Boston University School of Social Work, Boston, MA 02215, United States.
Drug Alcohol Depend. 2013 Jan 1;127(1-3):31-8. doi: 10.1016/j.drugalcdep.2012.06.005. Epub 2012 Jun 29.
Although the literature suggests that childhood maltreatment (CM) relates to adolescent heavy episodic drinking (HED), few studies have examined the long-term effects of CM on adolescent HED. This study is the first to examine associations between exposure to CM and trajectories of HED from adolescence to young adulthood for the US population.
Four waves of data from the National Longitudinal Study of Adolescent Health were used. A total of 8503 adolescents followed from adolescence (7th-12th grades) into young adulthood (ages 24-32) were assessed on CM and past-year HED frequency. Using growth curve modeling, trajectories of adolescent HED were examined, with subtype, frequency, and severity of CM as the primary independent variables. All of our analyses controlled for common risk factors for adolescent HED, including demographics, parental and peer alcohol use, parental education and employment, family income, parent-child relationship, and adolescent depression.
After controlling for potential risk factors, neglect and physical abuse, both individually and in conjunction, were associated with faster increases in HED during adolescence and persistently elevated HED over much of adolescence and young adulthood. The frequency of neglect and physical abuse, individually and in conjunction, was also associated with the trajectory of HED, such that additional instances of these types of maltreatment were associated with faster increases in HED during adolescence and higher rates of peak use during young adulthood.
Child neglect and physical abuse appear to have long-lasting adverse effects on HED beyond adolescence and throughout much of young adulthood.
尽管文献表明儿童期虐待（CM）与青少年重度间歇性饮酒（HED）有关，但很少有研究探讨 CM 对青少年 HED 的长期影响。本研究首次在美国人群中检验了 CM 暴露与 HED 从青春期到成年早期的轨迹之间的关联。
使用了来自全国青少年健康纵向研究的四波数据。共有 8503 名青少年从青春期（7 至 12 年级）到成年早期（24 至 32 岁）进行了 CM 和过去一年 HED 频率的评估。使用增长曲线建模，研究了青少年 HED 的轨迹，以 CM 的亚型、频率和严重程度为主要自变量。我们所有的分析都控制了青少年 HED 的常见危险因素，包括人口统计学、父母和同伴饮酒、父母教育和就业、家庭收入、亲子关系和青少年抑郁。
在控制了潜在的危险因素后，忽视和身体虐待，无论是单独的还是共同的，都与青春期 HED 的快速增加以及青春期和成年早期的 HED 持续升高有关。忽视和身体虐待的频率，无论是单独的还是共同的，也与 HED 的轨迹有关，即这些类型的虐待的额外发生与青春期 HED 的快速增加以及成年早期高峰使用的更高发生率有关。
儿童忽视和身体虐待似乎对 HED 有持久的不利影响，超出了青春期，并贯穿成年早期的大部分时间。
