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首页> 外文期刊>Journal of child psychology and psychiatry >Adolescent deviant peer clustering as an amplifying mechanism underlying the progression from early substance use to late adolescent dependence
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Adolescent deviant peer clustering as an amplifying mechanism underlying the progression from early substance use to late adolescent dependence

机译：青少年偏离同伴群集是从早期吸毒到晚期青少年依赖的基础的放大机制

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Background: Early substance use co-occurs with youths' self-organization into deviant peer groups in which substance use is central to social interaction. We hypothesized that the social dynamics of deviant peer groups amplify the risk of progressing from early use to later dependence, and that this influence occurs over and above escalations in use that typically accompany early substance use and membership in deviant groups. Methods: Our study used a longitudinal, multimethod dataset consisting of 998 adolescents and their families. Participants were recruited from middle schools in a large metropolitan area in the Pacific Northwest. The sample was 47.3% female and ethnically diverse (42.3% European American, 29.1% African American, and 28.6% other, including biracial). We examined deviant peer clustering as a mediator between early substance use and later dependence, controlling for proximal levels of use, SES, early antisocial behavior, and parental monitoring. Tobacco, alcohol, and marijuana use were assessed at ages 12, 13, and 16-17. Past-year nicotine, alcohol, and marijuana dependence (DSM-IV) was assessed at age 19. Youth and parent reports and observational data were used to assess deviant peer clustering at age 16-17, and youth reported on antisocial behavior and parental monitoring at ages 12 and 13. Results: Early substance use predicted increased likelihood of dependence on tobacco, alcohol, and marijuana by late adolescence. Deviant peer affiliation mediated these links, even when accounting for proximal levels of substance use. Conclusions: Early substance use not only promotes escalations in use across adolescence but also provides entry into a deviant social context that contributes to increased risk of dependence. Our results emphasize the importance of identifying and intervening in early substance use before it becomes an organizing factor in friendship selection and interaction. Deviant peer clusters are clearly an important avenue for intervention when seeking to interrupt the progression to substance dependence.
机译：背景：早期的吸毒与青年人的自我组织同时发生，成为越轨的同龄人群体，在这些群体中，吸毒对社会互动至关重要。我们假设，越轨同龄人群体的社会动态放大了从早期使用演变为后期依赖的风险，并且这种影响发生在通常伴随早期物质使用和成员越轨行为的使用升级中。方法：我们的研究使用了一个纵向的，多方法的数据集，该数据集由998名青少年及其家庭组成。参与者是从西北太平洋大都市区的中学招募的。样本为47.3％的女性和不同种族的人（42.3％的亚裔，29.1％的非裔美国人和28.6％的其他人，包括混血儿）。我们研究了异常同伴聚类作为早期吸毒和后期依赖之间的中介者，控制了近端吸毒水平，SES，早期反社会行为和父母监护。在12、13和16-17岁时评估了烟草，酒精和大麻的使用。在19岁时评估了过去一年的尼古丁，酒精和大麻依赖性（DSM-IV）。青年和父母的报告以及观察数据被用于评估16-17岁时的同龄异族聚类，青年报告了反社会行为和父母监控结果：年龄在12岁和13岁之间。早期的毒品使用预测到青春期后期对烟草，酒精和大麻的依赖会增加。即使考虑到物质使用的近端水平，偏离的同伴关系也会介导这些联系。结论：早期滥用毒品不仅会促进整个青春期的使用逐步升级，而且还可以进入一个异常的社会环境，从而增加依赖性风险。我们的结果强调了在早期吸毒成为友谊选择和互动的组织因素之前，必须进行识别和干预的重要性。当试图中断向药物依赖的进展时，异常的同伴集群显然是干预的重要途径。

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