Moncrieff J, Drummond D C, Candy B, Checinski K, Farmer R
Department of Addictive Behaviour, St George's Hospital Medical School, London.
Br J Psychiatry. 1996 Sep;169(3):355-60. doi: 10.1192/bjp.169.3.355.
There is evidence that people with a history of sexual abuse may have an increased risk of developing alcohol and drug problems.
A self-completion sexual abuse questionnaire was designed and administered to a sample of attenders at three London alcohol services. Drinking behaviour was assessed using the Severity of Alcohol Dependence Questionnaire and the Alcohol Problems Questionnaire, and additional data were derived from case notes.
Fifty-four per cent of women and 24% of men identified themselves as victims of sexual abuse or assault For the majority this had started before the age of 16 and involved non-relatives. Subjects with a history of sexual abuse were younger, reached drinking milestones earlier, were more likely to have a family history of alcohol misuse and had more alcohol-related problems than non-abused subjects. Sexual abuse, age and alcohol dependence predicted level of problems in a regression analysis.
The high rates of sexual abuse and its association with indications of increased morbidity suggest it is an important issue for the management of alcohol problems. More use could be made of self-completion questionnaires for the investigation of sexual abuse.
有证据表明，有性虐待史的人患酒精和药物问题的风险可能会增加。
设计了一份自我完成的性虐待调查问卷，并对伦敦三个酒精服务机构的就诊者样本进行了调查。使用酒精依赖严重程度问卷和酒精问题问卷评估饮酒行为，并从病例记录中获取其他数据。
54%的女性和24%的男性认为自己是性虐待或性侵犯的受害者。对大多数人来说，这种情况在16岁之前就开始了，并且涉及非亲属。有性虐待史的受试者比未受虐待的受试者更年轻，更早达到饮酒里程碑，更有可能有酒精滥用的家族史，并且有更多与酒精相关的问题。在回归分析中，性虐待、年龄和酒精依赖可预测问题的严重程度。
性虐待的高发生率及其与发病率增加迹象的关联表明，这是酒精问题管理中的一个重要问题。可以更多地使用自我完成的调查问卷来调查性虐待情况。
