脑损伤的原因以及个体之间和个体内部冲动和酗酒的变化

IF 3.6 2区医学 Q1 PSYCHIATRY

Drug and alcohol dependence Pub Date : 2025-08-09 DOI:10.1016/j.drugalcdep.2025.112836

Eric J. Connolly , Meghan L. Royle , Leila Wood , Anne C. Wingert , Jeff R. Temple

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引用次数: 0

摘要

脑损伤（HI）是一个严重的公共卫生问题，涉及广泛的医学和神经行为后果，包括青少年精神病理的恶化和不健康的物质使用。然而，人们对HI的病因是否与刚成年期冲动和酗酒的个体差异有独特的关系知之甚少。刚成年期是一个以冒险行为和物质使用实验为特征的生命过程时期。方法对来自不同种族的741名德克萨斯州青年的纵向样本数据进行分析，以评估自我报告的HI病因与冲动和酗酒的个体间稳定性之间的关系，以及冲动和酗酒的个体内部变化。随机截距交叉滞后面板模型拟合数据。结果因被物体撞击或参加运动而有HI病史的参与者在冲动方面表现出较高的个体间稳定性，而因身体暴力而有HI病史的参与者在酗酒方面表现出较高的个体间稳定性。个体内部冲动的增加与随后个体内部酗酒的增加有关，但酗酒与冲动的任何变化无关。结论：青少年行为与HI相关的背景信息可以为预防和干预项目的发展提供信息，特别是当它们与冲动和酗酒有关时。

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Cause of head injury and between- and within-individual changes in impulsivity and binge drinking

Background

Head injury (HI) is a serious public health concern related to a wide range of medical and neurobehavioral consequences, including the worsening of adolescent psychopathology and unhealthy substance use. Little is known, however, about whether causes of HI are uniquely related to between-individual differences in impulsivity and binge drinking during emerging adulthood - a life-course period characterized by risk taking behavior and substance use experimentation.

Methods

Data from an ethnically diverse longitudinal sample of Texas youth (N = 741) are analyzed to evaluate the association between self-reported cause of HI and between-individual stability in impulsivity and binge drinking, as well as within-individual changes in impulsivity and binge drinking. Random intercept cross-lagged panel models are fitted to the data.

Results

Participants with a history of HI due to being hit by an object or sports participation report higher between-individual stability in impulsivity, while participants with a history of HI due to physical violence demonstrate higher between-individual stability in binge drinking. Within-individual increases in impulsivity are associated with subsequent within-individual increases in binge drinking, but binge drinking is not associated with any changes in impulsivity.

Conclusions

Contextual information about youth behaviors that contribute to HI can inform the development of prevention and intervention programs – especially as they relate to impulsivity and binge drinking.

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来源期刊

Drug and alcohol dependence 医学-精神病学

CiteScore

7.40

自引率

7.10%

发文量

409

审稿时长

41 days

期刊介绍： Drug and Alcohol Dependence is an international journal devoted to publishing original research, scholarly reviews, commentaries, and policy analyses in the area of drug, alcohol and tobacco use and dependence. Articles range from studies of the chemistry of substances of abuse, their actions at molecular and cellular sites, in vitro and in vivo investigations of their biochemical, pharmacological and behavioural actions, laboratory-based and clinical research in humans, substance abuse treatment and prevention research, and studies employing methods from epidemiology, sociology, and economics.