果表明，父母关系受挫是评估和解决共病大麻滥用和精神障碍个体化干预措施中需要考虑的关键因素。
