Centre for Longitudinal Studies, Department of Social Science, University College of London, London, The United Kingdom.
PLoS One. 2020 Feb 18;15(2):e0228667. doi: 10.1371/journal.pone.0228667. eCollection 2020.
This systematic review aims to summarise current evidence on the association between early life mental health and alcohol use behaviours in adulthood. Peer-reviewed publications were located by searching EMBASE, Medline, PsycINFO, and the ISI Web of Science up to 31 October 2018. Prospective longitudinal studies reporting associations between externalising problems (EXT), internalising problems (INT), depression, anxiety before age 18, and alcohol use behaviours (alcohol consumption, heavy/problematic drinking, alcohol use disorder) after age 18 were included. After screening 17259 articles, 36 articles met the inclusion criteria. Information extracted included strength of associations, age when mental health and alcohol use behaviours were measured, sex differences in the association, and other sample characteristics. 103 tests in 23 articles were identified on the externalising domain and 135 tests in 26 articles on the internalising domain. 37 out of 103 tests reported positive associations between EXT and alcohol use behaviours. The likelihood of observing positive associations was higher for more severe alcohol use outcomes, but this trend disappeared among high-quality studies. Findings on associations between internalising domain and alcohol use varied across their subtypes. INT tended to be negatively associated with alcohol consumption but positively associated with more severe outcomes (heavy/problematic drinking, alcohol use disorder). Depression tended to be positively associated with alcohol outcomes, while no clear association between anxiety and alcohol outcomes was evident. Variation of the association across developmental timing, sex, culture, historical period was explored where appropriate. Great heterogeneity in the current literature calls for greater attention to view the relationship developmentally.
本系统评价旨在总结目前关于儿童早期心理健康与成年后饮酒行为之间关联的证据。通过检索 EMBASE、Medline、PsycINFO 和 ISI Web of Science，截至 2018 年 10 月 31 日，查找同行评审出版物。纳入的前瞻性纵向研究报告了在 18 岁之前出现的外化问题（EXT）、内化问题（INT）、抑郁、焦虑与 18 岁后饮酒行为（饮酒量、重度/问题饮酒、酒精使用障碍）之间的关联。在筛选了 17259 篇文章后，有 36 篇文章符合纳入标准。提取的信息包括关联的强度、测量心理健康和饮酒行为的年龄、关联的性别差异以及其他样本特征。在 23 篇文章中确定了 103 项关于外化问题的检验，在 26 篇文章中确定了 135 项关于内化问题的检验。103 项检验中有 37 项报告了 EXT 与饮酒行为之间存在正相关。对于更严重的饮酒结果，观察到正相关的可能性更高，但这种趋势在高质量研究中消失了。关于内化问题域与饮酒行为之间关联的研究结果因亚型而异。INT 倾向于与饮酒量呈负相关，但与更严重的结果（重度/问题饮酒、酒精使用障碍）呈正相关。抑郁与饮酒结果呈正相关，而焦虑与饮酒结果之间没有明显的关联。在适当的情况下，探讨了关联在发展时间、性别、文化和历史时期的变化。目前文献中的高度异质性要求更加关注从发展角度看待这种关系。
