美国退伍军人中的酒精和药物滥用：比较与亲密伴侣物质滥用和退伍军人精神病理学的关联。
Alcohol and drug abuse among U.S. veterans: comparing associations with intimate partner substance abuse and veteran psychopathology.
机构信息
National Center for PTSD at VA Boston Healthcare System & Department of Psychiatry, Boston, MA 02130, USA.
出版信息
J Trauma Stress. 2013 Feb;26(1):71-6. doi: 10.1002/jts.21773. Epub 2013 Jan 16.
Abstract
This study examined the relative influences of posttraumatic stress disorder (PTSD), other psychopathology, and intimate partner alcohol and drug use on substance-related problems in U.S. veterans (242 couples, N = 484). Hierarchical regression analyses revealed that partner alcohol and drug use severity explained more variance in veteran alcohol use and drug use (20% and 13%, respectively) than did veteran PTSD, adult antisocial behavior, or depression symptoms combined (6% for veteran alcohol use; 7% for veteran drug use). Findings shed new light on the influence of relationship factors on veteran alcohol and drug use and underscore the importance of couples-oriented approaches to treating veterans with comorbid PTSD and substance abuse.
摘要
本研究考察了创伤后应激障碍（PTSD）、其他精神病理学、亲密伴侣的酒精和药物使用对美国退伍军人（242 对夫妇，N=484）物质相关问题的相对影响。层次回归分析显示，与退伍军人 PTSD、成年反社会行为或抑郁症状总和（退伍军人酒精使用 6%；退伍军人药物使用 7%）相比，伴侣酒精和药物使用的严重程度解释了更多的退伍军人酒精使用和药物使用的差异（分别为 20%和 13%）。研究结果为关系因素对退伍军人酒精和药物使用的影响提供了新的认识，并强调了针对 PTSD 和物质滥用共病退伍军人的夫妻为导向的治疗方法的重要性。
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