青少年接受物质使用治疗服务时的儿童期虐待、精神症状和自杀意念。
Childhood maltreatment, psychiatric symptoms, and suicidal thoughts among adolescents receiving substance use treatment services.
机构信息
American University, USA.
University of Georgia, USA.
出版信息
J Adolesc. 2021 Jun;89:18-27. doi: 10.1016/j.adolescence.2021.03.002. Epub 2021 Apr 8.
INTRODUCTION
Childhood maltreatment experiences are associated with future suicidal thoughts and suicide attempts, yet the roles of specific psychiatric symptoms mediating this relation remain to be clarified. To clarify these relations, we tested a model incorporating multiple forms of childhood maltreatment (sexual abuse, physical punishment, emotional neglect), past year psychiatric disorder symptoms during adolescence (anxiety, mood, and conduct disorders) and recent suicidal thoughts.
METHODS
We administered structured interviews to 394 adolescents receiving outpatient substance use treatment services in the Southeastern United States (280 males; Mage = 16.33; SDage = 1.15). Structural equation models (SEMs) were used to evaluate the degree to which relations between childhood maltreatment and suicidal thoughts were mediated by specific past-year psychiatric symptoms.
RESULTS
Mood disorder symptoms significantly mediated the relation between neglect/negative home environment and suicidal thoughts. This path of influence did not vary by gender.
CONCLUSIONS
Childhood maltreatment and subsequent psychopathology influence suicidal thoughts among adolescents receiving substance use treatment services. The findings of the present study have implications for the adaptation and delivery of substance use treatment services to adolescents to enhance treatment engagement and outcomes.
简介
儿童期虐待经历与未来的自杀意念和自杀企图有关，但中介这种关系的特定精神科症状的作用仍有待阐明。为了阐明这些关系，我们测试了一个包含多种形式的儿童虐待（性虐待、身体惩罚、情感忽视）、青少年时期的过去一年的精神科障碍症状（焦虑、情绪和行为障碍）和最近的自杀意念的模型。
方法
我们对在美国东南部接受门诊药物滥用治疗服务的 394 名青少年进行了结构访谈（280 名男性；Mage=16.33；SDage=1.15）。结构方程模型（SEM）用于评估童年虐待与自杀意念之间的关系在多大程度上受到特定过去一年精神科症状的中介。
结果
情绪障碍症状显著中介了忽视/消极家庭环境与自杀意念之间的关系。这种影响途径不受性别差异的影响。
结论
儿童期虐待和随后的精神病理学影响接受药物滥用治疗服务的青少年的自杀意念。本研究的结果对适应和提供药物滥用治疗服务以增强青少年的治疗参与度和效果具有启示意义。
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