Brook D W, Brook J S, Rubenstone E, Zhang C, Castro F G, Tiburcio N
New York University School of Medicine, New York, NY 10016, USA.
AIDS Care. 2008 Jan;20(1):93-100. doi: 10.1080/09540120701426557.
In contrast to previous research on parental drug abuse, the present study examined comorbid drug addiction and HIV infection in the father as related to his adolescent child's psychological distress. Individual structured interviews were administered to 505 HIV-positive and HIV-negative drug-abusing fathers and one of their children, aged 12-20. Structural equation modelling tested an hypothesized model linking paternal latent variables, ecological factors and adolescent substance use to adolescent distress. Results demonstrated a direct pathway between paternal distress and adolescent distress, as well as an indirect pathway; namely, paternal distress was linked with impaired paternal teaching of coping skills to the child, which in turn was related to adolescent substance use and, ultimately, to the adolescent's distress. There was also an association between paternal drug addiction/HIV and adolescent distress, which was mediated by both ecological factors and adolescent substance use. Findings suggest an increased risk of distress in the adolescent children of fathers with comorbid drug addiction and HIV/AIDS, which may be further complicated by paternal distress. Results suggest several opportunities for prevention and treatment programmes for the children of drug-abusing fathers.
与之前关于父母药物滥用的研究不同，本研究考察了父亲的药物成瘾与艾滋病毒感染共病情况及其与青春期子女心理困扰之间的关系。对505名艾滋病毒呈阳性和阴性的药物滥用父亲及其一名12至20岁的子女进行了个体结构化访谈。结构方程模型检验了一个假设模型，该模型将父亲的潜在变量、生态因素和青少年物质使用与青少年困扰联系起来。结果显示，父亲的困扰与青少年的困扰之间存在直接路径，也存在间接路径；也就是说，父亲的困扰与父亲向孩子传授应对技能的能力受损有关，这反过来又与青少年物质使用有关，并最终导致青少年的困扰。父亲的药物成瘾/艾滋病毒感染与青少年困扰之间也存在关联，这是由生态因素和青少年物质使用共同介导的。研究结果表明，患有药物成瘾与艾滋病毒/艾滋病共病的父亲的青春期子女出现困扰的风险增加，而父亲的困扰可能会使情况更加复杂。研究结果为药物滥用父亲的子女的预防和治疗方案提供了几个机会。
