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Longitudinal attention-deficit/hyperactivity disorder symptom networks in childhood and adolescence: Key symptoms, stability, and predictive validity. 儿童和青少年时期纵向注意缺陷/多动障碍症状网络:主要症状、稳定性和预测有效性。
IF 4.6 1区 心理学 Q1 Medicine Pub Date : 2021-07-01 DOI: 10.1037/abn0000661
Michelle M Martel, Patrick K Goh, Christine A Lee, Sarah L Karalunas, Joel T Nigg

The current study visualized attention-deficit/hyperactivity disorder (ADHD) symptom networks in a longitudinal sample of participants across childhood and adolescence with exploratory examination of age and gender effects. Eight hundred thirty-six children ages 7-13 years were followed annually for 8 years in total. Across parent and teacher report, results suggested "is easily distracted" and "difficulties sustaining attention" as central symptoms across three testing points (i.e., Year 1, Year 3, and Years 5-8 collapsed). "Difficulties following instructions" and "intrudes/interrupts" also emerged as parent-reported central symptoms. Assessment of network structure across the three testing points suggested global robustness of relations among ADHD symptoms from midchildhood into early adolescence. However, relations among symptoms that cause problems in school settings (i.e., being easily distracted) were stronger in teacher-reported than parent-reported networks. When aggregated into a sum score, central symptoms during Year 1 predicted total difficulties related to mental health problems 5 years later just as well as all 18 symptoms. Central symptoms of ADHD may be useful as screeners of future emotional and behavioral difficulties. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

本研究通过对年龄和性别影响的探索性研究,将纵向样本参与者在儿童期和青少年期的注意力缺陷/多动障碍(ADHD)症状网络可视化。研究人员对 836 名 7-13 岁的儿童进行了为期 8 年的年度跟踪调查。根据家长和教师的报告,结果显示 "容易分心 "和 "难以保持注意力 "是三个测试点(即一年级、三年级和五至八年级)的中心症状。"难以听从指令 "和 "闯入/干扰 "也是家长报告的中心症状。对三个测试点网络结构的评估表明,从儿童中期到青春期早期,多动症症状之间的关系总体上是稳固的。不过,在教师报告的网络中,在学校环境中造成问题的症状(即容易分心)之间的关系要强于家长报告的网络。将一年级时的中心症状汇总成总分后,它与所有 18 种症状一样,都能预测 5 年后与心理健康问题有关的总困难。多动症的中心症状可作为未来情绪和行为障碍的筛查指标。(PsycInfo Database Record (c) 2021 APA, 版权所有)。
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引用次数: 0
I feel good? Anhedonia might not mean "without pleasure" for people treated for opioid use disorder. 我感觉很好?对于接受阿片类药物使用障碍治疗的人来说,快感缺乏可能并不意味着“没有快感”。
IF 4.6 1区 心理学 Q1 Medicine Pub Date : 2021-07-01 DOI: 10.1037/abn0000674
Samuel W Stull, Jeremiah W Bertz, Leigh V Panlilio, William J Kowalczyk, Karran A Phillips, Landhing M Moran, Jia-Ling Lin, Massoud Vahabzadeh, Patrick H Finan, Kenzie L Preston, David H Epstein

Anhedonia is usually defined as partial or total loss of the capacity for pleasure. People with anhedonia in the context of major depressive disorder may have an unexpected capacity for event-related mood brightening, observable when mood is assessed dynamically (with smartphone-based ecological momentary assessment [EMA]) rather than only statically via questionnaire. We used EMA to monitor mood and pleasant events for 4 weeks in 54 people being treated with opioid agonist medication for opioid-use disorder (OUD), which is also associated with anhedonia, said to manifest especially as loss of pleasure from nondrug reward. We compared OUD patients' EMA reports with those of 47 demographically similar controls. Background positive mood was lower in OUD patients than in controls, as we hypothesized (Cohen ds = .85 to 1.32, 95% CIs [.66, 1.55]), although, contrary to our hypothesis, background negative mood was also lower (ds = .82 to .85, 95% CIs [.73, .94]). As hypothesized, instances of nondrug pleasure were as frequent in OUD patients as in controls-and were not rated much less pleasurable (d = .18, 95% CI [-.03, .35]). Event-related mood brightening occurred in both abstinent and nonabstinent OUD patients (ds = .18 to .37, CIs [-.01, .57]) and controls (ds = .04 to .60, CIs [-.17, .79]), brightening before each event began earlier for controls than OUD patients, but faded similarly postevent across groups. Our findings add to the evidence that anhedonia does not rule out reactive mood brightening, which, for people with OUD being treated on opioid agonist medication, can be elicited by nondrug activities. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

