Journal of Pediatric Psychology Advance Access originally published online on July 31, 2008
Journal of Pediatric Psychology 2009 34(3):304-310; doi:10.1093/jpepsy/jsn076
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Cognitive Coping Moderates the Association between Violent Victimization by Peers and Substance Use among Adolescents
1Division of Epidemiology & Community Health, University of Minnesota School of Public Health, 2Department of Psychiatry, University of California, San Francisco, 3School of Education, University of San Francisco, and 4School of Public Health, University of California, Berkeley
All correspondence concerning this article should be addressed to Sonya S. Brady, PhD, Assistant Professor, Division of Epidemiology & Community Health, University of Minnesota School of Public Health, 1300 South Second Street, Suite 300, Minneapolis, MN 55454, USA. E-mail: ssbrady{at}umn.edu.
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Objective This study tested whether violent victimization by peers was associated with alcohol and tobacco use among adolescents, and whether adaptive coping styles moderated associations. Methods A total of 247 urban Mexican-American and European-American adolescents aged 16–20 years were interviewed. Results Independent of demographics and violent perpetration, adolescents victimized by violence reported greater alcohol and tobacco use. Adolescents who engaged in higher levels of behavioral coping (e.g., problem solving) reported less substance use, independent of violence variables. Interaction effects showed that violent victimization was associated with greater substance use only among adolescents who engaged in lower levels of cognitive coping (e.g., focusing on positive aspects of life). Substance use was relatively low among adolescents who engaged in higher levels of cognitive coping, regardless of whether they had been victimized. Conclusions Enhancement of cognitive coping skills may prevent engagement in substance use as a stress response to violent victimization.
Key words: adolescence; coping; substance use; stress; violence.
Received February 6, 2008; revision received June 26, 2008; accepted June 27, 2008