Hansen William B, Hansen Jared L
Prevention Strategies, LLC, Greensboro, USA.
Informatics, Decision-Enhancement and Analytic Sciences Center (IDEAS 2.0), VA Salt Lake City Health Care System, Salt Lake City, USA.
J Prev (2022). 2025 Feb;46(1):21-41. doi: 10.1007/s10935-024-00809-8. Epub 2024 Sep 21.
A model is proposed in which longitudinal changes in adolescents' dispositions increase age-related risk for the onset of substance use.
Pooled surveys from 25 longitudinal studies were examined. Disposition was calculated from eight variables: use intentions; refusal intentions; attitudes; positive consequence beliefs; beliefs about negative consequences; descriptive peer normative beliefs; injunctive peer normative beliefs; and lifestyle incongruence. Substance use onset (past 30-day alcohol, cigarette, and marijuana use) was analyzed using participants' just prior dispositional status and recent changes in their dispositions.
Disposition was highly correlated with each of the measured variables. The pattern of disposition changes as adolescents grow older, revealing that younger adolescents have more positive dispositions; whereas when they grew older, negative dispositions gradually emerged among a subset of adolescents. Analyses also revealed that dispositional status and recent changes in their dispositions were strong predictors of substance use onset.
Better understanding the development of dispositions will aid in designing effective interventions. Subordinate variables are amenable to intervention and are recommended as the primary focus of prevention programming. Because of the developmental trajectory of dispositions, multi-year interventions are highly recommended. Whenever possible, tailored approaches that take adolescents' pre-intervention dispositions into account should be considered.
提出一种模型,其中青少年性格的纵向变化会增加物质使用开始的年龄相关风险。
对来自25项纵向研究的汇总调查进行了检查。性格由八个变量计算得出:使用意图;拒绝意图;态度;积极后果信念;对负面后果的信念;描述性同伴规范信念;指令性同伴规范信念;以及生活方式不一致。使用参与者之前的性格状态和他们性格的近期变化,分析物质使用开始情况(过去30天内饮酒、吸烟和使用大麻)。
性格与每个测量变量高度相关。随着青少年年龄增长,性格变化模式显示,较年轻的青少年有更积极的性格;而当他们长大后,一部分青少年逐渐出现消极性格。分析还表明,性格状态及其性格的近期变化是物质使用开始的有力预测因素。
更好地理解性格发展将有助于设计有效的干预措施。从属变量适合进行干预,建议作为预防规划的主要重点。由于性格的发展轨迹,强烈建议进行多年干预。只要有可能,应考虑采用考虑青少年干预前性格的量身定制方法。