Chen Fei, Berchtold André, Barrense-Dias Yara, Suris Joan-Carles
Department of Psychiatry, Centre Cantonal Autisme, Lausanne University Hospital, Lausanne, Switzerland.
Institute of Social Sciences and NCCR LIVES, University of Lausanne, Lausanne, Switzerland.
Int J Adolesc Med Health. 2018 Nov 29;33(1):/j/ijamh.ahead-of-print/ijamh-2018-0070/ijamh-2018-0070.xml. doi: 10.1515/ijamh-2018-0070.
Earlier studies suggested a positive impact of spirituality on addictive disorders, but this effect has rarely been studied in a large adolescent and young adult population.
To examine the association between spiritual beliefs (general belief, the supporting role of spiritual belief, the critical role of spiritual belief) and potentially addictive behaviors (tobacco, alcohol, cannabis and other illegal drugs, excessive Internet use and gambling).
Data were collected using online self-report questionnaires among a sample of 5179 adolescents and young adults aged 15-24 years in post-mandatory education in Switzerland. Statistical analysis at bivariate and multivariate level was performed.
At the bivariate level, spiritual beliefs were linked to a lower risk of tobacco smoking, alcohol misuse and cannabis use as well as an increased risk of Internet overuse and gambling. However, at the multivariate level, controlling for age, gender, language and place of birth, significant associations were found only for alcohol misuse, Internet overuse and gambling.
The study provides evidence that spiritual belief could protect youth from the risk of alcohol misuse but could also increase the risk of excessive Internet use and gambling. The role of spiritual beliefs in preventing or motivating these problematic behaviors is of great interest for adolescent health care providers and should be considered in the light of the separation-individuation process and transition from adolescence to adulthood.
早期研究表明精神性对成瘾性障碍有积极影响，但这种影响在大量青少年和青年人群中很少被研究。
研究精神信仰（一般信仰、精神信仰的支持作用、精神信仰的关键作用）与潜在成瘾行为（烟草、酒精、大麻和其他非法药物、过度使用互联网和赌博）之间的关联。
通过在线自我报告问卷对瑞士5179名年龄在15 - 24岁、处于义务教育后阶段的青少年和青年进行数据收集。进行了双变量和多变量水平的统计分析。
在双变量水平上，精神信仰与吸烟、酒精滥用和大麻使用风险较低以及互联网过度使用和赌博风险增加有关。然而，在多变量水平上，在控制年龄、性别、语言和出生地后，仅发现酒精滥用、互联网过度使用和赌博存在显著关联。
该研究提供了证据表明精神信仰可以保护青少年免受酒精滥用风险，但也可能增加过度使用互联网和赌博的风险。精神信仰在预防或促发这些问题行为中的作用对于青少年医疗保健提供者具有重要意义，并且应根据分离个体化过程以及从青少年到成年的转变来加以考虑。
