Department of Child and Adolescent Psychiatry, Hospital Pediátrico, Centro Hospitalar e Universitário de Coimbra, 3000-602, Coimbra, Portugal.
Escola Nacional de Saúde Pública, Universidade NOVA de Lisboa, Lisbon, Portugal.
Eur Child Adolesc Psychiatry. 2021 Nov;30(11):1813-1823. doi: 10.1007/s00787-020-01661-x. Epub 2020 Nov 2.
This study examines the emotional and behavioural pathways to adolescent substance use and antisocial behaviour. Using a sample of 17,223 participants from the UK Millennium Cohort Study, we applied parallel-process growth mixture modelling on emotional and behavioural symptoms in those aged 3-14 and employed latent class analysis to identify patterns of substance use and antisocial behaviours at age 14. We then performed a multinomial regression analysis to explore the association between emotional and behavioural trajectories and patterns of adolescent substance use and antisocial behaviours, including sociodemographic, family, and maternal factors. We found five trajectories of emotional and behavioural symptoms and four classes of adolescence substance use and antisocial behaviour. Children and adolescents in the 'high externalising and internalising' and 'moderate externalising' trajectories were more likely to belong to any problematic behaviour class, especially the 'poly-substance use and antisocial behaviours' class. Inclusion in the 'moderate externalising and internalising (childhood limited)' class was associated with higher odds of belonging to the 'alcohol and tobacco' class. These associations remained significant after adjusting for important sociodemographic and contextual factors, such as maternal substance use, poverty, and parental status. Interventions on adolescent health promotion and risk behaviour prevention need to address the clustering of substance use and antisocial behaviour as well as the significant influence of early and chronic internalising and externalising symptoms on the aetiology of these behaviours.
本研究探讨了青少年物质使用和反社会行为的情绪和行为途径。我们使用来自英国千禧年队列研究的 17223 名参与者的样本，对 3-14 岁儿童的情绪和行为症状应用并行过程增长混合建模，并采用潜在类别分析来确定 14 岁时物质使用和反社会行为的模式。然后，我们进行了多项回归分析，以探讨情绪和行为轨迹与青少年物质使用和反社会行为模式之间的关联，包括社会人口学、家庭和母亲因素。我们发现情绪和行为症状有五个轨迹，青少年物质使用和反社会行为有四个类别。“高外在化和内在化”和“中度外在化”轨迹中的儿童和青少年更有可能属于任何问题行为类别，尤其是“多物质使用和反社会行为”类别。属于“中度外在化和内在化（儿童期有限）”类别的与属于“酒精和烟草”类别的可能性更高。在调整了重要的社会人口学和背景因素（如母亲物质使用、贫困和父母状况）后，这些关联仍然显著。青少年健康促进和风险行为预防干预措施需要解决物质使用和反社会行为的聚类问题，以及早期和慢性外在化和内在化症状对这些行为病因学的重要影响。
