Sarah M. Rodrigues, Afsaneh Saghafi, Qiao Wang, Sanghyuk S. Shin, Sarahjane L. Dube, Annabel Diestel, Robin Stevens, Dawn T. Bounds
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This study investigated associations between exposure to adverse childhood experiences (ACEs) and risk for future substance use among young adolescents in the United States (US); the moderating effect of family conflict was also explored.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>Mixed-effects modeling was used to analyze self-report data collected from adolescents and parents at baseline and 3-year follow-up (Y3) in the Adolescent Brain Cognitive Development Study (ABCD Study) (Data Release 5.1, 2016–2022, US).</p>\n </section>\n \n <section>\n \n <h3> Findings</h3>\n \n <p>After adjusting for socio-demographic covariates, significant positive associations were found between adolescent ACEs score at baseline (ages 9–10) and risk for future alcohol (<i>b</i> = 0.03, <i>p</i> < 0.001), cigarette/<i>e</i>-cigarette (<i>b</i> = 0.04, <i>p</i> < 0.001), and marijuana use (<i>b</i> = 0.06, <i>p</i> < 0.001) at Y3 (ages 12–13) (<i>n</i> = 10,213 dyads). Family conflict reported at baseline was not found to moderate these associations.</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>Cumulative ACEs exposure was associated with increased risk for future alcohol, cigarette/<i>e</i>-cigarette, and marijuana use among a national sample of young adolescents. Findings highlight the potential for trauma-informed, developmentally appropriate preventative interventions to mitigate risk for future substance use among adversity-impacted adolescents.</p>\n </section>\n </div>","PeriodicalId":46587,"journal":{"name":"Journal of Child and Adolescent Psychiatric Nursing","volume":"38 2","pages":""},"PeriodicalIF":1.6000,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jcap.70017","citationCount":"0","resultStr":"{\"title\":\"The Impact of Adversity and Family Conflict on Risk for Future Substance Use Among Young Adolescents in the Adolescent Brain Cognitive Development Study (ABCD Study): A Cohort Analysis\",\"authors\":\"Sarah M. Rodrigues, Afsaneh Saghafi, Qiao Wang, Sanghyuk S. Shin, Sarahjane L. Dube, Annabel Diestel, Robin Stevens, Dawn T. Bounds\",\"doi\":\"10.1111/jcap.70017\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Problem</h3>\\n \\n <p>Early initiation of substance use (<span></span><math>\\n <semantics>\\n <mrow>\\n \\n <mrow>\\n <mo>≤</mo>\\n </mrow>\\n </mrow>\\n <annotation> $\\\\le $</annotation>\\n </semantics></math> 14 years old) constitutes a key target for intervention strategies. 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引用次数: 0
摘要
早期开始物质使用(≤14美元)是干预策略的一个关键目标。本研究调查了美国青少年不良童年经历(ace)暴露与未来物质使用风险之间的关系;研究还探讨了家庭冲突的调节作用。方法采用混合效应模型,对青少年大脑认知发展研究(ABCD Study) (data Release 5.1, 2016-2022, US)中收集的青少年和家长在基线和3年随访(Y3)时的自我报告数据进行分析。在调整社会人口统计学协变量后,发现青少年基线时(9-10岁)的ace评分与3岁时(12-13岁)未来饮酒(b = 0.03, p < 0.001)、吸烟/电子烟(b = 0.04, p < 0.001)和大麻使用(b = 0.06, p < 0.001)的风险之间存在显著正相关(n = 10,213对)。基线时报告的家庭冲突未发现能缓和这些关联。结论:在全国青少年样本中,累积的ace暴露与未来酒精、香烟/电子烟和大麻使用风险增加有关。研究结果强调了创伤知情、发展适当的预防性干预措施的潜力,以减轻受逆境影响的青少年未来物质使用的风险。
The Impact of Adversity and Family Conflict on Risk for Future Substance Use Among Young Adolescents in the Adolescent Brain Cognitive Development Study (ABCD Study): A Cohort Analysis
Problem
Early initiation of substance use ( 14 years old) constitutes a key target for intervention strategies. This study investigated associations between exposure to adverse childhood experiences (ACEs) and risk for future substance use among young adolescents in the United States (US); the moderating effect of family conflict was also explored.
Methods
Mixed-effects modeling was used to analyze self-report data collected from adolescents and parents at baseline and 3-year follow-up (Y3) in the Adolescent Brain Cognitive Development Study (ABCD Study) (Data Release 5.1, 2016–2022, US).
Findings
After adjusting for socio-demographic covariates, significant positive associations were found between adolescent ACEs score at baseline (ages 9–10) and risk for future alcohol (b = 0.03, p < 0.001), cigarette/e-cigarette (b = 0.04, p < 0.001), and marijuana use (b = 0.06, p < 0.001) at Y3 (ages 12–13) (n = 10,213 dyads). Family conflict reported at baseline was not found to moderate these associations.
Conclusions
Cumulative ACEs exposure was associated with increased risk for future alcohol, cigarette/e-cigarette, and marijuana use among a national sample of young adolescents. Findings highlight the potential for trauma-informed, developmentally appropriate preventative interventions to mitigate risk for future substance use among adversity-impacted adolescents.
期刊介绍:
Journal of Child and Adolescent Psychiatric Nursing (JCAPN) is the only nursing journal to focus exclusively on issues of child and adolescent mental health around the world. As a primary resource for nurses and other healthcare professionals in clinical practice, educator roles, and those conducting research in mental health and psychiatric care, the journal includes peer-reviewed, original articles from a wide range of contributors in a broad variety of settings.