Department of Preventive Medicine, University of Southern California, Los Angeles, CA, USA.
Department of Preventive Medicine, University of Southern California, Los Angeles, CA, USA.
Addict Behav. 2021 Sep;120:106983. doi: 10.1016/j.addbeh.2021.106983. Epub 2021 May 8.
To examine the association of perceived distress tolerance-one's ability to endure aversive experiences-with subsequent substance use frequency during adolescence.
High school students (N = 3,203) were surveyed semiannually from 2013 to 2017. The Distress Tolerance Scale (DTS) was administered at baseline (9th grade) and self-reported past 30-day number of days used of alcohol, cigarettes, e-cigarettes, cannabis, and opioids (range: 0-30) were assessed at all timepoints. Self-reported baseline ever (vs. never) use of each substance and depressive/anxiety symptom status (clinical and subclinical vs. none) were tested as moderators.
Among baseline never substance users, a greater baseline mean DTS score was associated with fewer days of alcohol, cigarette, and opioid use in past-30 days over 4 years of follow-up (IRR range = 0.60-0.84); among ever-users, baseline mean DTS was not significantly associated with substance use across follow-up timepoints (p-interaction = 0.03). The association of DTS and frequency of substance use did not differ by baseline mental health status for any substance (all ps > 0.05).
Greater perceived distress tolerance at the start of high school may be a protective factor against substance use frequency prior to initial use. Interventions that build distress tolerance in early adolescence may be warranted to prevent higher frequency substance use throughout high school.
探讨感知到的痛苦耐受力（一个人忍受痛苦经历的能力）与青少年时期随后的物质使用频率之间的关系。
对 2013 年至 2017 年期间的高中生（N=3203）进行了半年度调查。在基线（9 年级）时进行了痛苦耐量量表（DTS）的测试，并在所有时间点评估了过去 30 天内使用酒精、香烟、电子烟、大麻和阿片类药物的天数（范围：0-30）。将基线时自我报告的每种物质的使用情况（以往使用与从不使用）和抑郁/焦虑症状状态（临床和亚临床与无）作为调节变量进行测试。
在基线时从未使用过物质的人群中，与过去 30 天内的酒精、香烟和阿片类药物使用天数相比，基线 DTS 得分越高，使用的天数越少（IRR 范围=0.60-0.84）；在以往使用者中，基线 DTS 与随访期间的物质使用无显著相关性（p 交互=0.03）。DTS 与物质使用频率之间的关联在任何物质的基线心理健康状况方面均无差异（所有 p 值均大于 0.05）。
在高中开始时，较高的感知痛苦耐受力可能是在首次使用之前预防物质使用频率升高的保护因素。在青少年早期培养痛苦耐受力的干预措施可能是必要的，以防止整个高中期间物质使用频率升高。
