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患有胎儿酒精综合征的成年人的自我报告健康状况、酒精和非法药物使用情况以及犯罪行为。

Self-reported health, use of alcohol and illicit drugs, and criminality among adults with foetal alcohol syndrome.

作者信息

Rangmar Jenny, Dahlgren Sandberg Annika, Aronson Marita, Fahlke Claudia

机构信息

University of Gothenburg, Sweden.

The Queen Silvia Children's Hospital, Gothenburg, Sweden.

出版信息

Nordisk Alkohol Nark. 2017 Jun;34(3):255-266. doi: 10.1177/1455072517707887. Epub 2017 May 26.

Abstract

AIMS

To investigate self-reported physical and psychiatric problems, use of alcohol and illicit drugs, as well as conviction, and being a victim, of crime in adults with foetal alcohol syndrome (FAS).

METHODS

Interviews with 20 adults, aged 30±8 years with FAS diagnosis (65% female) and an age-and-gender-matched comparison group. Measures used were the Addiction Severity Index interview, the Beck Depression Inventory Scale and the Beck Anxiety Inventory Scale.

RESULTS AND CONCLUSIONS

Adults with FAS need healthcare for depression and suicidal ideation, which occurred commonly, but problems with use of alcohol and illicit drugs were not more common in the FAS group. Although self-reported physical health problems were not more common in the FAS group, their number of days with sickness leave indicated that they are often in too poor a physical condition to work. A majority of the FAS group had been victims of crime, which makes this an important topic for further research. The groups did not differ in crime conviction rates. Everyone in the study group had been diagnosed with FAS; a diagnosis may give access to social welfare interventions. More individuals within the FAS disorders spectrum need to be identified to be given access to efficient interventions.

摘要

目的

调查胎儿酒精综合征(FAS)成年患者自我报告的身体和精神问题、酒精及非法药物使用情况,以及犯罪定罪和成为犯罪受害者的情况。

方法

对20名年龄在30±8岁、诊断为FAS的成年人(65%为女性)以及一个年龄和性别匹配的对照组进行访谈。使用的测量工具包括成瘾严重程度指数访谈、贝克抑郁量表和贝克焦虑量表。

结果与结论

FAS成年患者因常见的抑郁和自杀观念而需要医疗保健,但酒精和非法药物使用问题在FAS组中并不更常见。虽然自我报告的身体健康问题在FAS组中并不更常见,但他们的病假天数表明他们的身体状况往往太差而无法工作。FAS组中的大多数人曾是犯罪受害者,这使其成为一个值得进一步研究的重要课题。两组的犯罪定罪率没有差异。研究组中的每个人都被诊断为FAS;诊断可能有助于获得社会福利干预。需要识别更多FAS谱系障碍患者,以便他们能够获得有效的干预措施。

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本文引用的文献

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What Happens When Children with Fetal Alcohol Spectrum Disorders Become Adults?患有胎儿酒精谱系障碍的儿童成年后会怎样?
Curr Dev Disord Rep. 2015 Sep;2(3):219-227. doi: 10.1007/s40474-015-0053-7. Epub 2015 Jun 24.
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Prenatal alcohol exposure: An assessment strategy for the legal context.产前酒精暴露:法律背景下的评估策略。
Int J Law Psychiatry. 2015 Sep-Dec;42-43:144-8. doi: 10.1016/j.ijlp.2015.08.019. Epub 2015 Aug 31.
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Psychosocial outcomes of fetal alcohol syndrome in adulthood.成人胎儿酒精综合征的社会心理结局。
Pediatrics. 2015 Jan;135(1):e52-8. doi: 10.1542/peds.2014-1915. Epub 2014 Dec 22.
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Further development of a neurobehavioral profile of fetal alcohol spectrum disorders.进一步发展胎儿酒精谱系障碍的神经行为特征。
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