拉丁裔移民国际样本中的创伤后应激症状及其与药物和酒精使用的关系。
Posttraumatic Stress Symptoms and their Relationship to Drug and Alcohol use in an International Sample of Latino Immigrants.
作者信息
Ramos Zorangelí, Fortuna Lisa R, Porche Michelle V, Wang Ye, Shrout Patrick E, Loder Stephen, McPeck Samantha, Noyola Nestor, Toro Manuela, Carmona Rodrigo, Alegría Margarita
机构信息
Disparities Research Unit, Department of Medicine, Massachusetts General Hospital and Harvard Medical School, 50 Staniford St, 8th Floor, Boston, MA, 02114-2698, USA.
Boston University Medical School, Boston Medical Center, Child and Adolescent Psychiatry, Boston, MA, USA.
出版信息
J Immigr Minor Health. 2017 Jun;19(3):552-561. doi: 10.1007/s10903-016-0426-y.
We identify the prevalence and correlates of posttraumatic stress (PTSD) symptoms and their relationship to alcohol and substance use disorders (AUD/SUD) among Latino immigrants in two countries. A screening battery assessing PTSD symptoms (PCL-C), alcohol use (AUDIT), drug abuse (DAST), and psychological measures was administered to 562 Latino immigrants recruited in clinics. We used logistical regression analyses to evaluate the relationship between PTSD symptoms and AUD/SUD. Prevalence of elevated PTSD symptoms was high (53.7 % in Boston, 47.9 % in Madrid and, 43.8 % in Barcelona). Screening positive for psychological measures was significantly correlated to screening positive on the PCL-C (p < 0.001). Significant gender differences in risk of AUD/SUD were moderated by PTSD symptoms. Presence of any PTSD symptoms predicted problems with benzodiazepine misuse. Given the high rates of co-morbidity between PTSD symptoms and AUD/SUD, we recommend early interventions for dual pathology for Latino immigrants with trauma history.
我们确定了两个国家的拉丁裔移民中创伤后应激障碍（PTSD）症状的患病率及其相关因素，以及这些症状与酒精和物质使用障碍（AUD/SUD）之间的关系。对在诊所招募的562名拉丁裔移民进行了一系列筛查，评估创伤后应激障碍症状（PCL-C）、酒精使用（AUDIT）、药物滥用（DAST）和心理测量指标。我们使用逻辑回归分析来评估创伤后应激障碍症状与酒精和物质使用障碍之间的关系。创伤后应激障碍症状升高的患病率很高（波士顿为53.7%，马德里为47.9%，巴塞罗那为43.8%）。心理测量指标筛查呈阳性与PCL-C筛查呈阳性显著相关（p<0.001）。创伤后应激障碍症状可调节酒精和物质使用障碍风险中的显著性别差异。任何创伤后应激障碍症状的出现都预示着苯二氮䓬类药物滥用问题。鉴于创伤后应激障碍症状与酒精和物质使用障碍之间的高共病率，我们建议对有创伤史的拉丁裔移民的双重病理进行早期干预。
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