认知扭曲对临床住院青少年约会暴力暴露与物质问题之间联系的影响。
Effects of Cognitive Distortions on the Link Between Dating Violence Exposure and Substance Problems in Clinically Hospitalized Youth.
作者信息
Miller Adam Bryant, Williams Caitlin, Day Catherine, Esposito-Smythers Christianne
机构信息
University of North Carolina at Chapel Hill.
George Mason University.
出版信息
J Clin Psychol. 2017 Jun;73(6):733-744. doi: 10.1002/jclp.22373. Epub 2016 Aug 23.
PURPOSE
The purpose of the present study was to examine whether cognitive distortions (e.g., cognitive errors; negative views of self, world, and future) influence the association between dating violence and problematic substance use behaviors in a sample of psychiatrically hospitalized adolescents.
METHOD
Participants included 155 adolescents, aged 13-17 years, who had initiated dating. Adolescents completed measures of dating violence, substance-related problems (alcohol and marijuana), and cognitive distortions.
RESULTS
Logistic regressions were conducted to examine the direct and interactive effects of dating violence exposure and cognitive distortions on likelihood of recent problematic substance use. Results suggested a main effect of dating violence on problematic alcohol and other drug use as well as an interactive effect of dating violence and cognitive distortions. Specifically, the relationship between dating violence and odds of substance-related problems was higher among those with greater (vs. fewer) cognitive distortions.
CONCLUSION
Study results suggest the need for careful screening of cognitive distortions among adolescent dating violence victims, particularly those in mental health treatment.
目的
本研究旨在探讨在接受精神科住院治疗的青少年样本中，认知歪曲（如认知错误；对自我、世界和未来的消极看法）是否会影响约会暴力与问题物质使用行为之间的关联。
方法
研究对象包括155名年龄在13至17岁之间开始约会的青少年。青少年完成了约会暴力、物质相关问题（酒精和大麻）以及认知歪曲的测量。
结果
进行逻辑回归分析以检验约会暴力暴露和认知歪曲对近期问题物质使用可能性的直接和交互作用。结果表明约会暴力对问题酒精和其他药物使用有主效应，以及约会暴力和认知歪曲有交互效应。具体而言，在认知歪曲程度较高（而非较低）的人群中，约会暴力与物质相关问题几率之间的关系更强。
结论
研究结果表明，需要对青少年约会暴力受害者，尤其是接受心理健康治疗的受害者的认知歪曲进行仔细筛查。
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