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酗酒者子女的精神病理学

Psychopathology in children of alcoholics.

作者信息

Reich W, Earls F, Frankel O, Shayka J J

机构信息

Division of Child Psychiatry, Washington University, St. Louis, MO 63110.

出版信息

J Am Acad Child Adolesc Psychiatry. 1993 Sep;32(5):995-1002. doi: 10.1097/00004583-199309000-00017.

Abstract

OBJECTIVE

To assess psychopathology in 125 and 158 children who are offspring of alcoholic and control parents.

METHOD

Parents and children were interviewed by means of structured interviews. Parents were interviewed about themselves and about their children. Teacher reports were obtained. A total of 158 young people ages 6 to 18 years were in the study, although some of the analyses use only 125.

RESULTS

Children of alcoholic parents showed higher rates of oppositional and conduct disorders but not attention deficit disorder. Children of alcoholic parents did not have significantly higher rates of depression, but they may be at risk for anxiety. These children also showed increased incidence of alcohol and other substance use but not abuse or dependence as defined by DSM-III. Few differences were detected with respect to self-esteem and achievement tests among the groups. There were no differences in the rates of psychopathology between offspring of alcoholic versus antisocial parents.

CONCLUSION

These data indicate that children of alcoholics exhibit high rates of psychopathology and may be at risk specifically for oppositional and conduct disorders but not for depression. There are few differences between alcoholics and controls with respect to self-esteem and achievement tests.

摘要

目的

评估125名和158名父母为酗酒者的儿童以及对照儿童的精神病理学状况。

方法

通过结构化访谈对父母和儿童进行访谈。对父母进行关于他们自身及子女的访谈。获取教师报告。共有158名6至18岁的青少年参与研究,不过部分分析仅使用了125名儿童的数据。

结果

父母为酗酒者的儿童出现对立违抗障碍和品行障碍的比率更高,但未出现注意力缺陷障碍。父母为酗酒者的儿童患抑郁症的比率未显著更高,但可能存在焦虑风险。这些儿童还表现出酒精及其他物质使用发生率增加,但未出现《精神疾病诊断与统计手册》第三版(DSM - III)所定义的滥用或依赖情况。在自尊和成绩测试方面,两组之间未检测到显著差异。酗酒父母的子女与反社会父母的子女在精神病理学发生率上没有差异。

结论

这些数据表明,酗酒者的子女表现出较高的精神病理学发生率,可能尤其面临对立违抗障碍和品行障碍的风险,但不面临抑郁症风险。在自尊和成绩测试方面,酗酒者与对照组之间几乎没有差异。

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