Modeling the pathways linking childhood hyperactivity and substance use disorder in young adulthood

被引:36
作者
Tarter, Ralph E. [1 ]
Kirisci, Levent [1 ]
Feske, Ulrike [1 ]
Vanyukov, Michael [1 ]
机构
[1] Univ Pittsburgh, Sch Pharm, Ctr Educ & Drug Abuse Res, Pittsburgh, PA 15261 USA
关键词
self-regulation; SUD; conduct problems; hyperactivity; Drug Use Screening Inventory;
D O I
10.1037/0893-164X.21.2.266
中图分类号
R194 [卫生标准、卫生检查、医药管理];
学科分类号
摘要
This study modeled direct and mediated pathways linking childhood hyperactivity and substance use disorder (SUD). Boys (n = 112) were administered the revised Drug Use Screening Inventory at age 12-14 years and the Structured Clinical Interview for DSM-IV at age 22 years. Six newly derived scales having established heritability were conceptually organized into internalizing and externalizing pathways to SUD emanating from childhood hyperactivity. Hyperactivity directly predicts SUD. Neuroticism, conduct problems, and their respective manifestations of social withdrawal and school problems mediated the association between hyperactivity and SUD. Hyperactivity also predicted neuroticism that, in turn, predicted low self-esteem leading to social withdrawal and SUD. These results indicate that hyperactivity is a diathesis for both internalizing and externalizing disturbances that, in turn, portend differential expression of psychosocial maladjustment presaging SUD.
引用
收藏
页码:266 / 271
页数:6
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