Purpose

The behavioral disinhibition model (BDM) posits that a liability toward impulsivity evident by early adolescence underlies the coemergence of antisocial behavior and alcohol use (i.e., problem behaviors) in early-adolescence to mid-adolescence, but that the subsequent development of these problem behaviors (rather than impulsivity itself) predicts the emergence of antisocial personality disorder (APD) and alcohol use disorder (AUD) in late adolescence. The present study was designed to test these predictions of the BDM from early to late adolescence.

Methods

We used five-year longitudinal self-report data from the Philadelphia Trajectory Study that was collected from 2006–2012. Mediational analyses were performed using the Random Intercept Cross-lagged Panel Model, which enables the detection of within-person predictions of changes in problem behaviors during adolescence. The sample was ethnically and socioeconomically diverse, including 364 urban US community youth (at baseline: M_age = 13.51(.95); 49.1% female).

Results

Consistent with the BDM, mediational analyses revealed that changes in early adolescent impulsivity predicted late adolescent APD and AUD criteria, mediated by changes in mid-adolescent alcohol use and conduct problems.

Discussion

Interventions targeting impulsivity in early adolescence could potentially halt the cascading chain of events leading to both late adolescent APD and AUD by decelerating growth in antisocial behavior and alcohol use during early-adolescence to mid-adolescence. From mid-adolescence to late-adolescence, the consequences of early impulsivity, especially involvement in antisocial behaviors, become a more relevant predictor of both APD and AUD rather than impulsivity itself.

中文翻译：

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从青春期早期的冲动到青春期晚期的反社会人格障碍和酒精使用障碍的级联

 目的

行为去抑制模型（BDM）认为，青春期早期明显的冲动倾向是青春期早期至青春期中期反社会行为和酗酒（即问题行为）同时出现的基础，但这些问题行为的后续发展（而不是冲动本身）预示着青春期后期反社会人格障碍（APD）和酒精使用障碍（AUD）的出现。本研究旨在测试 BDM 从青春期早期到晚期的这些预测。

 方法

我们使用了 2006 年至 2012 年收集的费城轨迹研究的五年纵向自我报告数据。使用随机拦截交叉滞后面板模型进行中介分析，该模型能够检测青春期问题行为变化的个人预测。样本在种族和社会经济方面具有多样性，包括 364 名美国城市社区青年（基线： M_年龄= 13.51(.95)；49.1% 为女性）。

 结果

与 BDM 一致，中介分析显示，青春期早期冲动的变化预测了青春期后期的 APD 和 AUD 标准，这是由青春期中期饮酒和行为问题的变化介导的。

 讨论

针对青春期早期冲动的干预措施可能会减缓青春期早期至青春期中期反社会行为和饮酒的增长，从而阻止导致青春期晚期 APD 和 AUD 的连锁事件。从青春期中期到青春期后期，早期冲动的后果，尤其是参与反社会行为，成为 APD 和 AUD 更相关的预测因子，而不是冲动本身。