Dembo R, Dertke M, La Voie L, Borders S, Washburn M, Schmeidler J
J Adolesc. 1987 Mar;10(1):13-34. doi: 10.1016/s0140-1971(87)80030-1.
The relationships between child physical and sexual abuse and illicit drug use are relatively unexplored and obscure. Data gathered from a sample of youths in a juvenile detention center permitted an examination of this important issue. A structural model, specifying the influence of child physical and sexual abuse variables on the youths' illicit drug use, directly and as mediated by self-derogation, was estimated among male and female detainees. Results suggest that for both gender groups, sexual victimization had a primarily direct effect on drug use, whereas physical abuse had both a direct and an indirect effect on drug use. The indirect effect of physical abuse on drug use was mediated by self-derogation. Further analysis indicated race did not affect the results. The implications of these results for theory and research on the etiology of drug use and the identification of youths in high risk groups who are likely to become seriously involved in drug use are discussed.
儿童身体虐待和性虐待与非法药物使用之间的关系相对而言尚未得到充分研究，且较为模糊。从一个少年拘留中心的青少年样本收集的数据使得对这一重要问题的审视成为可能。在男性和女性被拘留者中估计了一个结构模型，该模型明确了儿童身体虐待和性虐待变量对青少年非法药物使用的影响，包括直接影响以及通过自我贬低产生的间接影响。结果表明，对于两个性别群体而言，性侵害对药物使用主要有直接影响，而身体虐待对药物使用既有直接影响也有间接影响。身体虐待对药物使用的间接影响是通过自我贬低来介导的。进一步分析表明种族并未影响研究结果。本文讨论了这些结果对于药物使用病因理论和研究以及识别可能深度涉毒的高危群体青少年的意义。
