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Population-Based Associations Among Cannabis Use, Anxiety, and Depression in Norwegian Adolescents 挪威青少年大麻使用、焦虑和抑郁的人群相关性
IF 0.6 4区 医学 Q2 Social Sciences Pub Date : 2018-05-03 DOI: 10.1080/1067828X.2018.1462281
Charlotte Kaasbøll, R. Hagen, R. Gråwe
ABSTRACT Objective: The aim of the study was to explore the use of cannabis among Norwegian adolescents and examine associations with self-reported symptoms of anxiety and depression, age, and dose/frequency of use. Methods: A total of 36,714 Norwegian adolescents between the ages of 13 and 17 completed a cross-sectional national survey. Results: Cannabis users reported significantly more symptoms of anxiety and depression compared to non-users. There were no significant differences on anxiety and depression scores between those who had tried the drug once and those who had tried it six times or more. Both cannabis use and the prevalence of symptoms of anxiety and depression were found to increase with age. Girls reported less use of cannabis and slightly more symptoms of anxiety and depression compared to boys. Conclusions: The present study contributes to the existing knowledge about important associations between cannabis use and symptoms of anxiety and depression in adolescents. Future research should focus on longitudinal methods in order to better understand the role of environmental and neurobiological explanatory factors.
摘要目的:本研究旨在探讨挪威青少年对大麻的使用情况,并考察其与自我报告的焦虑和抑郁症状、年龄和使用剂量/频率的关系。方法:共有36714名年龄在13岁至17岁之间的挪威青少年完成了一项横断面全国调查。结果:大麻使用者报告的焦虑和抑郁症状明显多于非使用者。试过一次药物的人和试过六次或六次以上药物的人在焦虑和抑郁评分上没有显著差异。大麻的使用以及焦虑和抑郁症状的患病率都随着年龄的增长而增加。据报告,与男孩相比,女孩较少使用大麻,焦虑和抑郁症状略多。结论:本研究有助于了解大麻使用与青少年焦虑和抑郁症状之间的重要联系。未来的研究应该侧重于纵向方法,以便更好地理解环境和神经生物学解释因素的作用。
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引用次数: 6
Drug Use and Violence Among Adolescents: The Mediation Effect of Attitudes Supporting Violence 青少年吸毒与暴力:支持暴力态度的中介作用
IF 0.6 4区 医学 Q2 Social Sciences Pub Date : 2018-04-30 DOI: 10.1080/1067828X.2018.1462282
Giannino Melotti, S. Passini
ABSTRACT The aim of this article is to study the impact of violent attitudes on the drug use/violent delinquency relationship. A total of 1,420 adolescents from the province of Rimini (Italy) completed a questionnaire concerning drug use, violent behaviors, and attitudes toward violence. In general, the results seem to confirm that part of the literature that suggests that people who make frequent use of drugs are also those subjects who are more frequently involved in violent behaviors. However, mediation analyses show that both soft and hard drug use have an indirect effect—mediated by attitudes of violence—on violent behaviors. The results suggest the influence of sociopsychological variables (i.e., attitudes and culture of violence) on the relationship between drug abuse and violent behavior. In planning policies to prevent violent behavior, educational and political institutions should encourage interventions addressed to the promotion of a nonviolent culture.
摘要本文旨在探讨暴力态度对吸毒/暴力犯罪关系的影响。里米尼省(意大利)共有1 420名青少年填写了一份关于吸毒、暴力行为和对待暴力态度的问卷。总的来说,研究结果似乎证实了部分文献表明,频繁使用毒品的人也更频繁地参与暴力行为。然而,中介分析表明,软性和硬性药物使用对暴力行为都有间接影响(由暴力态度介导)。结果表明,社会心理变量(即暴力态度和暴力文化)对药物滥用与暴力行为之间的关系有影响。在规划防止暴力行为的政策时,教育和政治机构应鼓励旨在促进非暴力文化的干预措施。
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引用次数: 1
Parenting Behaviors and Their Relationship With Alcohol Involvement in Mexican Teenagers and Young Adults 墨西哥青少年的父母行为及其与饮酒的关系
IF 0.6 4区 医学 Q2 Social Sciences Pub Date : 2018-04-12 DOI: 10.1080/1067828X.2018.1455612
M. Villegas-Pantoja, F. Guzmán-Facundo, M. Alonso-Castillo, José Moral de la Rubia, K. López-García
ABSTRACT This study aimed to identify relationships between perceived parenting behaviors and alcohol involvement in Mexican teenagers and young adults. Egna Minnen Beträffande Uppfostran (EMBU-I) and Alcohol Use Disorders Identification Test (AUDIT) questionnaires were administered to 276 students from technical schools. Lifetime prevalence of alcohol use was 76.1%. Findings revealed that higher perception of parenting behaviors (rejection and overprotection) was significantly related to higher involvement with alcohol. Those results were consistent in men. Results suggest that parental rejection and overprotection, as well as sex of the offspring, are key elements that must be studied extensively among youths in order to justify preventive strategies toward reducing alcohol use in Mexico.
