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青少年咖啡因使用与问题性行为:对学生调查数据和教师观察的纵向分析。

Adolescent caffeine use and problematic school behavior: A longitudinal analysis of student survey data and teacher observations.

作者信息

Kristjansson Alfgeir L, Lilly Christa L, Mann Michael J, Smith Megan L, Kogan Steven M, Layman Hannah M, James Jack E

机构信息

Department of Social and Behavioral Sciences, West Virginia University School of Public Health, West Virginia Prevention Research Center, Morgantown, West Virginia, USA.

Department of Epidemiology and Biostatistics, West Virginia University School of Public Health, Morgantown, West Virginia, USA.

出版信息

J Adolesc. 2024 Dec;96(8):1834-1842. doi: 10.1002/jad.12383. Epub 2024 Jul 25.

Abstract

INTRODUCTION

Caffeine is a psychostimulant possessing arousal, motor activation, and reinforcing properties, which is consumed daily by most adolescents aged 12-19 years. Although current understanding of the implications of adolescent caffeine consumption for school behaviors remains incomplete, studies have shown that in addition to acute effects of the drug, in common with other habit-forming psychoactive substances, regular use leads to physical dependence, evidenced by recurring negative withdrawal symptoms.

METHODS

Employing two waves of longitudinal data, we tested the prospective association between daily caffeine use and homeroom teacher-observed self-control and problem behavior in a sample of middle-school students in 20 schools in West Virginia in the United States. Caffeine was operationalized with two dichotomized variables, daily consumption of <100 mg, and daily consumption of >100 mg, versus no daily use. Gender, mother's education, family financial status, social support by primary caregiver and adults in school, and school climate, were applied as covariates in linear mixed models.

RESULTS

Daily caffeine use of >100 mg was robustly and inversely associated with self-control and positively associated with problem behavior.

CONCLUSIONS

Caffeine consumption and associated withdrawal symptoms may be an important factor in problematic school behavior among adolescents. Recent advent of highly concentrated caffeine products (e.g., caffeine "shots") commonly marketed directly at youth, should give rise to concerns including consideration about limiting caffeine consumption among children and youth.

摘要

引言

咖啡因是一种精神兴奋剂,具有兴奋、激活运动和强化特性,12至19岁的大多数青少年每天都会摄入。尽管目前对于青少年摄入咖啡因对学校行为影响的理解仍不完整,但研究表明,与其他成瘾性精神活性物质一样,除了该药物的急性效应外,经常使用会导致身体依赖,反复出现的负面戒断症状就是证据。

方法

我们利用两波纵向数据,在美国西弗吉尼亚州20所学校的中学生样本中,测试了每日咖啡因使用与班主任观察到的自我控制和问题行为之间的前瞻性关联。咖啡因通过两个二分变量来衡量,即每日摄入量<100毫克、每日摄入量>100毫克,与无每日使用情况相对比。在线性混合模型中,将性别、母亲的教育程度、家庭经济状况、主要照顾者和学校成年人提供的社会支持以及学校氛围作为协变量。

结果

每日咖啡因摄入量>100毫克与自我控制呈强烈负相关,与问题行为呈正相关。

结论

摄入咖啡因及相关戒断症状可能是青少年出现问题学校行为的一个重要因素。最近直接面向年轻人销售的高浓度咖啡因产品(如咖啡因“ shots”)的出现,应引起关注,包括考虑限制儿童和青少年的咖啡因摄入量。

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