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The adverse effects of marijuana use: The present state and future directions 大麻使用的不良影响:现状和未来方向
IF 0.6 4区 医学 Q2 Social Sciences Pub Date : 2019-03-01 DOI: 10.1080/1067828X.2018.1561580
P. Śledziński, J. Zeyland, R. Słomski, A. Nowak-Terpiłowska
Abstract Marijuana is recently a subject of a global debate due to potential medical application of cannabis products and the progressive legalization of its recreational use. This situation leads to the need for access to comprehensive and reliable information about the effects of marijuana intake. Our review presents the actual state of knowledge regarding acute and chronic health effects generated by recreational marijuana use. Marijuana smoking can lead to structural and functional alterations in the central nervous system. These effects are especially significant and dangerous at the prenatal, child, and adolescence periods. In contrary to a common myth, cannabis does exhibit an addictive potency, albeit not a strong one. We discuss the “cannabis gateway hypothesis,” which suggests that marijuana use can be the first step before trying more dangerous drugs. However, drawing significant conclusions is difficult due to the strong impact of confounders and often unclear relationships among studied factors, especially in the socioeconomic context. Moreover, we point to the need for the unbiased assessment of the harm generated by marijuana in comparison with other drugs.
摘要大麻最近成为全球辩论的主题,因为大麻产品的潜在医学应用及其娱乐用途的逐渐合法化。这种情况导致需要获得关于大麻摄入影响的全面可靠的信息。我们的综述介绍了娱乐性大麻使用对急性和慢性健康影响的实际知识状况。吸食大麻会导致中枢神经系统的结构和功能改变。这些影响在产前、儿童期和青春期尤为严重和危险。与一个常见的神话相反,大麻确实表现出成瘾性,尽管不是很强。我们讨论了“大麻门户假说”,该假说表明,在尝试更危险的药物之前,使用大麻可能是第一步。然而,由于混杂因素的强烈影响以及研究因素之间的关系往往不明确,特别是在社会经济背景下,很难得出重要结论。此外,我们指出,与其他药物相比,需要对大麻产生的危害进行公正评估。
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引用次数: 2
Inhalant Use Among Child Welfare–Involved Adolescents 儿童福利中的吸入剂使用——涉及青少年
IF 0.6 4区 医学 Q2 Social Sciences Pub Date : 2019-01-02 DOI: 10.1080/1067828X.2018.1561576
D. Merritt, Susan M. Snyder
Abstract Illicit substance use, especially of inhalants, is a public health crisis during adolescence, particularly for maltreated youths. This study advances the literature by highlighting the prevalence of inhalant use among child welfare–involved adolescents. Using the National Survey of Child and Adolescent Well-Being (NSCAW) II data set, case-status factors, problem behaviors, deviant peers, delinquency, depression, and school peer engagement were inspected using logistic regression. Females, delinquency, deviant peers, problematic behaviors, and depression are positively related to inhalant use, whereas youth school peer engagement mitigates inhalant use. Attention to peer relationships and psychosocial risk factors is necessary for adolescents.
非法药物使用,特别是吸入剂,是青春期的公共卫生危机,特别是对受虐待的青少年。本研究通过强调吸入剂使用在儿童福利参与青少年的患病率推进文献。采用国家儿童和青少年幸福感调查(NSCAW) II数据集,采用logistic回归对病例状态因素、问题行为、越轨同伴、犯罪、抑郁和学校同伴参与进行检验。女性、犯罪、越轨同伴、问题行为和抑郁与吸入剂使用呈正相关,而青少年学校同伴参与则减轻吸入剂使用。对青少年来说,关注同伴关系和社会心理风险因素是必要的。
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引用次数: 1
Emotion Regulation Outcomes and Preliminary Feasibility Evidence From a Mindfulness Intervention for Adolescent Substance Use 正念干预青少年物质使用的情绪调节结果及初步可行性证据
IF 0.6 4区 医学 Q2 Social Sciences Pub Date : 2019-01-02 DOI: 10.1080/1067828X.2018.1561577
B. Russell, M. Hutchison, Alaina Fusco
Abstract Based on the evidence that emotion regulation difficulties underpin many mental health struggles during adolescence, including substance use disorders (SUDs), we focused on distress tolerance as a particularly salient mechanism of action for bolstering emotion regulation outcomes for adolescents in early SUD recovery. Mindfulness-based interventions are effective in improving distress tolerance through teaching skills to reduce individuals’ perceived stress or feelings of crisis and increasing a sense of agency and self-regulatory efficacy. The aim of the present study was to improve emotion regulation outcomes in the student body of a recovery high school (N = 27) through six weeks of mindfulness intervention content delivered in a small-group format. Thus, we tested feasibility through recruitment and retention rates and examined preliminary efficacy outcomes from two, randomized mindfulness intervention conditions, and used a comparison group of students without an SUD diagnosis (N = 29) sampled from the community. Results indicate significant post-intervention impacts on recovery students’ depression symptomology and on two separate measures of impulsivity (t(22) = 2.358, p < .05; t(20) = 2.358, p < .05; t(17) = 3.979, p < .01, respectively), although no significant differences between intervention condition were noted. Findings from the current study echo similar studies with comparable samples. Implications for the dosage and approach of group-format mindfulness interventions for adolescent samples are discussed.