摘要本研究旨在确定墨西哥青少年和年轻人的感知育儿行为与饮酒之间的关系。对276名技术学校的学生进行了Egna Minnen Beträffande Uppfostran(EMBU-I)和酒精使用障碍识别测试(AUDIT)问卷调查。终生饮酒的患病率为76.1%。研究结果显示,对父母行为(排斥和过度保护)的认知程度越高,饮酒程度越高。这些结果在男性中是一致的。研究结果表明,父母的排斥和过度保护,以及后代的性别,是必须在年轻人中广泛研究的关键因素,以证明墨西哥减少饮酒的预防策略是合理的。
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引用次数: 3
Posttraumatic Stress Disorder Symptoms, Family Environment, and Substance Abuse Symptoms in Emerging Adults 新生成人的创伤后应激障碍症状、家庭环境和药物滥用症状
IF 0.6 4区 医学 Q2 Social Sciences Pub Date : 2018-04-06 DOI: 10.1080/1067828X.2018.1446861
T. Gilhooly, A. Bergman, Joshua Stieber, E. Brown
ABSTRACT Emerging adulthood is a developmental period spanning roughly from 18 to 25 years old and is marked with high rates of co-occurring substance abuse and posttraumatic stress disorder symptoms, especially for those who are “disconnected,” such as high school dropouts. This comorbidity can lead to more functional impairments than symptoms of either alone, but little is known about factors that moderate this association. Our goal was to investigate family environment as a moderator between these symptoms in a sample of 99 “disconnected” emerging adults. Participants were recruited from a GED program in Queens, New York. Students in this program had previously dropped out of high school, ranged in age from ages 16 to 21 years old, and were ethnically diverse. Participants were recruited from their classrooms at the GED program by the principal investigator and/or doctoral students involved in the study. The data were collected through questionnaires and interviews. Participants were assessed for exposure to traumatic events, symptoms of posttraumatic stress disorder (PTSD), substance use, and family environment. Correlation and hierarchical regression were used to analyze the data. Findings were that PTSD symptoms and substance abuse symptoms were positively correlated in this sample, and that aspects of family environment were found to moderate the association between substance abuse and posttraumatic stress disorder symptoms. Implications for future research, treatment, and prevention are discussed.
摘要新兴成年期是一个大约从18岁到25岁的发展期,其特点是同时发生药物滥用和创伤后应激障碍症状的比率很高,尤其是对于那些“脱节”的人,如高中辍学者。这种合并症可能导致比单独症状更多的功能损伤,但对调节这种关联的因素知之甚少。我们的目标是在99名“脱节”的新兴成年人中调查家庭环境作为这些症状之间的调节因素。参与者是从纽约皇后区的GED项目中招募的。该项目的学生以前曾从高中辍学,年龄从16岁到21岁不等,种族多样。参与者是由参与该研究的首席研究员和/或博士生从GED项目的教室中招募的。数据是通过问卷调查和访谈收集的。参与者接受了创伤事件暴露、创伤后应激障碍(PTSD)症状、药物使用和家庭环境的评估。采用相关分析和层次回归方法对数据进行分析。研究结果表明,在该样本中,创伤后应激障碍症状和药物滥用症状呈正相关,家庭环境的各个方面被发现可以调节药物滥用和创伤后压力障碍症状之间的关联。讨论了对未来研究、治疗和预防的影响。
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引用次数: 10
Strengthening Families Program: An Evidence-Based Family Intervention for Parents of High-Risk Children and Adolescents 加强家庭计划:对高危儿童和青少年父母的循证家庭干预
IF 0.6 4区 医学 Q2 Social Sciences Pub Date : 2018-03-26 DOI: 10.1080/1067828X.2018.1443048
K. Kumpfer, C. Magalhães
ABSTRACT This article reviews the contents and research on the Strengthening Families Program (SFP), a family evidence-based seven- to 14-session intervention for drug prevention in high-risk children ages 0 to 17. Twelve Randomized Control Trials (RCTs) found significant improvements in youths' behavioral health, including 50% reductions in substance misuse, depression/anxiety, and child maltreatment. Culturally adapted SFP versions have improved family relations and the children's behavioral health in 36 countries. To reduce costs of SFP's family groups, a SFP Years DVD was developed and found effective in schools, health clinics, child welfare, and juvenile justice. Future directions include putting SFP on the Web and on smartphones.
