Aseltine R H, Gore S, Colten M E
University of Massachusetts at Boston, 02125-3393, USA.
Dev Psychopathol. 1998 Summer;10(3):549-70. doi: 10.1017/s0954579498001746.
This article examines the role of adolescent social relationships in fostering the occurrence and co-occurrence of depression and substance abuse, using two waves of data from a community sample of adolescents (N = 900). Multinomial logistic response models were estimated to identify the extent to which risk and protective features of youths' family and peer relations were differentially linked with depressive symptoms, substance abuse, and their co-occurrence. Taking a within-person, configurational approach to adolescent adaptation, contrasts involved four subgroups of adolescents: those high on both depressed mood and substance abuse, those who experience neither problem, those evidencing high levels of depressive symptoms only, and those high on substance abuse only. Risk for depressive symptoms was differentiated by its association with conflict and lack of support in the friendship domain. Substance abuse was associated with negative peer pressure, but these youth were otherwise little different from youths with no problems. Whereas co-occurrence of depression and substance use was associated with more difficulties in both the family and peer environments, the most distinctive risk was that of low family support. Discussion centers on the developmental antecedents of co-occurring problems and family relations during adolescence.
本文利用来自一个青少年社区样本（N = 900）的两波数据，研究了青少年社会关系在促进抑郁症和药物滥用的发生及共病方面的作用。估计了多项逻辑反应模型，以确定青少年家庭和同伴关系的风险和保护特征与抑郁症状、药物滥用及其共病之间的差异关联程度。采用个体内部的、构型的方法来研究青少年的适应情况，对比涉及四个青少年亚组：情绪抑郁和药物滥用程度都高的青少年、既无问题的青少年、仅表现出高水平抑郁症状的青少年以及仅药物滥用程度高的青少年。抑郁症状的风险因其与友谊领域的冲突和缺乏支持的关联而有所不同。药物滥用与同伴的负面压力有关，但这些青少年在其他方面与没有问题的青少年没有太大差异。虽然抑郁症和药物使用的共病与家庭和同伴环境中的更多困难有关，但最显著的风险是家庭支持不足。讨论集中在青少年时期共病问题和家庭关系的发展前因上。
