Jessica A. Kerr, Nichola Tyler, James A. Foulds, Joseph M. Boden
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引用次数: 0
摘要
在克赖斯特彻奇健康与发展研究(N = 1,265)中,我们研究了整个生命过程中放火行为的发生率和连续性,并探讨了青少年放火行为是否是成人内化和外化行为的风险标志。纵火行为在一生中的连续性很低。青少年的放火行为(3%)与反社会行为和不利的家庭环境相关。与行为障碍无关,青少年时期的放火行为与成年后的内化结果关联有限,但与大多数外化结果相关(如大麻使用障碍,OR = 2.08,95% CI = [1.14,3.78])。对反社会倾向和家庭环境的进一步调整降低了相关性;对酒精使用障碍的影响最大(OR = 2.08,95% CI = [1.19,3.63])。因此,对于大多数外化行为而言,青少年放火行为是一个标记(即预示着未来的风险),但不是一个独立的风险标记(即不具有独立的特异性)。对于放火的青少年,临床治疗应评估其合并行为障碍和家庭不稳定性,并考虑一系列有问题的结果。
Adolescent Firesetting as a Risk Marker for Adult Externalizing and Internalizing Problems: Analysis of a 40-Year Birth Cohort Study
Within the Christchurch Health and Development Study ( N = 1,265), we examine the prevalence and continuity of firesetting across the life course and explore whether adolescent firesetting is a risk marker for adult internalizing and externalizing behaviors. Life course continuity of firesetting was low. Adolescent firesetting (3%) correlated with antisocial behaviors and adverse family circumstances. Independent of conduct disorder, adolescent firesetting showed limited associations with adulthood internalizing outcomes, but associated with most externalizing outcomes (e.g., cannabis use disorder, OR = 2.08, 95% CI = [1.14, 3.78]). Further adjustment for antisocial tendencies and family circumstances reduced associations; the largest effect to remain was for alcohol use disorder (OR = 2.08, 95% CI = [1.19, 3.63]). Therefore, for most externalizing behaviors, adolescent firesetting is a marker (i.e., indicates future risk), but not an independent risk marker (i.e., does not have independent specificity). For adolescents who set fires, clinical treatment should assess comorbid conduct disorder and family instability and consider a range of problematic outcomes.
期刊介绍:
ACS Applied Bio Materials is an interdisciplinary journal publishing original research covering all aspects of biomaterials and biointerfaces including and beyond the traditional biosensing, biomedical and therapeutic applications.
The journal is devoted to reports of new and original experimental and theoretical research of an applied nature that integrates knowledge in the areas of materials, engineering, physics, bioscience, and chemistry into important bio applications. The journal is specifically interested in work that addresses the relationship between structure and function and assesses the stability and degradation of materials under relevant environmental and biological conditions.