快感缺乏通常被定义为部分或全部丧失获得快乐的能力。重度抑郁症背景下的快感缺乏症患者可能具有意想不到的与事件相关的情绪明亮能力,当动态评估情绪时(使用基于智能手机的生态瞬间评估[EMA]),而不是通过问卷调查静态评估情绪时,可以观察到这一点。我们使用EMA对54名接受阿片类药物激动剂治疗的阿片类药物使用障碍(OUD)患者进行了为期4周的情绪和愉快事件监测,阿片类药物使用障碍也与快感缺乏症有关,据说表现为非药物奖励带来的快感丧失。我们将OUD患者的EMA报告与47个人口统计学上相似的对照组进行了比较。正如我们假设的那样,OUD患者的背景积极情绪低于对照组(Cohen ds = 0.85至1.32,95% ci)。66, 1.55]),但与我们的假设相反,背景负性情绪也较低(ds = 0.82至0.85,95% ci[。73 .94])。正如假设的那样,非药物愉悦感在OUD患者中与对照组一样频繁,并且没有被评为更少的愉悦感(d = 0.18, 95% CI[-])。03年,.35点)。戒断和非戒断OUD患者均出现事件相关情绪亮化(ds = 0.18 ~ 0.37, ci)。0.01, 0.57])和对照组(ds = 0.04 ~ 0.60, ci[-。[17,79]),在每次事件发生前,对照组比OUD患者更早开始变亮,但在事件发生后,各组的变亮程度相似。我们的研究结果进一步证明,快感缺乏症并不排除反应性情绪开朗的可能性,对于接受阿片类激动剂治疗的OUD患者来说,这种情绪开朗可以由非药物活动引起。(PsycInfo Database Record (c) 2021 APA,版权所有)。
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引用次数: 3
Does crude measurement contribute to observed unidimensionality of psychological constructs? A demonstration with DSM-5 alcohol use disorder. 粗糙的测量有助于观察到心理构念的单维性吗?DSM-5酒精使用障碍的示范。
IF 4.6 1区 心理学 Q1 Medicine Pub Date : 2021-07-01 DOI: 10.1037/abn0000678
Ashley L Watts, Cassandra L Boness, Jordan E Loeffelman, Douglas Steinley, Kenneth J Sher
Mental disorders are complex, multifaceted phenomena that are associated with profound heterogeneity and comorbidity. Despite the heterogeneity of mental disorders, most are generally considered unitary dimensions. We argue that certain measurement practices, especially using too few indicators per construct, preclude the detection of meaningful multidimensionality. We demonstrate the implications of crude measurement for detecting construct multidimensionality with alcohol use disorder (AUD). To do so, we used a large sample of college heavy drinkers (N = 909) for whom AUD symptomology was thoroughly assessed (87 items) and a blend of confirmatory factor analysis, exploratory factor analysis, and hierarchical clustering. A unidimensional AUD model with one item per symptom criterion fit the data well, whereas a unidimensional model with all items fit the data poorly. Starting with an 11-item AUD model, model fit decreased and the variability in factor loadings increased as additional items were added to the model. Additionally, multidimensional models outperformed unidimensional ones in terms of variance explained in theoretically relevant external criteria. All told, we converged on a hierarchically organized model of AUD with three broad, transcriterial dimensions that reflected tolerance, withdrawal, and loss of control. In addition to introducing a hierarchical model of AUD, we propose that thorough assessment of psychological constructs paired with serious consideration of alternative, multidimensional structures can move past the deadlock of their unidimensional representations. (PsycInfo Database Record (c) 2021 APA, all rights reserved).
精神障碍是复杂的、多方面的现象,具有深刻的异质性和合并症。尽管精神障碍具有异质性,但大多数通常被认为是单一维度的。我们认为,某些测量实践,特别是每个结构使用太少的指标,排除了有意义的多维度的检测。我们展示了粗测量对检测酒精使用障碍(AUD)的构建多维度的影响。为此,我们使用了一个大样本的大学酗酒者(N = 909),对他们的AUD症状进行了全面评估(87项),并混合了验证性因素分析、探索性因素分析和分层聚类。每个症状标准有一个项目的一维AUD模型拟合得很好,而包含所有项目的一维模型拟合得很差。从11项AUD模型开始,随着模型中添加额外的项目,模型拟合降低,因子负荷的可变性增加。此外,多维模型在理论相关外部标准解释的方差方面优于一维模型。综上所述,我们得出了一个层次结构的AUD模型,该模型具有三个广泛的跨标准维度,反映了耐受性、戒断和失去控制。除了引入AUD的层次模型外,我们还建议对心理结构进行彻底评估,并认真考虑替代的多维结构,从而突破其单维表征的僵局。(PsycInfo Database Record (c) 2021 APA,版权所有)。
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引用次数: 22
Rumination about obsessive symptoms and mood maintains obsessive-compulsive symptoms and depressed mood: An experimental study. 关于强迫症状和情绪的反刍维持强迫症状和抑郁情绪:一项实验研究。
IF 4.6 1区 心理学 Q1 Medicine Pub Date : 2021-07-01 DOI: 10.1037/abn0000677
Karina Wahl, Marcel van den Hout, Carlotta V Heinzel, Martin Kollárik, Andrea Meyer, Charles Benoy, Götz Berberich, Katharina Domschke, Andrew Gloster, Gassan Gradwohl, Maria Hofecker, Andreas Jähne, Stefan Koch, Anne Katrin Külz, Franz Moggi, Christine Poppe, Andreas Riedel, Michael Rufer, Christian Stierle, Ulrich Voderholzer, Sebastian Walther, Roselind Lieb

