创伤对青少年抑郁症状与使用酒精和大麻之间纵向联系的影响。

IF 2.7 2区 心理学 Q2 PSYCHIATRY
Matthew M Yalch, Elizabeth Mayfield Arnold, Joan Christodoulou, Dallas T Swendeman, Tara Kerin, Karin Nielsen-Saines, Mary Jane Rotheram-Borus
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引用次数: 0

摘要

目的:创伤、抑郁症状以及酗酒和吸毒在青少年中很常见,尤其是那些具有边缘化种族/民族身份的青少年、性与性别少数群体青少年(SGMY),以及那些社会经济地位低下、无家可归和 HIV 阳性的青少年。然而,有关这些青少年的创伤、抑郁和药物使用的研究大多是横断面研究。本文对这些模式进行了长期研究:参与者是从加利福尼亚州洛杉矶市和洛杉矶新奥尔良市的 13 家社区机构和健康中心招募的面临多重生活挑战的青少年(N = 1,728),在 8 个月的时间里,每隔 4 个月重新评估两次(随访率 > 70%)。青少年主要为黑人、拉丁裔和 SGMY,平均年龄为 21 岁(12-24 岁不等)。我们采用贝叶斯潜增长曲线建模方法分析了创伤、抑郁和药物使用之间的关联:结果:创伤与抑郁症状和药物使用之间存在稳健的正相关关系,但这种关系因酒精或大麻使用情况的不同而有所差异。随着时间的推移,创伤程度越高,抑郁症状的下降速度也越慢:研究结果强调了创伤与抑郁和药物使用之间的纵向联系。结论:研究结果凸显了心理创伤与抑郁和药物使用之间的纵向联系,这表明以心理创伤为重点的干预措施可能对存在其中一个或两个问题的弱势青少年有用。(PsycInfo Database Record (c) 2024 APA, 版权所有)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Influence of trauma on longitudinal association between depressive symptoms and use of alcohol and cannabis among young people.

Objective: Trauma, depressive symptoms, and the use of alcohol and drugs are common among youth, especially those with marginalized racial/ethnic identities, sexual and gender minority youth (SGMY), and those with low socioeconomic status, homelessness, and HIV-positive status. However, most research on trauma, depression, and substance use among such youth is cross-sectional. This article examines these patterns over time.

Method: Participants were youth with multiple life challenges (N = 1,728) recruited from 13 community-based agencies and health centers in Los Angeles, CA, and New Orleans, LA, and reassessed twice at 4-month intervals over 8 months (follow-up > 70%). Youth were predominantly Black, Latiné, and SGMY, with an average age of 21 years (range 12-24). We analyzed the association between trauma, depression, and substance use using a Bayesian approach to latent growth curve modeling.

Results: Trauma had a robust, positive association with depressive symptoms and substance use, although this association differed depending on whether alcohol or cannabis use was examined. Higher levels of trauma were also associated with a slower decline in depressive symptoms over time.

Conclusion: Study findings highlight the longitudinal association between trauma and both depression and substance use. This suggests the potential utility of trauma-focused interventions among vulnerable youth with one or both of these issues. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

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来源期刊
CiteScore
11.20
自引率
3.20%
发文量
427
期刊介绍: Psychological Trauma: Theory, Research, Practice, and Policy publishes empirical research on the psychological effects of trauma. The journal is intended to be a forum for an interdisciplinary discussion on trauma, blending science, theory, practice, and policy. The journal publishes empirical research on a wide range of trauma-related topics, including: -Psychological treatments and effects -Promotion of education about effects of and treatment for trauma -Assessment and diagnosis of trauma -Pathophysiology of trauma reactions -Health services (delivery of services to trauma populations) -Epidemiological studies and risk factor studies -Neuroimaging studies -Trauma and cultural competence
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