Adult children of alcoholic or mentally ill parents: alcohol consumption and psychological distress in a tri-ethnic community study.

Adult children of alcoholic or mentally ill parents: alcohol consumption and psychological distress in a tri-ethnic community study.
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酗酒或患有精神疾病的父母的成年子女:三民族社区研究中的饮酒和心理困扰。

DOI:
10.1016/0306-4603(94)90042-6
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发表时间:
1994
影响因子:
4.4
通讯作者:
Neff,JA
Neff,JA
中科院分区:
医学2区
文献类型:
--
作者:
Neff,JA

文献摘要

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来自1,784名成年人的种族和种族异质性随机社区样本的数据被用来比较报告的父母酗酒,父母精神疾病,酗酒和精神疾病,或没有父母病理的影响。在心理困扰(抑郁、焦虑和躯体化)或饮酒模式(饮酒、数量、频率或每周总消费量)方面,未观察到男性的父母病史差异。在女性中,父母精神疾病组一贯报告更多的问题比没有病理组抑郁,焦虑,躯体化,饮酒量,即使在统计控制人口因素,社会需求,和可能的应对资源,如宿命论,宗教信仰,和自尊。虽然与无病理组相比,父母酗酒似乎对心理困扰维度影响不大,但对当前饮酒者和不饮酒者分别进行的进一步分析表明,男性不饮酒者的抑郁、焦虑和躯体化水平始终低于来自父母酗酒家庭的饮酒者。这些影响的特异性,男性报告父母酗酒可能反映了男性成年子女的酗酒者(ACOAs)谁不喝酒和/或饮酒的中介作用的父母酗酒的韧性。一般缺乏父母酗酒和种族/民族差异的可能原因进行了讨论。
Data from a racially and ethnically heterogeneous random community sample of 1,784 adults were used to compare effects of reported parental alcoholism, parental mental illness, both alcoholism and mental illness, or no parental pathology. No parental history differences were observed among males with regard to psychological distress (depression, anxiety, and somatization) or drinking patterns (drinking, quantity, frequency, or total weekly consumption). Among females, the parental-mental-illness-only group consistently reported more problems than did the no-pathology group on depression, anxiety, somatization, and drinking quantity, even after statistical controls for demographic factors, social desirability, and possible coping resources such as fatalism, religiosity, and self-esteem. While parental alcoholism appeared to have little impact upon psychological distress dimensions relative to the no pathology group, further analyses conducted separately for current drinkers vs. nondrinkers indicated consistentlylowerlevels of depression, anxiety, and somatization amongmalenondrinkers than drinkers from families involving parental alcoholism. The specificity of these effects to males reporting parental alcoholism may reflect either the resilience of male Adult Children of Alcoholics (ACOAs) who do not drink and/or the role of drinking as a mediator of parental alcoholism. Possible reasons for the general lack of parental alcoholism and racial/ethnic differences are discussed.