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品行障碍青少年的酒精预期:饮酒行为的预测与中介作用

Alcohol expectancies among adolescents with conduct disorder: prediction and mediation of drinking.

作者信息

Greenbaum P E, Brown E C, Friedman R M

机构信息

Research and Training Center for Children's Mental Health, University of South Florida, Tampa, USA.

出版信息

Addict Behav. 1995 May-Jun;20(3):321-33. doi: 10.1016/0306-4603(94)00074-9.

DOI:10.1016/0306-4603(94)00074-9
PMID:7653314
Abstract

Among adolescents with conduct disorder, alcohol expectancies were examined for both predictive utility and mediation of other predictors of alcohol use (i.e., delinquency, family history, demographic and psychopathology variables). Data were collected from 260 adolescents with conduct disorder 11-18 years of age, who had been in either mental health residential facilities or community-based special education programs for adolescents with serious emotional disturbances. Zero-order correlations and structural path models assessed relationships between expectancies, alcohol use, and other predictors of alcohol use. Results indicated: (a) expectancies of enhanced social and cognitive behavior were significant (p < .05) univariate predictors of drinking, (b) among all of the selected predictors, expectancies of enhanced social behavior (i.e., Subscale 2 of the Alcohol Expectancy Questionnaire--Adolescent Form; AEQ-A) had the strongest association with alcohol use (r = .54) and mediated between 31% to 44% of the drinking variance associated with other significant predictors (p < .01). Results were discussed as supporting similar expectancy-drinking relationships among CD and nonclinical youth.

摘要

在患有品行障碍的青少年中,对酒精预期进行了研究,以考察其预测效用以及对酒精使用的其他预测因素(即犯罪行为、家族史、人口统计学和精神病理学变量)的中介作用。数据收集自260名年龄在11至18岁之间患有品行障碍的青少年,他们曾入住心理健康寄宿设施或参加针对有严重情绪障碍青少年的社区特殊教育项目。零阶相关和结构路径模型评估了预期、酒精使用以及酒精使用的其他预测因素之间的关系。结果表明:(a)社交和认知行为增强的预期是饮酒的显著(p < .05)单变量预测因素;(b)在所有选定的预测因素中,社交行为增强的预期(即《酒精预期问卷-青少年版》第二分量表;AEQ-A)与酒精使用的关联最强(r = .54),并介导了与其他显著预测因素相关的31%至44%的饮酒差异(p < .01)。研究结果被认为支持了品行障碍青少年与非临床青少年之间类似的预期-饮酒关系。

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