Rumination is common in individuals diagnosed with obsessive-compulsive disorder (OCD). We sought to clarify the causal role of rumination in the immediate and intermediate maintenance of obsessive-compulsive symptoms and depressed mood. In total, 145 individuals diagnosed with OCD were asked to read aloud their most distressing obsessive thought (OT). OT activation was followed by a thought-monitoring phase in which frequency of the OT was assessed. Participants were randomly allocated to one of three experimental conditions: rumination about obsessive-compulsive symptoms, rumination about mood, or distraction. Ratings of distress, urge to neutralize, and depressed mood and frequency ratings of the OTs were taken before and after the experimental manipulation. Obsessive-compulsive symptom severity and affect were assessed 2, 4, and 24 hr after the laboratory experiment using ecological momentary assessment. Compared to distraction, both types of rumination resulted in an immediate reduced decline of distress, urge to neutralize, depressed mood, and frequency of OTs, with medium to large effect sizes. Rumination about obsessive-compulsive symptoms did not have a stronger immediate effect than rumination about mood. Rumination about obsessive-compulsive symptoms increased obsessive-compulsive symptom severity and reduced positive affect compared to rumination about mood 24 hr later. Regarding negative affect, there was no difference in effect between the two types of rumination in the intermediate term. To conclude, rumination in OCD has an immediate and intermediate maintaining effect on obsessive-compulsive symptoms and mood and may require additional psychological interventions that supplement cognitive behavioral therapy. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

