童年不良经历、心理困扰与成人酒精问题之间的关联。
Associations between adverse childhood experiences, psychological distress, and adult alcohol problems.
作者信息
Strine Tara W, Dube Shanta R, Edwards Valerie J, Prehn Angela Witt, Rasmussen Sandra, Wagenfeld Morton, Dhingra Satvinder, Croft Janet B
机构信息
Centers for Disease Control and Prevention, Office of Surveillance, Epidemiology and Laboratory Services, Public Health Surveillance Program Office, Division of Behavioral Surveillance, Atlanta, GA, USA.
出版信息
Am J Health Behav. 2012 Mar;36(3):408-23. doi: 10.5993/AJHB.36.3.11.
OBJECTIVE
To examine the mediating role of psychological distress on the relationship between adverse childhood experiences and adult alcohol problems by gender.
METHODS
Linear and logistic regression analyses were conducted on 7279 Kaiser-Permanente members, aged >18 years.
RESULTS
Psychological distress mediated significant proportions of alcohol problems associated with childhood emotional abuse and neglect, physical abuse and neglect, mental illness in the household, parental separation or divorce, sexual abuse, and household drug use among women and mental illness in the household, emotional neglect, physical abuse, household drug use, and sexual abuse among men.
CONCLUSION
It may be important to identify early childhood trauma and adult psychological distress in programs that focus on reducing alcohol abuse.
目的
按性别检验心理困扰在童年不良经历与成人酒精问题之间关系中的中介作用。
方法
对7279名年龄大于18岁的凯撒医疗会员进行线性和逻辑回归分析。
结果
心理困扰在女性中介导了与童年期情感虐待与忽视、身体虐待与忽视、家庭中存在精神疾病、父母分居或离婚、性虐待以及家庭药物使用相关的很大比例的酒精问题，在男性中介导了与家庭中存在精神疾病、情感忽视、身体虐待、家庭药物使用以及性虐待相关的酒精问题。
结论
在侧重于减少酒精滥用的项目中识别儿童期创伤和成人心理困扰可能很重要。
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