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Impulsivity as a mechanism linking child abuse and neglect with substance use in adolescence and adulthood

机译:冲动作为将儿童虐待和忽视的机制与青春期和成年期的物质联系起来

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Emerging developmental perspectives suggest that adverse rearing environments promote neurocognitive adaptations that heighten impulsivity and increase vulnerability to risky behavior. Although studies document links between harsh rearing environments and impulsive behavior on substance use, the developmental hypothesis that impulsivity acts as mechanism linking adverse rearing environments to downstream substance use remains to be investigated. The present study investigated the role of impulsivity in linking child abuse and neglect with adult substance use using data from (a) a longitudinal sample of youth (Study 1, N = 9,421) and (b) a cross-sectional sample of adults (Study 2, N = 1,011). In Study 1, the links between child abuse and neglect and young adult smoking and marijuana use were mediated by increases in adolescent impulsivity. In Study 2, indirect links between child abuse and neglect and substance use were evidenced via delayed reward discounting and impulsivity traits. Among impulsivity subcomponents, robust indirect effects connecting childhood experiences to cigarette use emerged for negative urgency. Negative urgency, positive urgency, and sensation seeking mediated the effect of child abuse and neglect on cannabis and alcohol use. Results suggest that child abuse and neglect increases risk for substance use in part, due to effects on impulsivity. Individuals with adverse childhood experiences may benefit from substance use preventive intervention programs that target impulsive behaviors.
机译:新兴发展的观点表明,不利的饲养环境促进了一种神经认知适应,从而提高冲动,增加危险行为的脆弱性。虽然研究苛刻的饲养环境与物质使用的冲动行为之间的文件联系,但冲动行为作为将不利饲养环境连接到下游物质使用的机制的发育假设仍有待研究仍有待研究仍有待研究。本研究调查了冲动的作用在使用来自(a)的纵向样品(研究1,n = 9,421)和(b)成人的横截面样本(研究2,n = 1,011)。在研究1中,通过青少年冲动的增加介导儿童虐待和忽视和年轻成人吸烟和大麻使用之间的联系。在研究2中,通过延迟奖励折扣和冲动性状证明了儿童虐待和忽视和物质使用之间的间接环节。在冲动的子组件中,将童年经验与香烟的强大间接影响出现为负迫切性。寻求介导儿童虐待和忽视大麻和酒精使用的效果的负迫切性,积极紧迫性和感觉。结果表明,由于对冲动的影响,虐待儿童滥用和忽视增加了物质使用的风险。具有不良童年经验的个人可能会受益于目标防止行为的预防性干预计划。

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