反刍在被诊断为强迫症(OCD)的个体中很常见。我们试图澄清反刍在强迫症症状和抑郁情绪的即时和中期维持中的因果作用。总共有145名被诊断为强迫症的人被要求大声朗读他们最痛苦的强迫思想(OT)。OT激活之后是一个思想监测阶段,在这个阶段评估OT的频率。参与者被随机分配到三种实验条件中的一种:对强迫症状的反思,对情绪的反思,或分心。在实验操作前后分别对焦虑、中和冲动和抑郁情绪进行评分和频率评分。实验结束后2、4、24小时采用生态瞬时评价法评定强迫症症状严重程度和影响程度。与注意力分散相比,这两种类型的反刍都能立即降低痛苦、中和冲动、抑郁情绪和OTs频率,具有中等到较大的效应量。对强迫症状的反刍并不比对情绪的反刍有更强的直接影响。与24小时后的情绪反思相比,对强迫症状的反思增加了强迫症状的严重程度,降低了积极影响。在消极情绪方面,两种反刍方式在中期的效果没有差异。综上所述,强迫症的反刍对强迫症症状和情绪有直接和中间的维持作用,可能需要额外的心理干预来补充认知行为治疗。(PsycInfo Database Record (c) 2021 APA,版权所有)。
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引用次数: 6
Social comparisons and social anxiety in daily life: An experience-sampling approach. 日常生活中的社会比较和社会焦虑:一种经验抽样方法。
IF 4.6 1区 心理学 Q1 Medicine Pub Date : 2021-07-01 DOI: 10.1037/abn0000671
Fallon R Goodman, Kerry C Kelso, Brenton M Wiernik, Todd B Kashdan

Judgments about the self compared to internalized standards are central to theoretical frameworks of social anxiety. Yet, empirical research on social comparisons-how people view themselves relative to others-and social anxiety is sparse. This research program examines the nature of everyday social comparisons in the context of social anxiety across 2 experience-sampling studies containing 8,396 unique entries from 273 adults. Hypotheses and analyses were preregistered with the Open Science Foundation (OSF) prior to data analysis. Study 1 was a 3-week daily diary study with undergraduates, and Study 2 was a 2-week ecological momentary assessment (EMA) study with a clinical sample of adults diagnosed with social anxiety disorder (SAD) and a psychologically healthy comparison group. In both studies, social anxiety was associated with less favorable, more unstable social comparisons. In both studies, favorable social comparisons were associated with higher positive affect and lower negative affect and social anxiety. In both studies, social comparisons and momentary affect/social anxiety were more strongly linked in people with elevated trait social anxiety/SAD compared to less socially anxious participants. Participants in Study 2-even those with SAD-made more favorable social comparisons when they were with other people than when alone. Taken together, results suggest that social anxiety is associated with unfavorable, unstable self-views that are linked to compromised well-being. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

与内化标准相比,对自我的判断是社交焦虑理论框架的核心。然而,关于社会比较——人们如何看待自己与他人之间的关系——以及社交焦虑的实证研究却很少。本研究项目通过两项经验抽样研究,包括273名成年人的8396个独特条目,研究了社交焦虑背景下日常社会比较的本质。在数据分析之前,假设和分析在开放科学基金会(OSF)预先注册。研究1是一项为期3周的大学生每日日记研究,研究2是一项为期2周的生态瞬时评估(EMA)研究,研究对象是诊断为社交焦虑障碍(SAD)的成年人临床样本和心理健康对照组。在这两项研究中,社交焦虑都与不太有利、更不稳定的社会比较有关。在两项研究中,有利的社会比较与较高的积极情绪和较低的消极情绪和社交焦虑有关。在这两项研究中,与社交焦虑程度较低的参与者相比,社交焦虑/SAD特质较高的人群中,社会比较和瞬间情感/社交焦虑的联系更为紧密。研究2中的参与者——即使是那些患有sad的人——在与他人在一起时比独自一人时更容易进行有利的社会比较。综上所述,研究结果表明,社交焦虑与不利的、不稳定的自我观点有关,而自我观点又与健康受损有关。(PsycInfo Database Record (c) 2021 APA,版权所有)。
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引用次数: 7
Fear conditioning in women with anorexia nervosa and healthy controls: A preliminary study. 神经性厌食症女性和健康对照者的恐惧调节:初步研究。
IF 4.6 1区 心理学 Q1 Medicine Pub Date : 2021-07-01 DOI: 10.1037/abn0000549
Ellen Lambert, Janet Treasure, Kirstin L Purves, Thomas McGregor, Nicol Bergou, Carol Kan, Gerome Breen, Thalia C Eley, Valentina Cardi

