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Alkoholkonsum in der Adoleszenz - soziale und individuelle Einflussfaktoren

Published Online:https://doi.org/10.1024/1422-4917.33.4.273

Zusammenfassung:Fragestellung: Der Einfluss verschiedener sozialer und individueller Faktoren auf den Alkoholkonsum Jugendlicher wurde geprüft. Methodik: Mit Hilfe einer ursprünglich 384 Probanden umfassenden, prospektiven Längsschnittstudie wurde die psychische Entwicklung von der Geburt bis zum Jugendalter untersucht. Als Variablen im Jugendalter wurden erfasst: 1) der Alkoholkonsum mit 16 Jahren, 2) die Sensitivität gegenüber der Wirkung von Alkohol, 3) Temperament, 4) der Kontakt zu Gleichaltrigen, 5) das elterliche Erziehungsverhalten und 6) psychische Auffälligkeiten. Ergebnisse: Die Mehrheit der Jugendlichen (97%) konsumierte Alkohol, 24% mindestens einmal wöchentlich. Soziale Faktoren (wie der negative Einfluss der Peers, elterliches Erziehungsverhalten) und individuelle Faktoren (wie die Sensitivität gegenüber der Wirkung von Alkohol, Temperamentsmerkmale und psychische Auffälligkeiten) sagten die Menge des monatlich konsumierten Alkohols im Alter von 16 Jahren voraus. Schlussfolgerungen: Gefährdete Jugendliche sollten frühzeitig identifiziert werden. Zur Prävention eignen sich Maßnahmen zur Stärkung der Eltern, Verringerung des Kontakts zu sozial auffälligen Jugendlichen und ein Training zur Verbesserung der Körperwahrnehmung und Alkoholsensitivität.


Alcohol consumption in adolescence - social and individual influential factors

Summary:Objective: To examine the influence of several social and individual factors on adolescent alcohol consumption. Methods: A prospective longitudinal study was carried out to investigate the mental development from birth to adolescence in a cohort consisting originally of 384 children. Six different variables were assessed: alcohol consumption at the age of 16 years, sensitivity to alcohol, temperament, peer influence, parental educational behaviour, and mental disorders. Results: The majority of adolescents (97%) consumed alcohol, 24% did so at least once a week. Social factors (like negative peer influence or parental educational behaviour) and individual factors (like sensitivity to alcohol, temperament or mental disorders) predicted the amount of alcohol consumed per month at the age of 16 years. Conclusions: Early identification of at-risk adolescents appears to be essential. Successful preventive strategies include support for parental education, reduction of negative peer influence, and training in order to enhance one’s perception of one’s own body and sensitivity to alcohol.

Literatur

  • Achenbach, T. M. (1991). Manual for the Child Behavior Checklist/4-18 and 1991 Profile. Burlington: University of Vermont, Department of Psychiatry First citation in articleGoogle Scholar

  • Andrews, J. A. , Tildesley, E. , Hops, H. , Li, F. (2002). The influence of peers on young adult substance use. Health Psychology, 21, 349– 357 First citation in articleCrossref MedlineGoogle Scholar

  • Barnes, G. M. , Welte, J. W. , Hoffman, J. H. , Dintcheff, B. A. (1999). Gambling and alcohol use among youth: influences of demographic, socialization, and individual factors. Addictive Behavior, 24, 749– 767 First citation in articleCrossref MedlineGoogle Scholar

  • Beck, K. H. , Boyle, J. R. , Boekeloo, B. O. (2003). Parental monitoring and adolescent alcohol risk in a clinic population. American Journal of Health Behaviour, 27, 108– 115 First citation in articleCrossref MedlineGoogle Scholar

  • Bolt, H. M. (2002). Occupational versus environmental and lifestyle exposures of children and adolescents in the European Union. Toxicology Letters, 127, 121– 126 First citation in articleCrossref MedlineGoogle Scholar

