失学青少年的创伤后应激障碍、生活质量与酒精使用问题
Post-Traumatic Stress, Quality of Life and Alcohol Use Problems among Out-of-School Youth.
作者信息
Lee Yeon Jung, Lee Moon-Soo, Won Sung-Doo, Lee So Hee
机构信息
Department of Psychiatry, College of Medicine, Soonchunhyang University, Seoul Hospital, Seoul, Republic of Korea.
Department of Psychiatry, College of Medicine, Korea University, Guro Hospital, Seoul, Republic of Korea.
出版信息
Psychiatry Investig. 2019 Mar;16(3):193-198. doi: 10.30773/pi.2018.12.25.3. Epub 2019 Mar 7.
OBJECTIVE
Post-traumatic stress symptoms (PTSS) in out-of-school youths (OSYs) may be influenced by alcohol use, but there is a lack of evidence explaining how PTSS affect alcohol use problems in OSYs. The present study aimed to investigate the relationships among PTSS, quality of life, and alcohol use in OSYs.
METHODS
In total, 125 OSYs (46.4% male) in South Korea completed the Korean Version of the Child Report of Post-Traumatic Symptoms (CROPS), the KIDSCREEN-27 Quality of Life Measure for Children and Adolescents, and the Alcohol Use Disorders Identification Test-Consumption.
RESULTS
Mean CROPS score was 18.7 (SD=11.6); 37.6% were problem drinkers. Quality of life in the domain of parent relations and autonomy significantly mediated the relationship between PTSS and alcohol use problems. OSYs with high parental satisfaction and autonomy were less likely to have alcohol use problems even with PTSS.
CONCLUSION
Family assessments and therapeutic approaches are needed for OSYs with both PTSS and alcohol use problems.
目的
校外青少年（OSY）的创伤后应激症状（PTSS）可能受饮酒影响，但缺乏关于PTSS如何影响OSY饮酒问题的证据。本研究旨在调查OSY中PTSS、生活质量和饮酒之间的关系。
方法
韩国125名OSY（46.4%为男性）完成了《儿童创伤后症状报告》韩文版（CROPS）、《儿童青少年生活质量量表KIDSCREEN-27》和《酒精使用障碍识别测试-消费版》。
结果
CROPS平均得分为18.7（标准差=11.6）；37.6%为问题饮酒者。亲子关系和自主性领域的生活质量显著介导了PTSS与饮酒问题之间的关系。即使有PTSS，对父母满意度高且自主性强的OSY出现饮酒问题的可能性较小。
结论
对于同时存在PTSS和饮酒问题的OSY，需要进行家庭评估和治疗干预。
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