摘要基于情绪调节困难是青春期许多心理健康问题的基础,包括物质使用障碍(SUD),我们将注意力集中在痛苦耐受上,这是在SUD早期康复中支持青少年情绪调节结果的一个特别突出的作用机制。基于正念的干预措施通过教授减少个人感知压力或危机感的技能,提高代理感和自我调节效能,有效地提高了痛苦承受能力。本研究的目的是通过以小组形式提供为期六周的正念干预内容,改善康复高中(N=27)学生群体的情绪调节结果。因此,我们通过招募率和保留率测试了可行性,并检查了两种随机正念干预条件的初步疗效结果,并使用了一组从社区抽样的未被诊断为SUD的学生(N=29)进行比较。结果表明,干预后对康复学生的抑郁症状和两种独立的冲动性测量有显著影响(t(22)=2.358,p < .05;t(20) = 2.358,p < .05;t(17) = 3.979,p < .01),尽管干预条件之间没有显著差异。当前研究的结果与具有可比样本的类似研究相呼应。讨论了对青少年样本进行团体形式正念干预的剂量和方法的影响。
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引用次数: 14
The Moderator Role of Caffeine Intake in Adolescents’ Sleep and Health Behaviors 咖啡因摄入对青少年睡眠和健康行为的调节作用
IF 0.6 4区 医学 Q2 Social Sciences Pub Date : 2019-01-02 DOI: 10.1080/1067828X.2018.1561573
Sílvia Pucci, M. G. Pereira
Abstract The aim of this study was to examine the relationships among excessive daytime sleepiness, family sleep behaviors, sleep quality, and health behaviors, as well as the role of caffeine intake as a moderator. The study included a sample of 272 adolescents that answered a sociodemographic questionnaire, the Family Sleep Questionnaire, the Pittsburgh Sleep Quality Index, the Modified Excessive Sleepiness Scale, and the Health Behavior Questionnaire. The results revealed that higher caffeine intake was associated with worse sleep quality, worse family sleep behaviors, and fewer healthy behaviors. However, caffeine intake was not associated with excessive daytime sleepiness. In addition, worse sleep quality was associated with worse family sleep behaviors, excessive daytime sleepiness, and fewer healthy behaviors. Worse family sleep behaviors were associated with excessive daytime sleepiness and lower health behaviors. Finally, excessive daytime sleepiness was associated with fewer healthy behaviors. Caffeine intake was a moderator in the relationship between daytime sleepiness and health behaviors. Health professionals (i.e., pediatricians, psychologists, and teachers), when intervening on sleep quality and health behaviors, should assess the adolescent’s caffeine intake.
