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儿童期虐待、饮酒动机与青年期酒精相关问题。

Childhood maltreatment, motives to drink and alcohol-related problems in young adulthood.

机构信息

Virginia Commonwealth University, School of Social Work, 1000 Floyd Avenue, Third Floor Richmond, VA 23284, United States; Virginia Commonwealth University, School of Medicine, Department of Psychiatry, 1200 East Broad Street, Richmond, VA 23298, United States.

Virginia Commonwealth University, School of Social Work, 1000 Floyd Avenue, Third Floor Richmond, VA 23284, United States.

出版信息

Child Abuse Negl. 2020 Oct;108:104657. doi: 10.1016/j.chiabu.2020.104657. Epub 2020 Aug 24.

Abstract

BACKGROUND

Young adults with a history of child maltreatment (CM) are often vulnerable to alcohol-related problems. Drinking motives have been widely studied to explain alcohol-related problems in young adulthood.

OBJECTIVES

The aims of the current study were to examine the link between CM and alcohol-related problems and to test whether CM is indirectly related to alcohol-related problems via different types of drinking motives.

PARTICIPANTS AND SETTING

Two hundred eight participants were recruited in a mid-Atlantic urban area (M age = 19.7, 78.4 % female) via advertisements placed throughout the community.

METHODS

Participants completed self-report measures of CM (Childhood Trauma Questionnaire), types of drinking motives (the Drinking Motives Questionnaire Revised Short Form), and alcohol-related problems (Rutgers Alcohol Problem Index). Structural equation modeling (SEM) was used to test whether CM was associated with alcohol use, both directly and indirectly, through drinking motives.

RESULTS

We found that both coping (β = 0.53,p < 0.001) and enhancement drinking motives (β = 0.15, p = 0.031) were associated with alcohol-related problems. Additionally, CM was related to alcohol-related problems indirectly via coping motive (β = 0.11, p = 0.028).

CONCLUSION

Young adults with a history of CM may use alcohol to cope with trauma-related negative emotionality. Targeting emotional distress in CM-exposed individuals may be helpful in preventing and treating alcohol-related problems in this vulnerable population.

摘要

背景

有儿童期虐待(CM)史的年轻人通常容易出现与酒精相关的问题。饮酒动机已被广泛研究,以解释年轻人的与酒精相关问题。

目的

本研究旨在探讨 CM 与酒精相关问题之间的联系,并检验 CM 是否通过不同类型的饮酒动机与酒精相关问题间接相关。

参与者和设置

通过在社区中广泛发布广告,在大西洋中部市区招募了 208 名参与者(M 年龄=19.7,78.4%为女性)。

方法

参与者完成了 CM(儿童创伤问卷)、不同类型的饮酒动机(修订后的饮酒动机问卷简短版)和酒精相关问题(罗格斯酒精问题指数)的自我报告测量。结构方程模型(SEM)用于检验 CM 是否通过饮酒动机直接和间接与酒精使用相关。

结果

我们发现,应对(β=0.53,p<0.001)和增强型饮酒动机(β=0.15,p=0.031)均与酒精相关问题相关。此外,CM 通过应对动机与酒精相关问题间接相关(β=0.11,p=0.028)。

结论

有 CM 史的年轻人可能会使用酒精来应对与创伤相关的负面情绪。针对 CM 暴露个体的情绪困扰可能有助于预防和治疗这一脆弱人群的酒精相关问题。

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