The importance of a positive family history of alcoholism, parental rejection and emotional warmth, behavioral problems and peer substance use for alcohol problems in teenagers: A path analysis
The importance of a positive family history of alcoholism, parental rejection and emotional warmth, behavioral problems and peer substance use for alcohol problems in teenagers: A path analysis
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DOI：
10.15288/jsa.2002.63.305
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发表时间：
2002-05-01
期刊：
影响因子：
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通讯作者：
Freyberger, HJ
中科院分区：
文献类型：
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作者：
Barnow, S;Schuckit, MA;Freyberger, HJ
目的：本研究的目的是测试一个假设模型的酒精问题，在德国青少年。在180名子女中，对酗酒家族史、父母教养方式、行为和情绪问题、同伴群体特征、自尊感、行为问题和父母的精神共病进行了检查。方法：数据来自波美拉尼亚健康研究（SHIP），如果12-18岁的生物后代是家庭成员，则随机选择家庭;从当地门诊治疗中心选择较小的受试者组。133个家庭的成员，包括180（50.6%的男性）的后代谁是适合目前的分析，接受个人半结构化诊断访谈和一些自评问卷。分析比较了后代与酒精问题（AP; n = 40）和没有酒精问题（NAP; n = 140），并使用结构方程模型来测试一个假设模型。结果：比较显示，AP组有明显更多的行为问题（例如，攻击/犯罪）、更多地感受到父母的拒绝和更少的情感温暖、更高的饮酒量、更有可能与使用药物的同龄人交往，并且更经常地被诊断为行为障碍或反社会人格障碍。虽然酗酒的家族史在两组之间没有显著差异，但患有酒精使用障碍的后代的父母在DSM-IV轴1上有更多的额外诊断。该模型的评价支持的重要性，侵略/犯罪和与使用物质的同龄人的酒精问题的人。父母的额外诊断与青少年的酒精问题直接或间接（通过攻击/犯罪）相关。结论：这些数据表明，后代的酒精问题与其环境中的几个影响领域有关。为了更好地了解青年人酒精问题的发展，需要进行前瞻性研究，使用足够的样本量来测量生物和环境因素。
Objective: The purpose of this study was to test a hypothetical model of alcohol problems in German adolescents. Among 180 offspring, family history of alcoholism, parenting styles, behavioral and emotional problems, peer-group characteristics, feelings of self-esteem, behavioral problems and psychiatric comorbidity of the parents were examined. Method: Data were generated from the Study of Health in Pomerania (SHIP), in which families were randomly selected if 12-18 year old biological offspring were members of the household; a smaller group of subjects was selected from local outpatient treatment centers. Members of 133 families, including 180 (50.6% male) offspring who were appropriate for the current analyses, received personal semistructured diagnostic interviews and several self-rating questionnaires. Analyses compared offspring with alcohol problems (AP; n = 40) and with no alcohol problems (NAP; n = 140), and used structural equation modeling to test a hypothetical model. Results: The comparisons revealed that the AP group had significantly more behavioral problems (e.g., aggression/delinquency), more perceived parental rejection and less emotional warmth, a higher amount of alcohol consumption, were more likely to associate with substance-using peers and more often received a diagnosis of conduct disorder or antisocial personality disorder. Whereas the family history of alcoholism did not differ significantly between groups, parents of offspring with an alcohol use disorder had significantly more additional diagnoses on DSM-IV Axis 1. The evaluation of the model supported the importance of aggression/delinquency and association with substance-using peers for alcohol problems in people. An additional diagnosis in the parents was directly and indirectly (through aggression/delinquency) related to alcohol problems of the adolescents. Conclusions: The data indicate that alcohol problems in the offspring are associated with several domains of influence in their environment. Prospective studies measuring both biological and environmental factors using sufficient sample sizes will be needed for optimal understanding of the development of alcohol problems in youth.