摘要本研究的目的是检验白天过度嗜睡、家庭睡眠行为、睡眠质量和健康行为之间的关系,以及咖啡因摄入作为调节因素的作用。这项研究包括272名青少年的样本,他们回答了社会人口学问卷、家庭睡眠问卷、匹兹堡睡眠质量指数、改良过度嗜睡量表和健康行为问卷。研究结果表明,咖啡因摄入量越高,睡眠质量越差,家庭睡眠行为越差,健康行为越少。然而,摄入咖啡因与白天过度嗜睡无关。此外,睡眠质量越差,家庭睡眠行为越差,白天过度嗜睡,健康行为越少。更糟糕的家庭睡眠行为与白天过度嗜睡和健康行为降低有关。最后,白天过度嗜睡与健康行为减少有关。咖啡因摄入是日间嗜睡与健康行为之间关系的调节因素。健康专业人员(如儿科医生、心理学家和教师)在干预睡眠质量和健康行为时,应评估青少年的咖啡因摄入量。
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引用次数: 2
Predictors of Attrition From Residential Treatment for Youths With Addictive Behaviors 有成瘾行为的青少年住院治疗消耗的预测因素
IF 0.6 4区 医学 Q2 Social Sciences Pub Date : 2019-01-02 DOI: 10.1080/1067828X.2018.1561574
Amanda A. Uliaszek, N. Al-Dajani, Laura Mills
Abstract The present study sought to examine predictors of attrition from residential treatment for adolescents with addictive behaviors. Using data from 137 adolescents and their families, latent variable models were constructed to examine three child/adolescent factors and three parenting factors as predictors of attrition. Findings indicated that emotional/social difficulties and parental involvement in treatment, as well as their interaction, had a direct effect on attrition. In addition, parenting in adolescence interacted with both substance/behavioral problems and early caregiver discipline to predict attrition. This study provided insight into the exacerbating effects of neglectful or absent parenting practices in the successful completion of adolescent substance use treatment.
摘要本研究旨在检验有成瘾行为的青少年住院治疗的消耗预测因素。利用137名青少年及其家庭的数据,构建了潜在变量模型,以检验三个儿童/青少年因素和三个养育因素作为流失的预测因素。研究结果表明,情绪/社会困难和父母参与治疗以及他们的互动对减员有直接影响。此外,青春期的育儿与物质/行为问题和早期照顾者纪律相互作用,以预测损耗。这项研究深入了解了疏忽或缺席的育儿实践对成功完成青少年药物使用治疗的恶化影响。
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引用次数: 0
Age of drinking initiation as a mediator of the relationship between sensation seeking and heavy drinking among high school seniors 高三学生开始饮酒年龄在感觉寻求与重度饮酒关系中的中介作用
IF 0.6 4区 医学 Q2 Social Sciences Pub Date : 2019-01-02 DOI: 10.1080/1067828X.2018.1561579
D. Doumas, R. Turrisi, Raissa Miller, Susan Esp, B. Flay
Abstract Sensation seeking has been identified as a significant risk factor for adolescent alcohol use. Little is known, however, about the process by which sensation seeking impacts heavy alcohol use. The current study used structural equation modeling (SEM) to examine the relationships among sensation seeking, age of drinking initiation, and heavy alcohol use in a sample of high school seniors (N = 221). Results support age of drinking initiation as a mediator of the relationship between sensation seeking and heavy alcohol use. Implications include providing personality-targeted prevention to adolescents who display sensation-seeking traits to delay drinking initiation among these students.
感觉寻求已被确定为青少年酒精使用的重要危险因素。然而,人们对寻求感觉影响大量饮酒的过程知之甚少。目前的研究使用结构方程模型(SEM)来研究在高中毕业生(N = 221)中寻求感觉、开始饮酒年龄和大量饮酒之间的关系。结果支持开始饮酒的年龄是感觉寻求和大量饮酒之间关系的中介。其含义包括为那些表现出寻求刺激特征的青少年提供个性针对性的预防,以延迟这些学生的饮酒开始。
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引用次数: 3
Drugs and Alcohol Themes in Recent Feature Films: A Content Analysis 近期故事片中的毒品和酒精主题:内容分析
IF 0.6 4区 医学 Q2 Social Sciences Pub Date : 2019-01-02 DOI: 10.1080/1067828X.2018.1561575
J. El-Khoury, N. Bilani, Ahmad Abu-Mohammad, Rassil Ghazzaoui, G. Kassir, E. Rachid, S. El Hayek
Abstract Children and adolescents are increasingly exposed to various types of media. The power of film to shape attitudes and behaviors has been widely accepted in a number of different contexts. The goal of this study was to analyze the representation of illicit drugs and alcohol in movies recently released in the United States and available to an under-18 audience. A research team reviewed the content of all available G, PG, PG-13, and R-rated feature films released in the United States in April 2016. A standardized coding instrument was developed. It focused on the following parameters: nature of the substance, its implicit or explicit depiction, setting of use, characteristics of the user (age, gender, and role in movie), motivations behind use, and consequences of use. A descriptive evaluation of the variables and Fisher’s exact analysis of covariates and scene outcomes were carried at the bivariate level. Five out of thirty-three movies did not depict any substance use. Most scenes involved explicit alcohol use, usually by a male adult who was a secondary character. Comedy and action movies were more likely to display rewarding consequences for substance use. Scenes with social and sexual motivations for use were significantly more likely to have rewarding outcomes. Recent Hollywood movie productions accessible to under-18 audiences are likely to contain scenes with psychoactive substance use. More research is needed to understand the association between exposure to substance use through film and the shaping of relevant attitudes and behaviors in young audiences.
