Substance Abuse Among Suburban Youth: A Prospective Study

郊区青少年的药物滥用：一项前瞻性研究

• 批准号: 8230789
• 负责人: SUNIYA S LUTHAR
• 金额: $ 35.26万
• 依托单位: COLUMBIA UNIVERSITY TEACHERS COLLEGE
• 依托单位国家: 美国
• 财政年份: 2003
• 资助国家: 美国
• 起止时间: 2003-02-01 至 2014-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8230789
• 关键词: Achievement; Adolescence; Adolescent; Adult; African American; Alcohol or Other Drugs use; Anxiety; Asians; Caucasians; Caucasoid Race; Censuses; Characteristics; Child; Childhood; Commit; Communities; Competence; Containment; Country; Cross-Sectional Studies; Data; Development; Dimensions; Disease; Emotional; Employment; Family; Friends; Future; Gender Role; Hispanics; Home environment; Human; Income; Institution; Intelligence; Intervention; Life; Link; Measures; Mediator of activation protein; Mental Depression; New England; Occupations; Parents; Performance; Personal Satisfaction; Prevention; Process; Property; Prospective Studies; Psychiatric Diagnosis; Psychometrics; Psychopathology; Recruitment Activity; Relative (related person); Reporting; Research; Respondent; Rest; Risk; Role; Sampling; Schools; Spirituality; Students; Substance abuse problem; Symptoms; Teenagers; Time; Value Orientations; Work; Youth; base; boys; cohort; college; emerging adult; girls; group intervention; high risk; high school; informant; instrument; parent grant; parental monitoring; peer; positive youth development; prospective; psychologic; public health relevance; resilience; social capital; suburb

DESCRIPTION (provided by applicant): Based in developmental psychopathology paradigms of risk, resilience and prevention, this study seeks to extend 9 annual assessments of a cohort of about 300 affluent students (New England Study of Suburban Youth, NESSY; DA014385). Students have been followed from the 6th-12th grades at school and post freshman year at college, and we are now conducting assessments post sophomore year of college. The NESSY study has involved multiple measures, constructs, and respondents, with retention of 85-90% over time. Results thus far have shown substantial elevations in many adjustment problems especially substance use and rule-breaking among both girls and boys, and elevated depression and anxiety among the girls. PUBLIC HEALTH RELEVANCE PARAGRAPH: In the proposed study, we seek to follow this cohort for 4 additional annual assessments post Years 3 and 4 of college, and the first 2 years after college graduation, toward pursuing the following Specific Aims: (1) To examine developmental trajectories of substance use through early adulthood; (2) To examine antecedents of early adult substance use, considering a) prior parent and peer socializing dimensions, b) mediators of links between socializing dimensions and substance use (i.e., youths' overemphasis on achievements, internalizing and externalizing problems), and c) potential moderators involving youths' personal characteristics; (3) To examine the consequence of substance use for early adulthood including a) psychological problems, b) academic performance, and c) quality of close relationships as rated by others. Recent studies of other affluent teen samples corroborate our findings with NESSY youth, showing high substance use and related problems relative to norms. The long-term ramifications of these adolescent disturbances, however, are presently unknown. This study would be the first to yield multi-wave data on a cohort of affluent youth, illuminating trajectories (and/or potential "maturing out") of substance use and associated problems across adolescence and early adulthood (spanning the high-risk college years as well as the transition out of college, potentially into jobs and committed long-term relationships). With multi- informant data gathered from middle childhood onwards and high retention, prospective analyses of risk and protective processes could be invaluable in informing interventions for youth such as these -- a non-trivial proportion of whom have consistently reported high levels of substance use over several years.

描述（由申请人提供）：基于风险，韧性和预防的发育心理病理学范式，本研究旨在扩展9年对约300名富裕学生的同类年度评估（新英格兰对郊区青年研究，Nessy； DA014385）。从学校的六至12年级的学生开始，学生们受到了大学的成绩，我们现在正在大学二年级后进行评估。 Nessy的研究涉及多种措施，构造和受访者，随着时间的推移，保留了85-90％。迄今为止，结果显示了许多调整问题的升高，尤其是男孩和男孩的药物使用和破坏规则，以及女孩之间的抑郁症和焦虑升高。 公共卫生相关性段落：在拟议的研究中，我们试图跟随该队列进行4年的4年年度评估，以及大学毕业后的前2年，旨在追求以下具体目标：（1）检查整个成年初期的物质使用发展轨迹； （2）检查早期成年物质使用的先例，考虑a）a）先前的父母和同伴社交维度，b）社会化维度和毒品使用之间联系的介体（即，青年对成就的过分强调，内在化和外部化问题），以及c）潜在的调节剂，使年轻人的潜在调节剂涉及青年人的个人特征； （3）检查成年早期物质使用的后果，包括a）心理问题，b）学习成绩和c）与他人评级的亲密关系的质量。对其他富裕青少年样本的最新研究证实了我们与Nessy青年的发现，相对于规范显示了高度使用物质和相关问题。然而，这些青少年骚扰的长期影响目前尚不清楚。这项研究将是第一个在一系列富裕的青年中产生多波动数据的数据，在青春期和成年期（跨越高危大学时期的高风险大学期间，以及大学期间的过渡以及潜在的工作和宣传的长期关系），可以阐明轨迹（和/或潜在的物质使用和相关问题）和相关问题。随着从童年中期收集的多线群数据和高保留率，对风险和保护过程的前瞻性分析对于为诸如此类的青年提供干预措施而言是无价的 - 在几年中，非平凡的比例在几年内一直在报告高水平的使用。