Graefe Beck, Lovan Padideh, Lozano Alyssa, Estrada Yannine, Prado Guillermo
University of Miami.
Am J Health Educ. 2024;55(6):421-430. doi: 10.1080/19325037.2024.2338439. Epub 2024 May 17.
There is an established link between depression and drug use among adolescents. This relationship holds true for Hispanic youth, for whom familial relationships are especially impactful toward health outcomes.
Our purpose was to examine the relationships between family functioning and adolescent and parent depressive symptoms, and the indirect effects of depressive symptoms on the relationship between family functioning and adolescent drug use.
Participants were 231 Hispanic adolescents (52.9% female, M=13.90±1.37) and their parents (93.0% female, M=43.24±6.64) enrolled in an RCT. Data on depressive symptoms, drug use, and family functioning were collected and a latent variable was specified using four indicators of family functioning (positive parenting, monitoring, communication, and involvement). A structural equation model approach was utilized.
Youth family functioning predicted youths' depressive symptoms which predicted their own drug use. Youths' depressive symptoms mediated the relationship between youth family functioning and drug use.
Findings suggest that adolescents' perceptions of family functioning plays a role in preventing depressive symptoms and drug use among Hispanic youth.
Teaching students of the role that family support and depressive symptoms play in the manifestation of drug use may be an effective approach to preventing drug use.
青少年抑郁症与药物使用之间存在既定联系。这种关系在西班牙裔青少年中也成立，对他们而言，家庭关系对健康结果的影响尤为显著。
我们的目的是研究家庭功能与青少年及父母抑郁症状之间的关系，以及抑郁症状对家庭功能与青少年药物使用之间关系的间接影响。
参与者为231名参与随机对照试验的西班牙裔青少年（52.9%为女性，平均年龄13.90±1.37岁）及其父母（93.0%为女性，平均年龄43.24±6.64岁）。收集了关于抑郁症状、药物使用和家庭功能的数据，并使用家庭功能的四个指标（积极养育、监督、沟通和参与）指定了一个潜在变量。采用结构方程模型方法。
青少年的家庭功能可预测青少年的抑郁症状，而抑郁症状又可预测其自身的药物使用情况。青少年的抑郁症状在青少年家庭功能与药物使用之间起中介作用。
研究结果表明，青少年对家庭功能的认知在预防西班牙裔青少年的抑郁症状和药物使用方面发挥着作用。
教导学生了解家庭支持和抑郁症状在药物使用表现中所起的作用，可能是预防药物使用的有效方法。
