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儿童时期情绪失调与尝试物质使用:一项大规模全国代表性队列研究的启示。

Dysregulated Emotion and Trying Substances in Childhood: Insights from a Large Nationally Representative Cohort Study.

机构信息

Center for Technology and Behavioral Health, Geisel School of Medicine, Dartmouth College, Hanover, New Hampshire, USA.

Mathematical Data Science Program, Dartmouth College, Hanover, New Hampshire, USA.

出版信息

Subst Use Misuse. 2023;58(13):1625-1633. doi: 10.1080/10826084.2023.2223290. Epub 2023 Aug 12.

Abstract

OBJECTIVE

Transdiagnostic perspectives on the shared origins of mental illness posit that dysregulated emotion may represent a key driving force behind multiple forms of psychopathology, including substance use disorders. The present study examined whether a link between dysregulated emotion and trying illicit substances could be observed in childhood.

METHOD

In a large ( = 7,418) nationally representative sample of children (M = 9.9), individual differences in emotion dysregulation were indexed using child and parent reports of frequency of children's emotional outbursts, as well as children's performance on the emotional N-Back task. Two latent variables, derived from either parental/child-report or performance-based indicators, were evaluated as predictors of having ever tried alcohol, tobacco, or marijuana.

RESULTS

Results showed that reports of dysregulated emotion were linked to a greater likelihood of trying both alcohol and tobacco products. These findings were also present when controlling for individual differences in executive control and socioeconomic status.

CONCLUSIONS

These results suggest that well-established links between dysregulated negative emotion and substance use may emerge as early as in childhood and also suggest that children who experience excessive episodes of uncontrollable negative emotion may be at greater risk for trying substances early in life.

摘要

目的

精神疾病的跨诊断观点认为,情绪失调可能是多种精神病理学形式(包括物质使用障碍)背后的关键驱动力。本研究探讨了在儿童时期是否可以观察到情绪失调与尝试非法物质之间的联系。

方法

在一个大型(n=7418)全国代表性儿童样本(M=9.9 岁)中,使用儿童和父母报告的儿童情绪爆发频率以及儿童在情绪 N 回任务中的表现,来衡量情绪失调的个体差异。从父母/孩子报告或基于表现的指标中得出的两个潜在变量被评估为尝试过酒精、烟草或大麻的预测因子。

结果

结果表明,情绪失调的报告与尝试酒精和烟草产品的可能性更大有关。当控制执行控制和社会经济地位的个体差异时,这些发现仍然存在。

结论

这些结果表明,情绪失调与物质使用之间的既定联系可能早在儿童时期就出现,并且还表明经历过度不可控消极情绪的儿童在生命早期尝试物质的风险可能更高。

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