Van Dorn Richard A, Williams James Herbert, Del-Colle Melissa, Hawkins J David
Department of Mental Health Law and Policy, Florida Mental Health Institute, University of South Florida, Tampa, FL 33612, USA.
J Behav Health Serv Res. 2009 Oct;36(4):465-77. doi: 10.1007/s11414-008-9159-6. Epub 2008 Dec 17.
A paucity of research exists in which the co-occurrence of substance use, mental illness, and violence in young adults is examined. Concurrently, there is also a lack of research explicating the contribution of theoretically based risk factors for these problematic outcomes in this population. This lack of both outcome and explanatory research equally affects the utility of theories and interventions for this population. This article utilizes a sample of N = 633 21-year-olds to examine the prevalence of (1) violence and substance use, (2) mental illness (i.e., mood and anxiety disorders) and substance use, and (3) the use of multiple substances and investigates the relationship between various social determinants and said outcomes. Overall, the prevalence rates for the comorbid conditions were low; although on average males had higher rates than did females. Individual attitudes, perceived opportunities, and recent stressful life events were associated with the co-occurrence of outcomes. Implications for behavioral health are explored.
针对年轻成年人中物质使用、精神疾病和暴力行为同时出现的情况进行研究的非常少。与此同时,也缺乏研究来阐明基于理论的风险因素对该人群这些问题结果的影响。这种结果研究和解释性研究的缺乏同样影响了针对该人群的理论和干预措施的效用。本文采用了一个由633名21岁年轻人组成的样本,来研究(1)暴力行为和物质使用、(2)精神疾病(即情绪和焦虑障碍)和物质使用,以及(3)多种物质的使用情况,并调查各种社会决定因素与上述结果之间的关系。总体而言,共病情况的发生率较低;尽管平均而言男性的发生率高于女性。个人态度、感知到的机会和近期的压力性生活事件与这些结果的同时出现有关。本文还探讨了对行为健康的影响。