  • Brooks-Gunn, J. , Warren, M. P. , Rosso, J. , Gargiulo, J. (1987). Validity of self-report measures of girls’ pubertal status. Child Development, 58, 829– 841 First citation in articleCrossref MedlineGoogle Scholar

  • Bundeszentrale für Gesundheitliche Aufklärung, (2004). Die Drogenaffinität Jugendlicher in der Bundesrepublik Deutschland 2004. Eine Wiederholungsbefragung der Bundeszentrale für gesundheitliche Aufklärung, Köln.. Verfügbar unter: www.bzga.de/pdf.php?id=a8f39eda5bddbbadb0d525d50ddc0adb[20.6.05] First citation in articleGoogle Scholar

  • Clark, D. M. (1986). A cognitive approach to panic. Behaviour Research and Therapy, 24, 461– 470 First citation in articleCrossref MedlineGoogle Scholar

  • Cloninger, C. R. , Przybeck, T. R. , Svrakic, D. M. , Wetzel, R.D. (1999). Das Temperament und Character-Inventar.. In: TCI Manual. Übersetzung und Überarbeitung: Richter, J., Eisemann, M., Richter, G., Cloninger, C.R.. Swets & Zeitlinger, Frankfurt. (JTCI) First citation in articleGoogle Scholar

  • Colder, C. R. , Campbell, R. T. , Ruel, E. , Richardson, J. L. , Flay, B. R. (2002). A finite mixture model of growth trajectories of adolescent alcohol use: predictors and consequences. Journal of consulting and clinical psychology, 70, 976– 985 First citation in articleCrossref MedlineGoogle Scholar

  • Comeau, N. , Stewart, S. H. , Loba, P. (2001). The relations of trait anxiety, anxiety sensitivity, and sensation seeking to adolescents’ motivations for alcohol, cigarette, and marijuana use. Addictive Behaviour, 26, 803– 825 First citation in articleCrossref MedlineGoogle Scholar

  • DiClemente, R. J. , Wingood, G. M. , Crosby, R. , Sionean, C. , Cobb, B. K. , Harrington, K. , Davies, S. , Hook, E. W. , Oh, M. K. (2001). Parental monitoring: association with adolescents’ risk behaviors. Pediatrics, 107, 1363– 1368 First citation in articleCrossref MedlineGoogle Scholar

  • Drogen- und Suchtkommission, (2002). Stellungnahme der Drogen- und Suchtkommission zur Verbesserung der Suchtprävention. Die Drogen- und Suchtkommission beim Bundesministerium für Gesundheit (Juni 2002) First citation in articleGoogle Scholar

  • Donohew, L. , Clayton, R. R. , Skinner, W. F. , Colon, S. (1999). Peer networks and sensation seeking: some implications for primary socialization theory. Substance Use and Misuse, 34, 1013– 1023 First citation in articleCrossref MedlineGoogle Scholar

  • Döpfner, M. , Melchers, P. , Fegert, J. , Lehmkuhl, G. , Lehmkuhl, U. , Schmeck, K. , Steinhausen, H. C. , Poustka, F. (1994). Deutschsprachige Konsensus-Versionen der Child Behavior Checklist (CBCL 4-18), der Teacher Report Form (TRF) und der Youth Self Report Form (YSR). Kindheit und Entwicklung, 3, 54– 59 First citation in articleGoogle Scholar

  • Ehlers, A. (1995). A 1-year prospective study of panic attacks: clinical course and factors associated with maintenance. Journal of Abnormal Psychology, 104, 164– 172 First citation in articleCrossref MedlineGoogle Scholar

  • Eley, T. C. , Stirling, L. , Ehlers, A. , Gregory, A. M. , Clark, D. M. (2004). Heart-beat perception, panic/somatic symptoms and anxiety sensitivity in children. Behavior Research and Therapy,, 42, 439– 48 First citation in articleCrossref MedlineGoogle Scholar

  • Ellickson, S. L. , Tucker, J. S. , Klein, D. J. , McGuigan, K. A. (2001). Prospective risk factors for alcohol misuse in late adolescence. Journal of Studies on Alcohol, 62, 773– 782 First citation in articleCrossref MedlineGoogle Scholar

  • Fergusson, D. M. , Horwood, L. J. (1999). Prospective Childhood Predictors of Deviant Peer Affiliations in Adolescence. Journal of Child Psychology and Psychiatry, 40, 581– 592 First citation in articleCrossref MedlineGoogle Scholar

  • Fergusson, D. M. , Swain-Campbell, N. R. , Horwood, L. J. (2002). Deviant peer affiliations, crime and substance use: a fixed effects regression analysis. Journal of Abnormal Child Psychology, 30, 419– 430 First citation in articleCrossref MedlineGoogle Scholar

  • Foxcroft, D. R. , Lowe, G. (1995). Adolescent drinking, smoking and other substance use involvement: links with perceived family life. Journal of Adolescent, 18, 159– 177 First citation in articleCrossrefGoogle Scholar

  • Foxcroft, D. R. , Lowe, G. (1997). Adolescent’ alcohol use and misuse: The socializing influence of perceived family life. Drugs: Education, Prevention and Policy, 4, 215– 229 First citation in articleCrossrefGoogle Scholar

  • Galen, L. W. , Henderson, M. J. , Whitman, R. D. (1997). The utility of novelty seeking, harm avoidance, and expectancy in the prediction of drinking. Addictive Behavior, 22, 93– 106 First citation in articleCrossref MedlineGoogle Scholar

  • Gerrard, M. , Gibbons, F. X. , Zhao, L. , Russell, D. W. , Reis-Bergan, M. (1999). The effect of peers' alcohol consumption on parental influence: a cognitive mediational model. Journal of Studies on Alcohol Supplement, 1, 32– 44 First citation in articleCrossrefGoogle Scholar

  • Gunzerath, L. , Goldman, D. (2003). G × E: A NIAAA Workshop on Gene-Environment Interactions. Alcoholism: Clinical and Experimental Research, 27, 540– 562 First citation in articleCrossref MedlineGoogle Scholar

  • Hill, S. Y. , Shen, S. , Lowers, L. , Locke, J. (2000). Factors predicting the onset of adolescent drinking in families at high risk for developing alcoholism. Biological Psychiatry, 48, 265– 275 First citation in articleCrossref MedlineGoogle Scholar

  • Hurrelmann, K. (1998). Lebensphase Jugend. (5. Auflage) Weinheim: Juventa First citation in articleGoogle Scholar

  • Hussong, A. M. , Hicks, R. E. (200). Affect and Peer Context Interactively Impact Adolescent Substance Use. Journal of Abnormal Child Psychology, 31, 413– 426 First citation in articleCrossrefGoogle Scholar

  • Hyde, A. , Treacy, M. , Boland, J. , Whitaker, T. , Abaunza, P. S. , Knox, B. (2001). Alcohol consumption among 11-16 year olds: “getting around” structural barriers?. Nursing and Health Sciences, 3, 237– 245 First citation in articleCrossref MedlineGoogle Scholar

  • Jang, K. L. , Vernon, P. A. , Livesley, W. J. , Stein, M. B. , Wolf, H. (2001). Intra- and extra-familial influences on alcohol and drug misuse: a twin study of gene-environment correlation. Addiction, 96, 1307– 1318 First citation in articleCrossref MedlineGoogle Scholar

  • Keefe, K. (1994). Perceptions of normative social pressure and attitudes toward alcohol use: changes during adolescence. Journal of Studies on Alcohol, 55, 46– 54 First citation in articleCrossref MedlineGoogle Scholar

  • Kloep, M. , Hendry, L. B. , Ingebrigtsen, J. E. , Glendinning, A. , Espnes, G.A. (2001). Young people in “drinking“ societies? Norwegian, Scottish and Swedish adolescents’ perceptions of alcohol use. Health Education Research, 16, 279– 291 First citation in articleCrossref MedlineGoogle Scholar

