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D B Kandel

Publications and source records attributed to D B Kandel.

52 records · Page 3Linked to original sources

Patterns of drug use from adolescence to young adulthood: III. Predictors of progression.

Possible linkages of influence among classes of drugs in the observed sequential progression from adolescence to young adulthood are investigated through event history analyses. Three stages are examined: initiation to marijuana, to the use of other illicit drugs, and to prescribed psychoactive drugs. The data are based on a follow-up cohort of former adolescents representative of high school students in grade 10 and 11 in New York State who were reinterviewed nine years later at ages 24-25. The sequential order between alcohol and/or cigarettes and marijuana reflects not only the effect of the use of legal drugs on marijuana initiation, but also age effects on onset of these drugs, controlling for individual characteristics measured in adolescence; marijuana use by one's friends in adolescence is an additional important predictor of marijuana initiation. Prior use of marijuana is necessary for progression to other illicit drugs. Multiple factors are involved in the progression to prescribed drugs, with adolescent depressive symptomatology and use of other illicit drugs important for both sexes, and maternal use of psychoactive drugs, dropping out of school, and prior use of marijuana of additional importance for women. Although licit drugs influence initiation into marijuana independently of age effects, it is especially for the progression from marijuana to other illicit drugs that the earlier drug is associated with the progression to a higher stage drug.

Adolescent↗

Epidemiology of depressive mood in adolescents: an empirical study.

The epidemiology and correlates of depressive mood were measured in a representative sample of public high school students in New York State and a subsample matched to their parents. Depressive mood was measured by a self-reported scale validated in a clinical sample. Adolescents with a diagnosis of major depressive disorder scored higher than those with other psychiatric diagnoses. In the general adolescent sample, ex differences in depressive mood paralleled those previously reported for adults, with girls scoring higher than boys. Adolescents reported higher depressive mood than their parents, with the differences greater in daughter-mother than in son-father pairs. If judged by mood differences, adolescence was a stressful period in the life cycle. Lowest levels of adolescent depressive mood correlated with high levels of attachment both to parents and to peers. Sex differences in depressive mood in adolescents may be accounted for by masked depression and increased delinquency among boys as compared with girls.

Adolescent↗

The epidemiology of adolescent drug use in France and Israel.

Based on samples of adolescents residing in urban areas in France and in Israel, cross-cultural comparisons of adolescent use of alcoholic beverages, cigarettes, and illicit drugs are reported. Lifetime and current prevalences of use of all substances are higher in France than in Israel. The relative ranking of the prevalence of use of the various drugs is identical in the two countries, and is similar to that found in American samples. In both countries, drug use is more prevalent among males than females, and among older than younger adolescents. There are no differences among different socioeconomic groups. Religiosity affects the rates of use of all drugs in France, and the rates of non-alcoholic substances and the amounts of alcoholic beverages consumed in Israel. Differences in the prevalence of substance use across cultures and within a culture decrease as overall prevalence of use increases.

Adolescent↗

Psychological factors and adolescent illicit drug use: ethnicity and sex differences.

Of four psychological factors examined in a representative sample of New York State secondary school students, only two, depressive mood and normlessness, show a positive relationship with the use of illicit drugs, especially drugs other than marihuana. The association of depressive mood and normlessness with illegal multiple drug use varies by ethnicity and sex, being consistently stronger among girls and among whites. In addition, depressive mood is negatively related to multiple drug use for black and Puerto Rican boys. These findings suggest that psychological factors play a different role in adolescent drug involvement within various social and cultural groups.

Adolescent↗

Reconciling unidimensional and multidimensional models of patterns of drug use.

Guttman-scale analyses and factor analyses seem to produce contradictory results in analyzing patterns of multiple drug use. Guttman-scale analyses usually show that drug use fits a unidimensional and cumulative model of involvement; factor analyses reject the unidimensional model. The two methods, however, can be reconciled. Guttman scaling is appropriate for discerning patterns of drug involvement, factor analysis for operationalizing degree of involvement within a specific pattern of use.

Amphetamines↗

On processes of peer influences in adolescent drug use: a developmental perspective.

Data from longitudinal studies of adolescents carried out over the last ten years are reviewed to provide an integrated and dynamic perspective on the nature of friendships and processes of peer influence in adolescent drug involvement, within a general developmental perspective. Four interrelated questions are examined: What individual attributes are especially important in the formation of friendships among adolescents? Which of two processes, selection or socialization, account for the similarity in values and behaviors observed in ongoing friendship dyads, and how important is similarity in friendship formation and dissolution? What is the nature of friends' influence as compared to parents', and in which domains of adolescent's life do these influences exert themselves? What mechanisms, role modeling or social learning, underlie processes of interpersonal influences? Relational dyadic and triadic samples of adolescents matched to a parent and/or a best friend and observed at one point in time as well as over time provide important and relatively rare sources of data on processes of interpersonal influence. Sociodemographic characteristics are the strongest determinants of friendship formation, with participation in illicit drugs following next in importance. Both selection (assortative pairing) and socialization contribute to observed similarity in friendship pairs. Adolescents coordinate their choice of friends and their values and behaviors, in particular the use of marijuana, so as to maximize congruency in the friendship dyad. If there is a state of unbalance such that the friend's attitude or behavior is inconsistent with the adolescent's, the adolescent will either break off the friendship and seek another friend or will keep the friend and modify his or her own behavior. Both parents and peers can have strong influences on adolescents, depending upon the arena of influence. Parents are especially important for future life plans, while peers are most important for involvement in illicit drug use. However, for drug use itself, there are different patterns of influence depending upon the stage of drug involvement. Peers are especially important for initiation into marijuana use, while parental factors gain in importance in the transition from marijuana use to the use of other illicit drugs. Interpersonal influences of peers on ongoing marijuana and alcohol use result from modeling and imitation more than from social reinforcement and the transmission of values.

Adolescent↗