本文综述了强化家庭计划(SFP)的内容和研究,SFP是一种以家庭为基础的针对0 ~ 17岁高危儿童毒品预防的7 ~ 14次干预。12项随机对照试验(RCTs)发现,青少年的行为健康有了显著改善,包括药物滥用、抑郁/焦虑和儿童虐待减少了50%。适应不同文化的SFP版本改善了36个国家的家庭关系和儿童行为健康。为了降低SFP家庭团体的成本,我们制作了SFP年DVD,并发现它在学校、诊所、儿童福利和少年司法机构都很有效。未来的发展方向包括将SFP应用于网络和智能手机。
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引用次数: 37
Polysubstance Use Among First-Year NCAA College Student-Athletes NCAA大学生一年级运动员的多物质使用
IF 0.6 4区 医学 Q2 Social Sciences Pub Date : 2018-03-26 DOI: 10.1080/1067828X.2018.1444524
M. Orsini, Jeffrey J. Milroy, D. Wyrick, Lindsey Sanders
ABSTRACT The purpose of this article is to investigate polysubstance use among college student-athletes and determine whether use is independent of gender, race, season status, and athletic division. College student-athletes responded to questions related to their past-30-day use of alcohol, tobacco, marijuana, and prescription drugs. Findings suggest that polysubstance use differs significantly by gender, race, season status, and athletic division. Although a majority of college student-athletes do not engage in polysubstance use, it is reported more frequently for alcohol and tobacco, and alcohol and marijuana. Due to serious consequences associated with polysubstance use, practitioners should consider expanding prevention and treatment efforts to address polysubstance use.
摘要本文的目的是调查大学生运动员的多物质使用情况,并确定其使用是否与性别、种族、季节状况和运动分区无关。大学生运动员回答了与他们过去30天使用酒精、烟草、大麻和处方药有关的问题。研究结果表明,多物质的使用因性别、种族、季节状况和运动划分而有显著差异。尽管大多数大学生运动员不使用多物质,但据报道,酒精和烟草以及酒精和大麻的使用频率更高。由于使用多种物质会产生严重后果,从业者应考虑扩大预防和治疗工作,以解决多种物质的使用问题。
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引用次数: 4
Health and Social Difficulties in High School Students using High Amounts of Alcohol and Drugs: Implications for Screening 使用大量酒精和药物的高中生的健康和社会困难:筛选的意义
IF 0.6 4区 医学 Q2 Social Sciences Pub Date : 2018-03-22 DOI: 10.1080/1067828X.2018.1443865
Grant Christie, T. Fleming, Arier C. Lee, T. Clark
ABSTRACT The use of frequency-based criteria to detect harmful substance use in adolescents is rare despite its potential to identify young people at risk. We compared high school students who use high amounts of substances to students with lower levels (or nil) of use across health and well-being indicators to explore the feasibility of this kind of categorization. Based on survey questions from Youth'12, a cross-sectional adolescent health survey involving 3% (8,500) of New Zealand high school students, we selected criteria indicative of substance use that would warrant specialist alcohol and other drugs (AOD) treatment. Two sets of “high-use” criteria (e.g., drinking “alcohol most days a week or more”) for both older and younger adolescents were selected. Eleven percent of students met criteria for “high use,” with higher rates in males and older students. Rates of high use were similar across high-, medium- and low-deprivation neighborhoods. Binge alcohol use (9.2%) was the predominant form of “high use.” Students with “high use” reported poorer health outcomes across numerous areas including mental health, physical health, risk behaviors, and access to health care. Only 5% of “high-use” students had accessed an AOD service. The wide range of negative health outcomes associated with a high level of substance use suggests that brief screening focusing on the level of substance use may help in identifying young people at risk. Simple and brief processes may improve the uptake and implementation of screening in primary care and other settings, and further research in this area is recommended.
