Childhood victimization and alcohol symptoms in females: causal inferences and hypothesized mediators.
Childhood victimization and alcohol symptoms in females: causal inferences and hypothesized mediators.
复制标题
女性童年受害和酒精症状：因果推论和假设的中介因素。
DOI：
10.1016/s0145-2134(01)00257-5
复制
发表时间：
2001
影响因子：
4.8
通讯作者：
Widom,CS
中科院分区：
文献类型：
--
作者：
Schuck,AM;Widom,CS
目的先前的研究报告了女性童年受害经历与酗酒问题之间的关系。本文有两个不同的目标：（1）确定对早期儿童虐待和忽视与女性酒精症状之间的关联进行因果推断是否合适； (2) 研究可能介导儿童虐待和忽视与酒精症状之间关系的五种潜在机制（抑郁、无价值、社会孤立/孤独、低自尊、使用酒精和/或药物来应对）。 方法将 1967 年至 1971 年经证实的虐待和忽视儿童案例在性别、年龄、种族和大致社会阶层方面与未受虐待和未忽视的儿童进行匹配，并前瞻性地追踪到青少年 成年期。受试者接受了 2 小时的面对面访谈，包括 NIMH 诊断访谈时间表 (DIS-III-R)，以评估酒精使用和滥用情况。分析仅限于样本中的女性 (N = 582)。结果结构方程模型为以下推论提供了支持：童年受害在女性酒精症状的发展中起着因果作用。两种机制（抑郁和使用酒精/药物来应对）的假设中介作用也得到了支持，但其他中介则没有得到支持。结论这项前瞻性研究的证据表明，童年受害可能是女性酗酒问题发展的因果因素之一。干预措施应针对所有年龄段的受虐待和被忽视的女性，帮助她们应对抑郁症并制定应对策略，以防止严重酗酒问题的发展。
ObjectivePrevious research has reported a relationship between childhood victimization experiences and alcohol problems in females. This paper has two distinct goals: (1) to determine whether it is appropriate to make a causal inference regarding the association between early child abuse and neglect and alcohol symptoms in females; and (2) to examine five potential mechanisms (depression, worthlessness, social isolation/loneliness, low self esteem, and using alcohol and/or drugs to cope) that may mediate the relationship between child abuse and neglect and alcohol symptomatology.MethodSubstantiated cases of child abuse and neglect from 1967 to 1971 were matched on sex, age, race, and approximate social class with nonabused and non-neglected children and followed prospectively into young adulthood. Subjects were administered a 2–h in-person interview, including the NIMH Diagnostic Interview Schedule (DIS-III-R) to assess alcohol use and abuse. