青少年心理健康困难与酒精消费之间的相互关系
Janet Kiri1, James Hall2, Samuele Cortese3,4,5,6,7,8
1School of Psychology, Centre for Innovation in Mental Health, University of Southampton, University Road, Southampton, SO17 1BJ, UK. jk3g18@soton.ac.uk.
European child & adolescent psychiatry
|January 18, 2025
概括
青少年频繁使用酒精会增加以后精神健康问题的风险,特别是症状的外部化. 然而,内化症状可能会减少酒精消费,这表明需要有针对性的干预措施.
科学领域:
- 精神病学和行为科学
- 发展心理学 发展心理学
- 公共卫生 公共卫生
背景情况:
- 青少年饮酒与心理健康之间的双向关系尚不清楚.
- 青春期是出现物质使用障碍和心理健康状况的关键时期.
- 了解这些纵向联系对于有效的预防和干预策略至关重要.
研究的目的:
- 研究青少年饮酒频率与内化/外化症状之间的纵向,定向关联.
- 检查这些关系如何从早期到晚年青春期演变.
- 确定青少年心理健康服务干预的潜在目标.
主要方法:
- 使用千年队列研究 (N=10,647) 的数据,采用了一个随机截取交叉滞后面板模型.
- 在三个时间点 (11,14,17岁) 收集了数据,其中包括自我报告的酒精使用情况和父母/队列成员报告的症状 (优点和困难问卷).
- 统计控制包括酒精预期,性别和累积风险指数.
主要成果:
- 11岁时更频繁的酒精使用预测了14岁时更高的内化症状.
- 14岁时更频繁的酒精使用预测了17岁时更高的外部化症状.
- 内化症状预测酒精使用量下降,而外化症状预测酒精使用量增加,表明双向恶化.
结论:
- 青少年频繁饮酒是随后精神健康问题的重要危险因素.
- 外化症状和酒精使用频率似乎相互加强.
- 内化症状可能会对频繁饮酒产生保护作用,建议在精神卫生机构对饮酒进行查.
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