Theunissen Marie-José, Jansen Maria, van Gestel Anke
GGD Brabant Zuidoost, P,O Box 810, 5700 AV Helmond, the Netherlands.
BMC Res Notes. 2011 Apr 4;4:100. doi: 10.1186/1756-0500-4-100.
Depression and anxiety disorders have a high disease burden and as many as 15% of young people report mental health problems. Binge drinking, which is a particularly harmful way of consuming alcohol, is common among secondary school students. The aim of this study was to examine the association between binge drinking and self-reported mental health in boys and girls aged 12 to 18 years.
This cross-sectional analysis was performed on data collected by the Community Health Service (GGD) Brabant Zuidoost, the Netherlands, in 2007. In this Youth Survey, 10 090 randomly selected adolescents aged 12 tot 18 years were each sent a letter, a questionnaire, and a user name and log-in code for if they preferred to complete the Internet version of the questionnaire. Mental health was assessed using the Mental Health Inventory (MHI-5), a short 5-item questionnaire to detect feelings of depression and anxiety. Participants were asked about current alcohol consumption, their relationship with their parents, drug use, and sociodemographic data.Corrected for confounders, binge drinking and mental health problems were associated in the 12 to 15 year old girls (OR 2.43; 95% CI 1.86-3.17, p = 0.000) and boys (OR 1.64, 95% CI 1.19-2.27, p = 0.003). The majority of the 16 to 18 year old adolescents had been binge drinking in the previous 4 weeks (69.6% boys and 56.8% girls). In this age group, boys with mental health problems were less likely to be classified as binge drinkers than were boys without mental health problems (OR 0.63, 95% CI 0.45-0.87, p = 0.005). No such association between binge drinking and mental health was found in girls of this age.
Girls and boys aged 12-15 years were classified as binge drinkers significantly more often when they reported poor mental health. Because binge drinking damages the brain, especially at a young age, it is important that health professionals are alert to possible binge drinking when young adolescents report mental health problems and should ask their patients about their drinking behaviour. Likewise, if youngsters under 16 present with binge drinking, they should be asked whether they are anxious or depressed.
抑郁症和焦虑症疾病负担沉重，多达15%的年轻人报告有心理健康问题。狂饮是一种特别有害的饮酒方式，在中学生中很常见。本研究旨在调查12至18岁男孩和女孩中狂饮与自我报告的心理健康之间的关联。
本横断面分析基于荷兰布拉班特南地区社区卫生服务中心（GGD）2007年收集的数据进行。在这项青少年调查中，随机抽取的10090名12至18岁青少年每人都收到一封信、一份问卷以及一个用户名和登录代码（如果他们更喜欢完成问卷的网络版）。使用心理健康量表（MHI - 5）评估心理健康状况，这是一份简短的包含5个条目的问卷，用于检测抑郁和焦虑情绪。参与者被问及当前的饮酒情况、与父母的关系、药物使用情况以及社会人口统计学数据。校正混杂因素后，12至15岁女孩（比值比2.43；95%置信区间1.86 - 3.17，p = 0.000）和男孩（比值比1.64，95%置信区间1.19 - 2.27，p = 0.003）中，狂饮与心理健康问题存在关联。16至18岁的青少年中，大多数在过去4周内有过狂饮行为（男孩为69.6%，女孩为56.8%）。在这个年龄组中，有心理健康问题的男孩被归类为狂饮者的可能性低于没有心理健康问题的男孩（比值比0.63，95%置信区间0.45 - 0.87，p = 0.005）。在这个年龄段的女孩中未发现狂饮与心理健康之间存在此类关联。
12 - 15岁的女孩和男孩在报告心理健康状况不佳时，被归类为狂饮者的比例显著更高。由于狂饮会损害大脑，尤其是在年轻时，因此当青少年报告心理健康问题时，卫生专业人员应警惕可能的狂饮行为，并询问患者的饮酒行为，这一点很重要。同样，如果16岁以下的青少年出现狂饮情况，应询问他们是否焦虑或抑郁。