摘要儿童和青少年越来越多地接触各种类型的媒体。电影塑造态度和行为的力量在许多不同的背景下被广泛接受。这项研究的目的是分析最近在美国上映的18岁以下观众可以观看的电影中非法药物和酒精的表现。一个研究小组审查了2016年4月在美国上映的所有G级、PG级、PG-13级和R级故事片的内容。开发了一种标准化编码工具。它关注以下参数:物质的性质、其隐含或明确的描述、使用设置、用户的特征(年龄、性别和电影中的角色)、使用背后的动机和使用的后果。在双变量水平上对变量进行描述性评估,并对协变量和场景结果进行Fisher精确分析。三十三部电影中有五部没有描述任何物质使用。大多数场景都涉及露骨的饮酒,通常是由一个男性成年人作为次要角色。喜剧和动作片更有可能显示出物质使用的有益后果。具有社交和性动机的场景更有可能产生有益的结果。最近18岁以下观众可以观看的好莱坞电影很可能包含使用精神活性物质的场景。需要更多的研究来了解通过电影接触物质使用与年轻观众相关态度和行为的形成之间的联系。
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引用次数: 4
An Experimental Test of Reward & Reminder as a Stand-Alone Program to Prevent Alcohol Sales to Underage Youths 奖励和提醒作为防止向未成年青年销售酒精的独立计划的实验测试
IF 0.6 4区 医学 Q2 Social Sciences Pub Date : 2019-01-02 DOI: 10.1080/1067828X.2018.1544525
Mark J. Van Ryzin, Jean Lee, A. Biglan
abstract Reward & Reminder has been a component of community-based preventive efforts against sales of substances (e.g., tobacco) to youths. To date, there has not been a randomized trial of Reward & Reminder as a stand-alone prevention program targeting youth access to alcohol. In this study, we address that gap. Data were collected as part of a randomized trial of a school- and community-based prevention program. Our analysis included 23 vendors in control communities and 33 vendors in intervention communities. We visited each vendor at least two times, and vendors in intervention communities received the Reward & Reminder protocol. Using McNemar’s test, which evaluates the degree to which the outlets in each condition moved to a different cell in the contingency table from the first visit to the second (i.e., from yes to no or vice versa), we found that the control outlets did not change (all p values were non-significant). In contrast, the intervention outlets were significantly more likely to ask for identification (p < .05) and significantly less willing to sell alcohol to young-looking project confederates (p < .05); Asked for Age did not change. We conclude that Reward & Reminder could assist in preventing underage access to alcohol.
奖励与提醒一直是以社区为基础的防止向青少年销售物质(如烟草)的预防工作的一个组成部分。到目前为止,还没有一个随机试验的奖励和提醒作为一个独立的预防计划针对青少年获得酒精。在这项研究中,我们解决了这一差距。数据是作为学校和社区预防计划的随机试验的一部分收集的。我们的分析包括控制社区的23家供应商和干预社区的33家供应商。我们走访了每个供应商至少两次,干预社区的供应商收到了奖励和提醒协议。使用McNemar的测试,评估从第一次访问到第二次访问,每个条件下的出口移动到列联表中不同单元格的程度(即,从“是”到“否”或反之亦然),我们发现控制出口没有改变(所有p值都不显著)。相比之下,干预网点更有可能要求识别(p < 0.05),更不愿意向看起来年轻的项目联盟出售酒精(p < 0.05);ask for Age没有改变。我们得出结论,奖励和提醒可以帮助防止未成年人接触酒精。
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引用次数: 5
Nonmedical prescription drug use among Hispanic youths: An emerging problem 非医疗处方药物在西班牙裔年轻人中的使用:一个新出现的问题
IF 0.6 4区 医学 Q2 Social Sciences Pub Date : 2019-01-02 DOI: 10.1080/1067828X.2018.1561578
Rebecca A. Vidourek, K. King, M. Burbage, Aubrey Culp
Abstract Nonmedical prescription drug (NMPD) use is a significant public health issue among Hispanic youths. Limited information on risk and protective factors for NMPD use among Hispanic youths is known. The present study examined use rates and identified factors that increase and decrease odds for use. In so doing, prevention and intervention efforts can be enhanced. A total of 946 Hispanic youths in seventh through twelfth grade participated in this study. Participants completed the PRIDE questionnaire assessing substance abuse involvement. Overall, study findings indicated that 16.4% of youths used NMPDs in their lifetime. Involvement in risky behavior increased odds for use whereas having high levels of parent protective factors and teacher/school protective factors decreased the odds for use. Peer use of alcohol, tobacco, and marijuana also increased the odds of NMPD use. Findings indicate NMPD use is problematic for Hispanic youths. Professionals working with Hispanic youths may benefit from study findings as risk and protective factors are identified that may prevent NMPD use.