Anorexia nervosa is characterized by anxiety-driven behaviors, such as food avoidance and distressing persistent thoughts about weight gain and body image. The present study used a classical fear conditioning procedure to test the processes of fear acquisition and generalization, extinction, and renewal in patients with anorexia nervosa and healthy controls. An app-based fear conditioning procedure was administered remotely to 64 patients and 60 healthy controls, over two sessions. A human female scream served as the unconditioned stimulus (US) and two neutral shapes were used as either the paired conditioned stimulus (danger cue; CS+) or the unpaired conditioned stimulus (safe cue; CS-). Patients with anorexia nervosa reported greater threat expectancy in response to the danger cue during the extinction and renewal phases and overall higher levels of negative affect throughout the task, compared with controls. Future research is warranted to replicate these findings and highlight the role that anxiety plays in explaining fear conditioning responses in patients with anorexia nervosa. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

神经性厌食症的特征是焦虑驱动的行为,比如逃避食物,持续不断地想着体重增加和身体形象。本研究采用经典的恐惧条件反射程序测试了神经性厌食症患者和健康对照者的恐惧习得、泛化、消退和更新过程。在两个疗程中,对64名患者和60名健康对照者远程实施了基于应用程序的恐惧调节程序。一个人类女性的尖叫被用作非条件刺激(US),两个中性的形状被用作成对的条件刺激(危险线索;CS+)或非配对条件刺激(安全提示;CS -)。与对照组相比,神经性厌食症患者在消失和更新阶段对危险线索的反应中表现出更大的威胁预期,在整个任务过程中总体上表现出更高水平的负面影响。未来的研究有理由重复这些发现,并强调焦虑在解释神经性厌食症患者的恐惧条件反射反应中所起的作用。(PsycInfo Database Record (c) 2021 APA,版权所有)。
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引用次数: 14
The associations between polygenic risk, sensation seeking, social support, and alcohol use in adulthood. 多基因风险、寻求感觉、社会支持和成年后饮酒之间的关系。
IF 4.6 1区 心理学 Q1 Medicine Pub Date : 2021-07-01 DOI: 10.1037/abn0000568
Jinni Su, Sally I-Chun Kuo, Fazil Aliev, Grace Chan, Howard J Edenberg, Chella Kamarajan, Vivia V McCutcheon, Jacquelyn L Meyers, Marc Schuckit, Jay Tischfield, Danielle M Dick

Genetic predispositions play an important role in alcohol use. Understanding the psychosocial mechanisms through which genetic risk unfolds to influence alcohol use outcomes is critical for identifying modifiable targets and developing prevention and intervention efforts. In this study, we examined the role of sensation seeking and social support from family and friends in linking genetic risk to alcohol use. We also examined the role of social support in moderating the associations between genetic risk and sensation seeking and alcohol use. Data were drawn from a sample of 2,836 European American adults from the Collaborative Study on the Genetics of Alcoholism (46% male, mean age = 35.65, standard deviation [SD] = 10.78). Results from path analysis indicated that genome-wide polygenic scores for alcohol consumption (alc-GPS) were associated with higher sensation seeking, which in turn was associated with higher levels of alcohol use. alc-GPS was also associated with higher alcohol use indirectly via lower levels of family support. In addition, high friend support attenuated the association between alc-GPS and sensation seeking and alcohol use. The pattern of associations was similar for males and females, with some differences in the associations between social support and alcohol use observed across age. Our findings highlight the important role of intermediate phenotypes and gene-environment interplay in the pathways of risk from genetic predispositions to complex alcohol use outcomes. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

