Felitti Vincent J
Department of Preventive Medicine, Kaiser Permanente Medical Care Program, 7060 Clairemont Mesa Boulevard, San Diego, CA 92111, USA.
Prax Kinderpsychol Kinderpsychiatr. 2003 Oct;52(8):547-59.
A population-based analysis of over 17,000 middle-class American adults undergoing comprehensive, biopsychosocial medical evaluation indicates that three common categories of addiction are strongly related in a proportionate manner to several specific categories of adverse experiences during childhood. This, coupled with related information, suggests that the basic cause of addiction is predominantly experience-dependent during childhood and not substance-dependent. This challenge to the usual concept of the cause of addictions has significant implications for medical practice and for treatment programs.
一项基于人群的分析，涉及17000多名接受全面生物心理社会医学评估的美国中产阶级成年人，结果表明，三类常见的成瘾问题与童年时期的几类特定不良经历密切相关，且呈正比关系。这一点，再加上相关信息，表明成瘾的根本原因在童年时期主要取决于经历，而非物质。这种对成瘾原因传统观念的挑战，对医疗实践和治疗项目具有重大意义。
