Windle M
Research Institute on Addictions, Buffalo, New York 14203, USA.
J Stud Alcohol. 1996 Nov;57(6):627-37. doi: 10.15288/jsa.1996.57.627.
This study used data from over 1,000 adolescents to evaluate the convergent validity and longitudinal stability of a five-group drinker typology (abstainers, light, moderate, heavy and problem drinkers). Drinker types were compared on a range of variables from the domains of childhood behavior problems, drinking motives, early substance use onset, family and peer relations.
Prospective, longitudinal survey data were collected from 10th and 11th graders and from their primary caregivers (principally mothers) to evaluate hypotheses about correlates of adolescent substance use.
General support was indicated for the distinctiveness of the adolescent drinker types. Moderate drinkers differed systematically from light drinkers and abstainers on several variables (e.g., disinhibitory behavior while drinking, percentage of friends who drink); heavy drinkers differed from moderate drinkers (e.g., percentage of friends who use drugs, illicit drug use); and problem drinkers differed from heavy drinkers (e.g., childhood behavior problems, coping motives for drinking, percentage of friends who use drugs, disinhibitory behavior while drinking). Over 50% of problem drinkers and 62% of abstainers remained similarly categorized across a 1-year interval.
The heterogeneity of alcohol-related behaviors among adolescents may be usefully represented via a drinker status typology that incorporates data on alcohol consumption, heavy-drinking episodes and adverse consequences. Different correlates for the drinker types highlight the need for a more distinctive approach to the prevention and treatment of adolescent drinking behaviors.
本研究使用了来自1000多名青少年的数据,以评估五组饮酒者类型(戒酒者、轻度饮酒者、中度饮酒者、重度饮酒者和问题饮酒者)的收敛效度和纵向稳定性。在一系列变量上对饮酒者类型进行了比较,这些变量来自儿童行为问题、饮酒动机、早期物质使用开始、家庭和同伴关系等领域。
收集了十年级和十一年级学生及其主要照顾者(主要是母亲)的前瞻性纵向调查数据,以评估有关青少年物质使用相关因素的假设。
研究结果总体上支持了青少年饮酒者类型的独特性。中度饮酒者在几个变量上(例如,饮酒时的去抑制行为、饮酒朋友的百分比)与轻度饮酒者和戒酒者存在系统性差异;重度饮酒者与中度饮酒者不同(例如,使用毒品的朋友百分比、非法药物使用);问题饮酒者与重度饮酒者不同(例如,儿童行为问题、饮酒的应对动机、使用毒品的朋友百分比、饮酒时的去抑制行为)。超过50%的问题饮酒者和62%的戒酒者在一年的时间间隔内保持了相似的分类。
青少年中与酒精相关行为的异质性可以通过一种饮酒者状态类型学有效地体现出来,该类型学纳入了酒精消费、重度饮酒发作和不良后果的数据。饮酒者类型的不同相关因素凸显了对青少年饮酒行为的预防和治疗需要采取更具针对性的方法。