Bountress Kaitlin E, Cohen Joseph R, Ruggiero Kenneth, Davidson Tatiana, Calhoun Casey D, Nelson Fletcher, Fields Caroline, Danielson Carla Kmett, Russell W Scott, Gilmore Amanda K
Virginia Institute for Psychiatric and Behavioral Genetics, Virginia Commonwealth University, Richmond, VA.
Department of Psychology, University of Illinois at Urbana-Champaign, Champaign, IL.
J Subst Use. 2020;25(3):313-317. doi: 10.1080/14659891.2019.1692925. Epub 2019 Nov 18.
Hundreds of thousands of individuals visit the emergency department (ED) every year, with many visits occurring following alcohol misuse. Parent-child relationship factors are associated with alcohol-related outcomes. For example, offspring choice to self-disclose information about their lives to parents, rather than parents actively soliciting this information, is associated with substance use. However, it is unclear whether self-disclosure uniquely predicts alcohol-related outcomes in a young adult ED sample.
Data were collected from young adults (age 18-30 years) visiting an ED for a traumatic injury (n=79). Participants were about 24.4 years old, majority male (53.7%), and Caucasian (76%; 24% African-American). A bifactor model within a structural equation model tested unique effects of self-disclosure on age at first drink, propensity for risky drinking, and likelihood of consuming substances prior to ED visit, over and above parental solicitation and a general factor and gender.
Those who shared more information with their caregivers reported an older age at first drink, lower propensity for risky drinking and lower propensity to consume substances prior to their ED visit.
These findings suggest that self-disclosure may be a unique risk factor in the initiation of alcohol use, development of problem use, and consequences following use.
每年有数十万人前往急诊科（ED）就诊，许多就诊情况发生在酒精滥用之后。亲子关系因素与酒精相关的结果有关。例如，子女选择向父母自我披露自己生活中的信息，而非父母主动询问这些信息，这与物质使用有关。然而，在年轻成人急诊科样本中，自我披露是否能独特地预测与酒精相关的结果尚不清楚。
收集了因创伤性损伤前往急诊科就诊的年轻成人（年龄18 - 30岁，n = 79）的数据。参与者平均年龄约24.4岁，大多数为男性（53.7%），白种人（76%；非裔美国人24%）。在结构方程模型中的双因素模型测试了自我披露对首次饮酒年龄、危险饮酒倾向以及在急诊科就诊前使用物质的可能性的独特影响，这些影响超出了父母询问、一个一般因素和性别的影响。
那些与照顾者分享更多信息的人报告首次饮酒年龄较大，危险饮酒倾向较低，在急诊科就诊前使用物质的倾向较低。
这些发现表明，自我披露可能是酒精使用起始、问题使用发展以及使用后后果的一个独特风险因素。
