描述中年开始的酒精依赖:对病因学,预防和健康衰老的影响
Lara Khalifeh1, Avshalom Caspi2,3,4,5, Kallisse R Dent1
1Department of Psychology, University of Michigan, Ann Arbor, MI 48109.
概括
中年开始的酒精依赖 (AD) 与青少年问题和成人心理健康挑战有关. 早期发病的阿尔茨海默病有不同的风险因素,凸显了整个生命周期需要有针对性的干预措施的需要.
科学领域:
- 流行病学 流行病学
- 发展心理学 发展心理学
- 药物成科学 药物成科学
背景情况:
- 酒精依赖 (AD) 是一个重要的公共卫生问题,具有不同的发病模式.
- 了解AD的发展轨迹对于有效的预防和干预至关重要.
研究的目的:
- 检查中年开始的酒精依赖的发育流行病学.
- 为了确定区分中年发病的AD和早期发病的AD的相关系.
主要方法:
- 长度人口代表性队列研究 (Dunedin研究,N=1,037) 进行了五十年的跟踪.
- 在多个年龄段 (18-45岁) 评估过去一年的酒精依赖率.
- 在中年开始和早期开始的AD群体之间,早期生活和成人相关的比较.
主要成果:
- 过去一年的AD患病率因年龄而异,在青春期和早期成年期达到顶峰.
- 中年开始的AD (第一次诊断年龄为38-45岁) 与家族病史,青少年失调和大麻使用有关.
- 与早期出现的AD相比,中年开始的AD个体表现出更多的成年障碍,内化障碍和社会/家庭融合的减少.
结论:
- 中年开始的AD与早期开始的AD相比,具有不同的发展途径和相关性.
- 这些发现可以为有针对性的干预措施提供信息,以减轻与酒精有关的问题,并在中年期促进健康的衰老.
- 在青春期早期识别风险因素可能有助于预防以后的酒精依赖.
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