Stangeland Helle, Aakvaag Helene Flood, Baumann-Larsen Monica, Wentzel-Larsen Tore, Storheim Kjersti, Zwart John Anker, Dyb Grete, Stensland Synne Øien
Norwegian Centre for Violence and Traumatic Stress Studies, Oslo, Norway.
Institute of Clinical Medicine, University of Oslo, Oslo, Norway.
J Trauma Stress. 2023 Oct;36(5):968-979. doi: 10.1002/jts.22965. Epub 2023 Sep 4.
Problematic alcohol use (PAU) severely impacts the health, functioning, and long-term prospects of young people. Prior research indicates that childhood trauma exposure may be an important risk factor for PAU, but few longitudinal studies have looked at how specific trauma types influence this risk. The aim of this study was to investigate the association between childhood trauma exposure and PAU in a large, population-based cohort of young people. The study sample included 1,913 adolescents who participated in the Trøndelag Health Study (HUNT) between 2006 and 2008 (age range: 12-20) and completed follow-up 10 years later as young adults (age range: 22-32). The results revealed an increased risk of PAU in young adults exposed to childhood trauma, especially direct physical violence, OR = 2.38, [95% CI 1.56, 3.64]. Young adults who had witnessed violence, OR = 1.55, [95% CI 1.11, 2.17], or experienced an accident, disaster, or other traumatic event, OR = 1.60, [95% CI 1.19, 2.15], also had higher odds of PAU compared to those without such experiences. These associations remained consistent after adjusting for symptoms of headaches and pain as well as posttraumatic and general psychological distress as reported by the participants in adolescence. Future prevention efforts targeting PAU among adolescents and young adults should address violence and other trauma exposure as potential drivers of problematic drinking.
问题性饮酒(PAU)严重影响年轻人的健康、功能和长期前景。先前的研究表明,童年期遭受创伤可能是PAU的一个重要风险因素,但很少有纵向研究探讨特定创伤类型如何影响这种风险。本研究的目的是在一个基于人群的大型年轻人群队列中调查童年期创伤暴露与PAU之间的关联。研究样本包括1913名青少年,他们在2006年至2008年期间参加了特隆赫姆健康研究(HUNT)(年龄范围:12 - 20岁),并在10年后作为年轻人(年龄范围:22 - 32岁)完成了随访。结果显示,童年期遭受创伤的年轻人出现PAU的风险增加,尤其是直接身体暴力,优势比(OR)= 2.38,[95%置信区间(CI)1.56, 3.64]。目睹暴力的年轻人,OR = 1.55,[95% CI 1.11, 2.17],或经历事故、灾难或其他创伤性事件的年轻人,OR = 1.60,[95% CI 1.19, 2.15],与没有此类经历的人相比,出现PAU的几率也更高。在根据青少年时期参与者报告的头痛和疼痛症状以及创伤后和一般心理困扰进行调整后,这些关联仍然一致。未来针对青少年和年轻人中PAU的预防工作应将暴力和其他创伤暴露作为问题饮酒的潜在驱动因素加以解决。