  • Laucht, M. , Esser, G. , Schmidt, M.H. (2000). Längsschnittforschung zur Entwicklungsepidemiologie psychischer Störungen: Zielsetzung, Konzeption und zentrale Ergebnisse der Mannheimer Risikokinderstudie. Zeitschrift für Klinische Psychologie und Psychotherapie, 29, 246– 262 First citation in articleLinkGoogle Scholar

  • Laukkanen, E. R. , Shemeikka, S. L. , Viinamaki, H. T. , Polkki, P. L. , Lehtonen, J. O. (2001). Heavy drinking is associated with more severe psychosocial dysfunction among girls than boys in Finland. Journal of Adolescent Health, 28, 270– 277 First citation in articleCrossref MedlineGoogle Scholar

  • Li, F. , Barrera, M. Jr. , Hops, H. , Fisher, K. J. (2002). The longitudinal influence of peers on the development of alcohol use in late adolescence: a growth mixture analysis. Journal of Behavioral Medicine, 25, 293– 315 First citation in articleCrossref MedlineGoogle Scholar

  • Lynskey, M. T. , Fergusson, D. M. , Horwood, L. J. (1998). The origins of the correlations between tobacco, alcohol, and cannabis use during adolescence. Journal of Child Psychology and Psychiatry, 39, 995– 1005 First citation in articleCrossref MedlineGoogle Scholar

  • Morris, N. M. , Udry, J. R. (1980). Validation of a self-administered instrument to assess stage of adolescent development. Journal of Youth and Adolescence, 9, 271– 280 First citation in articleCrossref MedlineGoogle Scholar

  • Müller, R. , Abbet, J. P (1991). Veränderung im Konsum legaler und illegaler Drogen bei Jugendlichen. Ergebnisse einer Trenduntersuchung bei 11-16jährigen Schülern unter Schirmherrschaft der Weltgesundheitsorganisation (WHO Europe). Lausanne: Schweizerische Fachstelle für Alkoholprobleme First citation in articleGoogle Scholar

  • Richardson, J. L. , Radziszewska, B. , Dent, C. W. , Flay, B. R. (1993). Relationship between after-school care of adolescents and substance use, risk taking, depressed mood, and academic achievement. Pediatrics, 92, 32– 38 First citation in articleMedlineGoogle Scholar

  • Schmeck, K. , Goth, K. , Meyenburg, B. , Poustka, F. (2000). Persönlichkeitsfragebogen für Jugendliche JTCI/12-18. Universität Frankfurt First citation in articleGoogle Scholar

  • Schuckit, M. A. (1998). Biological, Psychological and Environmental Predictors of the Alcoholism Risk: A Longitudinal Study. Journal of Studies on Alcohol, 59, 485– 49 First citation in articleCrossref MedlineGoogle Scholar

  • Schuckit, M. A. , Mazzanti, C. , Smith, T. L. , Ahmed, U. , Radel, M. , Iwata, N. , Goldman, D. (1999). Selective Genotyping fort he Role of 5-HT2A, 5-HT2C, and GABAα6 Receptors and the Serotonin Transporter in the Level of Response to Alcohol: A Pilot Study. Biological Psychiatry, 45, 647– 651 First citation in articleCrossref MedlineGoogle Scholar

  • Schuckit, M. A. , Smith, T. L. (2001). The clinical course of alcohol dependence associated with a low level of response to alcohol. Addiction, 96, 903– 910 First citation in articleCrossref MedlineGoogle Scholar

  • Schuckit, M. A. , Smith, T. L. , Tipp, J. E. (1997). The Self-Rating of the Effects of Alcohol (SRE) form as a retrospective measure of the risk for alcoholism. Addiction, 92, 979– 988 First citation in articleCrossref MedlineGoogle Scholar

  • Schuckit, M.A. , Smith, T. L. , Kalmijn, J. , Tsuang, J. , Hesselbrock, V. , Bucholz, K. (2000). Response to alcohol in daughters of alcoholics: A pilot study and a comparison with sons of alcoholics. Alcohol and Alcoholism, 3, 242– 248 First citation in articleCrossrefGoogle Scholar

