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父母酗酒与青少年犯罪行为之间的关联:探讨创伤后应激障碍症状、焦虑症状和冲动性的序列中介和平行中介作用

Associations between parental alcoholism and delinquent behaviours among youth: exploring serial and parallel mediation by posttraumatic stress disorder symptoms, anxiety symptoms and impulsivity.

作者信息

Isingizwe Belise Blandine, Niyonsenga Japhet, Kanazayire Clementine, Nduwamungu Naasson, Ntete Jeanne Marie, Mutabaruka Jean

机构信息

Department of Clinical Psychology, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda.

Mental Health & Behaviour Research Group, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda.

出版信息

Eur J Psychotraumatol. 2025 Dec;16(1):2526893. doi: 10.1080/20008066.2025.2526893. Epub 2025 Jul 28.

Abstract

: Despite mounting evidence linking parental alcoholism (PA) with delinquency in youth, little is known about the factors that mediate this link globally. This study, therefore, aimed to explore whether Posttraumatic Stress Disorder (PTSD) symptoms, Generalized Anxiety Disorder (GAD) symptoms and impulsivity serially or parallel mediate the associations between PA and delinquency among youth.: A random sample of 341 male participants aged between 17 and 25 years (M = 21.34, SD = 2.23) was selected from the Iwawa Rehabilitation Centre for youth affected by delinquency, alcohol or substance abuse, or homelessness in Rwanda. Data were collected from February to May 2022, using standardized measures of PA, PTSD symptoms, GAD symptoms, impulsivity and delinquency. Mediation models were analysed using the Macro Process in SPSS to examine the simple (single mediator), serial, and parallel mediating models.: The results showed high prevalence of parental alcoholism (69.5%), possible PTSD (45.2%), GAD (42%), and impulsivity (Mean = 9.12, SD = 4.07). Analyses revealed significant associations between PA, delinquency, and the mediators. PTSD symptoms, GAD, and impulsivity individually and parallelly mediated the relationship between PA and delinquency, with impulsivity emerging as the strongest mediator, accounting for 21.3% of the total effect and 6.2% of the overall indirect effect. Among the tested models, serial mediation models highlighted a compelling cascading pathway where PA is associated with impulsivity, followed by increased PTSD symptoms, which are then linked to heightened anxiety symptoms and delinquency (PA → impulsivity → PTSD → GAD → delinquency).: While the study uses linear statistical models, the results challenge traditional assumptions that traumatic stress necessarily initiates the cascade of risk by suggesting alternative sequences, such as impulsivity playing an earlier or initiating role. These findings support the need for culturally sensitive and trauma-informed interventions that specifically address impulsivity in youth affected by parental alcoholism.

摘要

尽管越来越多的证据表明父母酗酒(PA)与青少年犯罪有关,但对于在全球范围内介导这种联系的因素却知之甚少。因此,本研究旨在探讨创伤后应激障碍(PTSD)症状、广泛性焦虑症(GAD)症状和冲动性是否连续或并行介导青少年中PA与犯罪之间的关联。

从卢旺达Iwawa青少年康复中心选取了341名年龄在17至25岁之间的男性参与者(M = 21.34,SD = 2.23)的随机样本,这些青少年受到犯罪、酗酒或药物滥用或无家可归的影响。2022年2月至5月收集数据,使用PA、PTSD症状、GAD症状、冲动性和犯罪的标准化测量方法。使用SPSS中的Macro Process分析中介模型,以检验简单(单一中介)、连续和并行中介模型。

结果显示父母酗酒的患病率很高(69.5%),可能患有PTSD(45.2%)、GAD(42%)和冲动性(均值 = 9.12,SD = 4.07)。分析揭示了PA、犯罪和中介因素之间的显著关联。PTSD症状、GAD和冲动性分别并行介导了PA与犯罪之间的关系,冲动性是最强的中介因素,占总效应的21.3%和总体间接效应的6.2%。在测试的模型中,连续中介模型突出了一个引人注目的级联途径,其中PA与冲动性相关,随后PTSD症状增加,进而与焦虑症状加剧和犯罪相关(PA→冲动性→PTSD→GAD→犯罪)。

虽然该研究使用线性统计模型,但结果挑战了传统假设,即创伤性应激必然引发风险级联,提出了替代序列,例如冲动性发挥更早或起始作用。这些发现支持需要针对受父母酗酒影响的青少年的冲动性开展具有文化敏感性和创伤知情的干预措施。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/75e4/12305872/ca98810ca7f0/ZEPT_A_2526893_F0001_OC.jpg

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