Longitudinal Associations among Impulsivity, Friend Substance Use, and Adolescent Substance Use

J. Farley, Jungmeen Kim-Spoon
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引用次数: 14

Abstract

Adolescent substance use is an increasing problem in the United States, and some researchers posit a bidirectional relation between adolescent substance use and the personality trait of impulsivity (e.g., Quinn, Stappenbeck, & Fromme, 2011). Friend substance use has been shown to be a powerful predictor of adolescent substance use, with prior research suggesting a bidirectional relation between adolescent substance use and friend substance use (e.g., Simons-Morton & Chen, 2006). Extant literature has not tested the bidirectional relation between adolescent substance use and impulsivity with longitudinal data nor has it examined this relation while considering the bidirectional relation with the social context factor of friend substance use. Using three waves of longitudinal data, we tested if there was a bidirectional relation between adolescent substance use and impulsivity while also examining the influences of friend substance use. Participants were 131 adolescents (male = 55%, mean age = 13 years at Wave 1). We tested nested models and examined whether adding equality constraints degraded the model fit using a Wald test. Results of structural equation modeling indicated that, after controlling for baseline levels of substance use, impulsivity predicted adolescent and friend substance use over time, whereas adolescent and friend substance use did not predict impulsivity. Adolescents with substance using friends were likely to increase their own substance use. The findings imply that aiming at both improving adolescents’ ability to regulate impulsivity and deterring associations with friends who are using substances is essential for prevention and intervention efforts against substance use development in adolescents.
冲动、朋友物质使用和青少年物质使用之间的纵向联系
在美国,青少年药物使用是一个日益严重的问题,一些研究人员认为青少年药物使用与冲动性人格特质之间存在双向关系(如Quinn, Stappenbeck, & Fromme, 2011)。朋友物质使用已被证明是青少年物质使用的有力预测因素,先前的研究表明青少年物质使用与朋友物质使用之间存在双向关系(例如,simmons - morton & Chen, 2006)。现有文献未采用纵向数据检验青少年物质使用与冲动性之间的双向关系,也未在考虑朋友物质使用与社会情境因素的双向关系时考察这种关系。使用三波纵向数据,我们测试了青少年物质使用和冲动性之间是否存在双向关系,同时也检查了朋友物质使用的影响。参与者为131名青少年(男性= 55%,第1波平均年龄= 13岁)。我们测试了嵌套模型,并使用Wald检验检查了添加平等约束是否会降低模型拟合。结构方程模型的结果表明,在控制了物质使用的基线水平后,冲动性预测了青少年和朋友的物质使用,而青少年和朋友的物质使用并不能预测冲动性。有吸毒朋友的青少年可能会增加自己的吸毒。研究结果表明,旨在提高青少年调节冲动的能力和阻止与吸毒的朋友交往是预防和干预青少年吸毒发展的必要措施。
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