使用基于频率的标准来检测青少年有害物质使用情况是罕见的,尽管它有可能识别处于危险中的年轻人。我们比较了使用大量物质的高中生和使用较低水平(或零)物质的学生的健康和福祉指标,以探索这种分类的可行性。根据Youth'12的调查问题,一项涉及3%(8,500)新西兰高中生的横断面青少年健康调查,我们选择了表明物质使用的标准,这些标准可以保证专科酒精和其他药物(AOD)治疗。为年龄较大和年龄较小的青少年选择了两套“高使用”标准(例如,饮酒“一周大多数天或更多”)。11%的学生达到了“高使用率”的标准,其中男性和年龄较大的学生比例更高。在高、中、低贫困社区,高使用率是相似的。酗酒(9.2%)是“重度饮酒”的主要形式。“高使用率”的学生在心理健康、身体健康、风险行为和获得医疗保健等多个领域的健康状况都较差。只有5%的“高使用率”学生使用了AOD服务。与高水平药物使用相关的广泛负面健康结果表明,以药物使用水平为重点的简短筛查可能有助于确定处于危险中的年轻人。简单和简短的过程可能会改善初级保健和其他环境中筛查的吸收和实施,并建议在这一领域进行进一步研究。
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引用次数: 1
Evaluation of Substance Abuse Education at Schools for Students with Disabilities: A Preventative Approach 残疾学生学校药物滥用教育的预防评价
IF 0.6 4区 医学 Q2 Social Sciences Pub Date : 2018-02-23 DOI: 10.1080/1067828X.2018.1431991
Eman Al-Zboon
ABSTRACT This study examined teachers' professional perceptions about substance abuse (SA) education in Jordanian schools serving students with disabilities. Thematic analysis was conducted on interviews obtained from 60 teachers. Teachers indicated that they had low levels of professional preparation for their role as addiction educators; they also considered the SA education in their schools to be inadequate and expressed a desire for more courses on SA. These results suggest that the Ministry of Education (MOE) and Ministry of Health (MOH) should emphasize the need for programs to address special education (SE) teachers' perceptions about their vital role in SA education in Jordanian schools serving students with disabilities and also to improve teachers' professional competencies
摘要本研究调查了约旦残疾学生学校教师对药物滥用(SA)教育的专业认知。对60名教师的访谈进行了专题分析。教师们表示,他们作为成瘾教育工作者的专业准备水平很低;他们还认为学校的SA教育不足,并表示希望开设更多SA课程。这些结果表明,教育部(MOE)和卫生部(MOH)应强调制定计划的必要性,以解决特殊教育(SE)教师对其在约旦残疾学生学校SA教育中的重要作用的看法,并提高教师的专业能力
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引用次数: 0
Psychometric Evaluation of a Brief Depression Measure for Justice-Involved Youths: A Multigroup Comparison 正义感青年短暂抑郁量表的心理测量评估:多组比较
IF 0.6 4区 医学 Q2 Social Sciences Pub Date : 2018-02-22 DOI: 10.1080/1067828X.2018.1431990
R. Dembo, J. Faber, J. Cristiano, R. DiClemente, Julie M. Krupa, Jennifer Wareham, Asha Terminello
ABSTRACT The Center for Epidemiological Studies Depression Scale (CES-D) is a widely used screening tool for depression among adults and children. However, the validity of the CES-D has yet to be established among justice-involved youths, a population known to have higher levels of depressive symptoms in comparison to samples of community adolescents. The current study examines the psychometric characteristics of the eight-item version of the CES-D among newly arrested youths. Data were obtained through a local health coach service project, designed to provide linkage to treatment for justice-involved youths who are drug involved, test positive for HIV or other STDs, or have high levels of depressive symptoms. A multigroup, confirmatory factor analysis of the depression symptoms for subgroups defined by gender/race self-identification was conducted to assess the psychometric characteristics of the CES-D among these newly arrested youths. Results produced statistical evidence in support of one factor in the eight-item depression data and a similar factor structure across the various gender/racial groups. Criterion-related validity of the depression factor was also explored. Findings support the usefulness of the eight-item CES-D for use among gender-diverse and ethnically diverse youths.