遗传易感性在饮酒中起着重要作用。了解遗传风险影响饮酒结果的心理社会机制,对于确定可改变的目标和开展预防和干预工作至关重要。在这项研究中,我们考察了来自家人和朋友的感觉寻求和社会支持在将遗传风险与饮酒联系起来方面的作用。我们还研究了社会支持在调节遗传风险与寻求感觉和饮酒之间的关联方面的作用。数据来自酒精中毒遗传学合作研究的2836名欧美成年人(46%为男性,平均年龄=35.65,标准差[SD]=10.78)。路径分析结果表明,饮酒全基因组多基因评分(alc-GPS)与更高的感觉寻求相关,这反过来又与更高水平的酒精使用有关。alc GPS也通过较低的家庭支持水平间接与较高的饮酒量有关。此外,高度的朋友支持减弱了alc GPS与寻求感觉和饮酒之间的联系。男性和女性的关联模式相似,不同年龄段的社会支持和饮酒之间的关联存在一些差异。我们的研究结果强调了中间表型和基因-环境相互作用在从遗传易感性到复杂饮酒结果的风险途径中的重要作用。(PsycInfo数据库记录(c)2021 APA,保留所有权利)。
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引用次数: 0
Moral strategies and psychopathic traits. 道德策略和精神病态特征。
IF 4.6 1区 心理学 Q1 Medicine Pub Date : 2021-07-01 DOI: 10.1037/abn0000675
Josi M A Driessen, Jeroen M van Baar, Alan G Sanfey, Jeffrey C Glennon, Inti A Brazil

Psychopathy is a personality construct encompassing impaired interpersonal-affective functioning, combined with the inclination to lead an erratic lifestyle and to engage in antisocial acts. Individuals with elevated psychopathic traits often make decisions that have a negative impact on others. Some findings suggest that a lack of empathy and guilt is a key explanatory factor, while other results point toward a decreased sense of fairness in individuals with elevated psychopathic traits. The goal of the present study was to directly compare these hypotheses. Eighty-six healthy individuals completed the Self-Report Psychopathy scale and performed the Hidden Multiplier Trust Game, a socioeconomic decision-making task designed to untangle the roles of guilt and fairness during decision-making. Computational modeling of choice data identified five types of moral decision strategies: inequity aversion, guilt aversion, moral opportunism, greed, and generosity. The model-free results demonstrated that psychopathic traits were associated with lower levels of reciprocity. The model-based results suggested that a reduced sense of fairness, associated with affective traits, was driving this behavior. Our findings stress the importance of treating guilt and fairness as independent concepts, and highlight the importance of improving conceptual precision in untangling the individual impact of fairness and guilt, as this could help explain the mixed results in moral decision-making literature. Elucidating the psychological motivations underlying the relationship between psychopathic traits and poor social decision-making opens new avenues for research on the underlying cognitive mechanisms. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