非医疗处方药(NMPD)的使用是西班牙裔青少年中一个重要的公共卫生问题。关于西班牙裔青少年使用NMPD的风险和保护因素的信息有限。目前的研究调查了使用率,并确定了增加和减少使用率的因素。这样做可以加强预防和干预工作。共有946名七年级至十二年级的西班牙裔青少年参与了本研究。参与者完成了评估药物滥用情况的PRIDE问卷。总体而言,研究结果表明,16.4%的青少年在其一生中使用过nmpd。参与危险行为增加了使用的几率,而高水平的父母保护因素和教师/学校保护因素则降低了使用的几率。同伴使用酒精、烟草和大麻也增加了NMPD使用的几率。研究结果表明,西班牙裔年轻人使用NMPD是有问题的。与西班牙裔青年一起工作的专业人员可能会从研究结果中受益,因为确定了可能阻止NMPD使用的风险和保护因素。
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引用次数: 0
Understanding Daily Depression, Drinking, and Marijuana Use among Homeless Youth using Short Message Service Surveying. 利用短信服务调查了解无家可归青少年的日常抑郁、饮酒和大麻使用情况。
IF 0.6 4区 医学 Q2 Social Sciences Pub Date : 2019-01-01 Epub Date: 2019-09-25 DOI: 10.1080/1067828X.2019.1667286
Kimberly A Tyler, Kristen Olson, Colleen M Ray

We used short message service surveying (SMS) with 150 homeless youth to examine the time ordering of feeling depressed with drinking alcohol, using marijuana, and using substances with friends. Multilevel binary logistic regression results revealed that youth who were depressed earlier in the day were more likely to drink alcohol later that day. Among depressed youth, heterosexual youth were less likely to drink alcohol than lesbian, gay, and bisexual (LGB) youth. Depressed youth had increased odds of using marijuana by a factor of 1.6, while heterosexual youth, compared to LGB youth, were 80% less likely to use marijuana. Females were 82% less likely and heterosexual youth 75% less likely to use substances with friends compared to males and LGB youth, respectively. These findings improve upon prior retrospective studies by using SMS to understand time ordering between feeling depressed and substance use in the same day.

我们使用短信服务调查(SMS)对 150 名无家可归的青少年进行了调查,以研究抑郁情绪与饮酒、吸食大麻以及与朋友一起使用药物之间的时间顺序关系。多层次二元逻辑回归结果显示,在一天中较早感到抑郁的青少年更有可能在当天晚些时候饮酒。在抑郁的青少年中,异性恋青少年饮酒的几率低于女同性恋、男同性恋和双性恋(LGB)青少年。抑郁青少年吸食大麻的几率增加了 1.6 倍,而与女同性恋、男同性恋和双性恋青少年相比,异性恋青少年吸食大麻的几率要低 80%。与男性和女同性恋、男同性恋、双性恋和变性青少年相比,女性和异性恋青少年与朋友一起使用药物的可能性分别降低了 82% 和 75%。这些研究结果改进了之前的回顾性研究,利用短信了解了同一天内感到抑郁和使用药物之间的时间顺序。
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引用次数: 0
期刊
JOURNAL OF CHILD & ADOLESCENT SUBSTANCE ABUSE
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