青少年物质使用结果对使用的社会后果的反应：共情的作用。
Adolescent substance use outcomes in response to social consequences of use: the role of empathy.
作者信息
Winters Drew E, Massey Suena H, Sakai Joseph T
机构信息
Department of Psychiatry, University of Colorado School of Medicine, Anschutz Medical Campus, 13001 e. 17th place, Aurora, CO 80045-2559, USA.
Department of Psychiatry, Brigham and Women's Hospital, Harvard Medical School, 75 Francis Street, Boston, MA 02115.
出版信息
J Drug Issues. 2024 Apr;54(2):202-217. doi: 10.1177/00220426231159303. Epub 2023 Feb 20.
Evidence suggests empathy deficits have a temporal relationship with substance use severity by late adolescence theorized to decrease use via recognition of social consequences. However, this has yet to be tested empirically along with differences in cognitive and affective empathy. Adolescents admitted to substance use treatment (n= 3,382) were followed through treatment and 12 months after treatment. Variable trajectories were fit using growth curve models; and cross-lagged effects of cognitive and affective empathy on response to social consequences of use were tested along with how response to social consequences affected the mean trajectory of substance use. Results indicate higher cognitive empathy predicted greater response to social consequences of use and response to these consequences at the end of treatment predicted a steeper decrease in substance use. This evidence highlights the importance of cognitive empathy for responding to social consequences of use for motivating less substance use in adolescents.
有证据表明，到青春期后期，共情缺陷与物质使用严重程度存在时间上的关联，理论上认为共情可通过认识到社会后果来减少物质使用。然而，这一点尚未与认知共情和情感共情的差异一起进行实证检验。对接受物质使用治疗的青少年（n = 3382）进行了治疗期间及治疗后12个月的跟踪。使用生长曲线模型拟合可变轨迹；并测试了认知共情和情感共情对物质使用社会后果反应的交叉滞后效应，以及对社会后果的反应如何影响物质使用的平均轨迹。结果表明，较高的认知共情预示着对物质使用社会后果的更大反应，而治疗结束时对这些后果的反应预示着物质使用量的更急剧下降。这一证据凸显了认知共情在应对物质使用社会后果以促使青少年减少物质使用方面的重要性。
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