青春期内化或外化行为是否调解了儿童虐待与酒精和物质使用的关系?
Mike Trott1,2,3, Claudia Bull1,4, Jake Moses Najman5
1Princess Alexandra Hospital Southside Clinical Unit, Greater Brisbane Clinical School, Medical School, The University of Queensland, Woolloongabba, Australia.
Addiction (Abingdon, England)
|March 2, 2025
概括
虐待儿童与以后的酒精和物质使用有关. 青春期的外部化行为部分解释了这种联系,但内部化行为没有. 这强调了将行为外部化作为理解这些结果的关键因素.
科学领域:
- 公共卫生 公共卫生
- 心理学 心理学 心理学
- 流行病学 流行病学
背景情况:
- 虐待儿童 (CM) 是造成不良心理健康结果的重要风险因素.
- 这些结果包括晚年使用酒精 (AU) 和使用物质 (SU) 的风险增加.
- 外化和内化行为与CM和AU/SU有关.
研究的目的:
- 调查青少年的外化或内化行为是否调解了机构报告的CM和AU或SU的医院入院之间的关联.
- 了解将童年逆境与成人物质使用障碍联系在一起的途径.
主要方法:
- 一项使用来自澳大利亚昆士兰州的行政卫生数据的观察性研究.
- 将预期出生队列数据与机构报告的CM连接起来,直到14岁.
- 测量青少年行为 (青年自我报告) 和AU/SU (25-39岁) 的住院病例.
主要成果:
- 外向化行为显著介导了31%的CM-AU关系 (P=0.007).
- 外向化行为也介导了22%的CM-SU关系 (P=0.016).
- 内化行为对CM-AU或CM-SU关系没有显著的调解作用.
结论:
- 青少年的外部化行为部分介绍了儿童虐待和成人因酒精和物质使用而入院之间的联系在昆士兰州.
- 内化行为似乎在这个途径中没有发挥显著的调解作用.
- 研究结果表明,针对外化行为可能对干预策略至关重要.
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