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Adult Mental Health, Substance Use Disorders, and Functional Outcomes of Children Resilient to Early Adversity.成人心理健康、物质使用障碍与逆境儿童适应良好的功能结局。
Am J Psychiatry. 2023 Dec 1;180(12):906-913. doi: 10.1176/appi.ajp.20230038. Epub 2023 Nov 9.
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Intergenerational effects of the Fast Track intervention on the home environment: A randomized control trial.《Fast Track 干预对家庭环境的代际影响:一项随机对照试验》。
J Child Psychol Psychiatry. 2023 May;64(5):820-830. doi: 10.1111/jcpp.13648. Epub 2022 Jun 15.
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Longitudinal Analysis of Substance Use Disorder Symptom Severity at Age 18 Years and Substance Use Disorder in Adulthood.18 岁时物质使用障碍症状严重程度的纵向分析与成年期物质使用障碍。
JAMA Netw Open. 2022 Apr 1;5(4):e225324. doi: 10.1001/jamanetworkopen.2022.5324.
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The destabilization and destandardization of social roles across the adult life course: Considering aggregate social role instability and its variability from a historical-developmental perspective.成年期社会角色的不稳定性和去标准化:从历史发展的角度考虑总体社会角色不稳定性及其可变性。
Dev Psychol. 2022 Mar;58(3):589-605. doi: 10.1037/dev0001303. Epub 2022 Jan 6.
5
Prevalence and Childhood Precursors of Opioid Use in the Early Decades of Life.生命早期的阿片类药物使用的流行率和儿童期前体。
JAMA Pediatr. 2021 Mar 1;175(3):276-285. doi: 10.1001/jamapediatrics.2020.5205.
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Early Physical Abuse and Adult Outcomes.早期身体虐待与成人结局。
Pediatrics. 2021 Jan;147(1). doi: 10.1542/peds.2020-0873. Epub 2020 Dec 14.
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The Fast Track intervention's impact on behaviors of despair in adolescence and young adulthood.快速通道干预对青少年和青年期绝望行为的影响。
Proc Natl Acad Sci U S A. 2020 Dec 15;117(50):31748-31753. doi: 10.1073/pnas.2016234117. Epub 2020 Dec 1.
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Associations of Despair With Suicidality and Substance Misuse Among Young Adults.年轻人的绝望感与自杀意念和物质滥用的关联。
JAMA Netw Open. 2020 Jun 1;3(6):e208627. doi: 10.1001/jamanetworkopen.2020.8627.
9
Identifying adolescent protective factors that disrupt the intergenerational transmission of cannabis use and disorder.识别青少年保护因素,以阻断大麻使用和障碍的代际传递。
Psychol Addict Behav. 2020 Dec;34(8):864-876. doi: 10.1037/adb0000511. Epub 2019 Sep 16.
10
Modeling Trajectories of Adolescent-Perceived Family Conflict: Effects of Marital Dissatisfaction and Parental Alcoholism.建模青少年感知到的家庭冲突轨迹:婚姻不满和父母酗酒的影响。
J Res Adolesc. 2017 Mar;27(1):105-121. doi: 10.1111/jora.12259. Epub 2016 Mar 31.

从约翰·舒伦伯格的“长远视角”看成功的成年过渡:与成人物质使用的关联。

Taking John Schulenberg's "long view" on successful transitions to adulthood: Associations with adult substance use.

机构信息

Duke University Center for Child and Family Policy, Durham, North Carolina, USA.

University of Vermont, Burlington, Vermont, USA.

出版信息

J Res Adolesc. 2024 Dec;34(4):1155-1171. doi: 10.1111/jora.12976. Epub 2024 Jun 6.

DOI:10.1111/jora.12976
PMID:38840563
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11606793/
Abstract

Can positive transitions into young adulthood at age 25 prevent problematic substance use at age 31, even in the context of childhood adverse family environments, conduct problems, and adolescent substance use? We lean on John Schulenberg's developmental framework to examine this question, focusing on the potential young adult milestones of high school and college graduation, employment, residential independence, romantic partnership, and parenthood. Data came from a prospective-longitudinal multi-method study with N = 1199 participants who were first assessed at age 5 years old and followed to age 31. An accumulation of positive transitions in young adulthood (age 25) was associated with lower likelihood of age 31 problematic cannabis use. The protective effect for problematic cannabis use remained even when adjusting for childhood adverse family environments and was primarily driven by successful college graduation and/or home ownership. The accumulation of positive transitions protected individuals at modest to somewhat elevated risk due to childhood adverse family environments from experiencing age 31 cannabis use problems. However, for other individuals with very high numbers of conduct problems, or with high levels of adolescent substance use, the protective effects of accumulated positive transitions to young adulthood were less strong or nonexistent. Moreover, individuals who completed college or obtained full-time employment by 25 were more likely to report problematic age 31 alcohol use. These findings highlight the central tenets of John Schulenberg's developmental framework, including the examination of ontogenetic continuity and discontinuity, the interplay of developmentally distal and proximal effects, and the identification of developmental protective factors that may sway people toward or away from substance use.

摘要

25 岁时积极进入成年期是否能预防 31 岁时出现问题的物质使用,即使是在儿童时期不良家庭环境、行为问题和青少年物质使用的背景下?我们借鉴了 John Schulenberg 的发展框架来研究这个问题,重点关注潜在的成年里程碑,如高中毕业、大学毕业、就业、独立居住、恋爱关系和为人父母。数据来自一项前瞻性纵向多方法研究,共有 1199 名参与者,他们在 5 岁时首次接受评估,并随访至 31 岁。25 岁时积极的成年过渡期(年龄)与 31 岁时出现问题的大麻使用的可能性较低有关。即使调整了儿童时期不良家庭环境,这种保护作用仍然存在,主要是由于成功完成大学学业和/或拥有住房。积极的成年过渡期的积累保护了那些由于儿童时期不良家庭环境而处于中等至较高风险的个体,使他们免受 31 岁时大麻使用问题的困扰。然而,对于那些有很多行为问题或青少年物质使用水平很高的其他个体,积累的积极过渡对成年期的保护作用则不太强或不存在。此外,到 25 岁时完成大学学业或获得全职工作的个体更有可能报告 31 岁时出现问题的酒精使用。这些发现强调了 John Schulenberg 发展框架的核心原则,包括对个体发生连续性和不连续性的考察、发展上的远因和近因的相互作用,以及确定可能影响人们是否使用物质的发展保护因素。