  • Shrier, L. A. , Harris, S. K. , Kurland, M. , Knight, J. R. (2003). Substance use problems and associated psychiatric symptoms among adolescents in primary care. Pediatrics, 111, e699– 705 First citation in articleCrossref MedlineGoogle Scholar

  • Sieving, R. E. , Perry, C. L. , Williams, C. L. (2000). Do friendships change behaviors, or do behaviors change friendships? Examining paths of influence in young adolescents’ alcohol use. Journal of Adolescent Health, 26, 27– 35 First citation in articleCrossref MedlineGoogle Scholar

  • kinner, H. A. , Scheu, W. J. (1982). Reliability of alcohol use indices: The Lifetime Drinking History and the MAST. Journal of Studies on Alcohol, 43, 1157– 1170 First citation in articleCrossref MedlineGoogle Scholar

  • Steinberg, L. , Lamborn, S. D. , Dornbusch, S. H. , Darling, N. (1992). Impact of parenting practices on adolescent achievement: Authoritative parenting, school involvement, and encouragement to succeed. Child Development, 63, 1266– 1281 First citation in articleCrossref MedlineGoogle Scholar

  • Stewart, S. H. , Zvolensky, M. J. , Eifert, G. H. (2002). The Relations of Anxiety Sensitivity, Experiential Avoidance, and Alexithymic Coping to Young Adults’ Motivations for Drinking. Behavior Modification, 26, 274– 296 First citation in articleCrossref MedlineGoogle Scholar

  • Tarter, R. E. , Kirisci, L. , Mezzich, A. (1997). Multivariate typology of adolescents with alcohol use disorder. American Journal of Addiction, 6, 150– 158 First citation in articleCrossref MedlineGoogle Scholar

  • Torikka, A. , Kaltiala-Heino, R. , Rimpela, A. , Rimpela, M. , Rantanen, P. (2001). Depression, drinking, and substance use among 14- to 16-year-old Finnish adolescents. Nordic Journal of Psychiatry, 55, 351– 357 First citation in articleCrossref MedlineGoogle Scholar

  • Urberg, K. A. , Luo, Q. , Pilgrim, C. , Degirmencioglu, S. M (2003). A two-stage model of peer influence in adolescent substance use: individual and relationship-specific differences in susceptibility to influence. Addictive Behavior, 28, 1243– 1256 First citation in articleCrossref MedlineGoogle Scholar

  • Wechsler, H. , Davenport, A. E. , Dowdall, G. W. , Grossman, S. J. , Zanakos, S. I. (1997). Binge drinking, tobacco, and illicit drug use and involvement in college athletics. A survey of students at 140 American colleges. Journal of American College Health, 45, 195– 200 First citation in articleCrossref MedlineGoogle Scholar

  • Wills, T. A. , Cleary, S. D. (1999). Peer and adolescent substance use among 6th-9th graders: latent growth analyses of influence versus selection mechanisms. Health Psychology, 18, 453– 463 First citation in articleCrossref MedlineGoogle Scholar

  • Wills, T. A. , DuHamel, K. , Vaccaro, D. (1995). Activity and mood temperament as predictors of adolescent substance use: test of a self-regulation mediational model. Journal of Personality and Social Psychology, 68, 901– 916 First citation in articleCrossref MedlineGoogle Scholar

  • Wills, T. A. , Vaccaro, D. , McNamara, G. (1994). Novelty seeking, risk taking, and related constructs as predictors of adolescent substance use: an application of Cloninger’s theory. Journal Substance Abuse, 6, 1– 20 First citation in articleCrossref MedlineGoogle Scholar

  • Young, S. E. , Stallings, M. C. , Corley, R. P. , Krauter, K. S. , Hewitt, J. K. (2000). Genetic and environmental influences on behavioral disinhibition. American Journal of Medical Genetics, 96, 684– 695 First citation in articleCrossref MedlineGoogle Scholar