流行病学研究中心抑郁量表(CES-D)是一种广泛使用的成人和儿童抑郁症筛查工具。然而,CES-D的有效性尚未在参与司法的青少年中得到证实,与社区青少年样本相比,这一人群的抑郁症状水平更高。本研究以新被捕青少年为研究对象,考察八项ce - d量表的心理测量特征。数据是通过一个地方保健教练服务项目获得的,该项目旨在为吸毒、艾滋病毒或其他性传播疾病检测呈阳性或有严重抑郁症状的参与司法的青年提供与治疗的联系。对以性别/种族自我认同界定的亚组进行抑郁症状的多组验证性因素分析,以评估这些新被捕青年的CES-D心理测量特征。结果产生了统计证据,支持八项抑郁数据中的一个因素,以及不同性别/种族群体的类似因素结构。并探讨抑郁因素的效度。调查结果支持八项CES-D在不同性别和种族的青年中使用的有用性。
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引用次数: 11
A Cross-Sectional Study of the Impact of Standardized Tobacco Packaging Legislation on University Students 烟草包装标准化立法对大学生影响的横断面研究
IF 0.6 4区 医学 Q2 Social Sciences Pub Date : 2018-02-20 DOI: 10.1080/1067828X.2018.1431992
Tom Poundall, I. Bogdanovica, T. Langley
ABSTRACT Background: European Union and national legislation implemented from May 2016 mean that from May 2017 all tobacco products in the United Kingdom must be sold in standardized packs without external branding and with prominent graphic health warnings. This study investigates the level of awareness and acceptability of the legislation in students during the implementation period, and how the legislation may impact on student perceptions of pack attributes, health warning effectiveness, student smokers' willingness to pay for cigarette packs, and intentions to quit. Methods: An online survey link was e-mailed to randomly selected University of Nottingham students in autumn 2016. Descriptive statistics and multivariate logistic regression models were used to investigate awareness, acceptability, and potential quitting behavior. Results: 546 students (175 smokers, 371 nonsmokers) responded. Very few of students had seen a standardized pack. Smokers were more likely to be aware of the new legislation than non-smokers. More smokers noticed the warnings on standardized packs than on branded ones. Fewer smokers were willing to pay current prices for standardized packs than for 20 branded packs. Just under half of smokers anticipated quitting in response to the new legislation, with those who smoke infrequently being more likely to anticipate quitting than daily smokers. Conclusions: Few students had seen a standardized pack, suggesting that the level of implementation of the legislation was low five to six months into the implementation period. However, the findings suggest that the legislation has the potential to increase quitting behavior in smoking students.
摘要背景:自2016年5月起实施的欧盟和国家立法意味着,从2017年5月开始,英国所有烟草产品必须以标准包装出售,不得使用外部品牌,并带有显著的健康警告图形。本研究调查了实施期间学生对该立法的认识和可接受程度,以及该立法如何影响学生对烟盒属性、健康警告有效性、学生吸烟者为烟盒付费的意愿和戒烟意愿的看法。方法:通过电子邮件向2016年秋季随机选择的诺丁汉大学学生发送在线调查链接。使用描述性统计和多变量逻辑回归模型来调查意识、可接受性和潜在的戒烟行为。结果:546名学生(175名吸烟者,371名非吸烟者)做出了回应。很少有学生见过标准的背包。吸烟者比非吸烟者更有可能意识到新的立法。更多的吸烟者注意到标准包装上的警告,而不是品牌包装上的。与20种品牌包装相比,愿意为标准包装支付当前价格的吸烟者更少。不到一半的吸烟者预计会根据新立法戒烟,而那些不经常吸烟的人比日常吸烟者更有可能戒烟。结论:很少有学生看到标准化的包装,这表明在实施期的五到六个月内,立法的实施水平很低。然而,研究结果表明,这项立法有可能增加吸烟学生的戒烟行为。
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引用次数: 8
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JOURNAL OF CHILD & ADOLESCENT SUBSTANCE ABUSE
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