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童年中期的行为问题和注意力缺陷行为与15岁时的大麻使用情况

Conduct problems and attention deficit behaviour in middle childhood and cannabis use by age 15.

作者信息

Fergusson D M, Lynskey M T, Horwood L J

机构信息

Christchurch Health and Development Study, Christchurch School of Medicine, Christchurch Hospital, New Zealand.

出版信息

Aust N Z J Psychiatry. 1993 Dec;27(4):673-82. doi: 10.3109/00048679309075830.

Abstract

The relationship between conduct problems and attention deficit behaviours at ages 6, 8, 10 and 12 years and the early onset of cannabis usage by the age of 15 years was studied in a birth cohort of New Zealand children. The analysis showed that while conduct problems during middle childhood were significantly associated with later cannabis use (p < 0.05) there was no association between early attention deficit behaviours and cannabis use (p > 0.40) when the associations between conduct problems and attention deficit behaviours were taken into account. It was estimated that children who showed tendencies to conduct disorder behaviour in middle childhood were between 2.1 to 2.7 times more likely to engage in early cannabis use than children not prone to conduct problems even when a range of factors including family social background, parental separation and parental conflict were taken into account. It is concluded that early conduct disorder behaviours are a risk factor for later cannabis use when due allowance is made for social and contextual factors associated with both early conduct problems and later cannabis use.

摘要

在一组新西兰儿童出生队列中,研究了6岁、8岁、10岁和12岁时的行为问题与注意力缺陷行为,以及到15岁时大麻使用的早发性之间的关系。分析表明,虽然童年中期的行为问题与后来的大麻使用显著相关(p < 0.05),但在考虑行为问题与注意力缺陷行为之间的关联后,早期注意力缺陷行为与大麻使用之间没有关联(p > 0.40)。据估计,即使考虑了一系列因素,包括家庭社会背景、父母分居和父母冲突,童年中期表现出行为障碍倾向的儿童比不易出现行为问题的儿童更早使用大麻的可能性要高出2.1至2.7倍。结论是,当充分考虑与早期行为问题和后来大麻使用相关的社会和背景因素时,早期行为障碍行为是后来大麻使用的一个风险因素。

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