精神病是一种人格结构,包括人际情感功能受损,以及倾向于过一种不稳定的生活方式和从事反社会行为。具有高度精神病态特征的人经常做出对他人产生负面影响的决定。一些研究结果表明,缺乏同理心和内疚感是一个关键的解释因素,而其他研究结果则指出,具有较高精神病特征的个体公平感下降。本研究的目的是直接比较这些假设。86名健康个体完成了自我报告精神病量表,并进行了隐藏乘数信任游戏,这是一项社会经济决策任务,旨在理清决策过程中内疚和公平的作用。选择数据的计算模型确定了五种类型的道德决策策略:不公平厌恶、内疚厌恶、道德机会主义、贪婪和慷慨。无模型结果表明,精神病态特征与较低水平的互惠有关。基于模型的结果表明,与情感特征相关的公平感的降低正在推动这种行为。我们的研究结果强调了将内疚和公平视为独立概念的重要性,并强调了在理清公平和内疚的个人影响时提高概念精度的重要性,因为这有助于解释道德决策文献中的混合结果。阐明精神病态特征与不良社会决策之间关系的心理动机,为研究其潜在的认知机制开辟了新的途径。(PsycInfo Database Record (c) 2021 APA,版权所有)。
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引用次数: 7
Supplemental Material for Relationship Between Transdiagnostic Dimensions of Psychopathology and Traumatic Brain Injury (TBI): A TRACK-TBI Study 精神病理学跨诊断维度与创伤性脑损伤(TBI)之间关系的补充材料:一项TRACK-TBI研究
IF 4.6 1区 心理学 Q1 Medicine Pub Date : 2021-06-07 DOI: 10.1037/abn0000672.supp
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引用次数: 0
Longitudinal associations of cannabis, depression, and anxiety in heterosexual and LGB adolescents. 异性恋和LGB青少年大麻、抑郁和焦虑的纵向关联。
IF 4.6 1区 心理学 Q1 Medicine Pub Date : 2021-05-01 DOI: 10.1037/abn0000542
Kira London-Nadeau, Charlie Rioux, Sophie Parent, Frank Vitaro, Sylvana M Côté, Michel Boivin, Richard E Tremblay, Jean R Séguin, Natalie Castellanos-Ryan

Cannabis use is linked to symptoms of depression and anxiety, particularly among sexual minorities. This study examines the relationships between cannabis, and depression and anxiety symptoms at 13, 15, and 17 years using cross-lagged models in a predominantly White (n = 1,430; 92%) subsample of 1,548 participants from the Quebec Longitudinal study of Child Development. Multigroup analyses were conducted to examine the models according to sexual orientation. Demographic covariates were included as control variables, as well as alcohol, cigarette, and other drug use to examine cannabis specificity. The full sample revealed small bidirectional associations, which remained significant once control variables were included in the model: cannabis at 13 and 15 years predicted anxiety symptoms at 15 and 17 years respectively, and depression symptoms at 15 years predicted cannabis at 17 years. The initial association between cannabis at 13 years and depression symptoms at 15 years was accounted for by other drug use at 13 years. Substantial differences were found between heterosexual participants and sexual minorities: LGB participants presented a substantially larger positive association between depression symptoms at 15 years and cannabis at 17 years, as well as a negative association between anxiety symptoms at 15 years and cannabis at 17 years. Both of these relationships remained significant when accounting for control variables. These results suggest that the relationships between cannabis, and depression and anxiety symptoms are bidirectional across adolescence, albeit small. Sexual minorities present particularly large associations that may represent self-medication efforts for depressive symptoms between 15 and 17 years. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

大麻的使用与抑郁和焦虑的症状有关,尤其是在性少数群体中。本研究使用交叉滞后模型在以白人为主的地区(n = 1,430;92%)来自魁北克儿童发展纵向研究的1548名参与者的子样本。根据性取向进行多组分析来检验模型。人口统计学协变量作为控制变量,以及酒精、香烟和其他药物的使用来检查大麻的特异性。整个样本显示了小的双向关联,一旦控制变量被纳入模型,这种关联仍然显著:13岁和15岁的大麻分别预测15岁和17岁的焦虑症状,15岁的抑郁症状预测17岁的大麻。13岁时吸食大麻与15岁时出现抑郁症状之间的最初关联,已被13岁时使用其他药物所解释。异性恋参与者和性少数群体之间存在显著差异:LGB参与者在15岁时的抑郁症状与17岁时的大麻之间存在显著的正相关,在15岁时的焦虑症状与17岁时的大麻之间存在显著的负相关。当考虑控制变量时,这两种关系仍然很重要。这些结果表明,大麻与抑郁和焦虑症状之间的关系在青春期是双向的,尽管很小。性少数群体表现出特别大的关联,可能代表了15至17岁抑郁症状的自我药物治疗努力。(PsycInfo Database Record (c) 2021 APA,版权所有)。
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引用次数: 5
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Journal of abnormal psychology
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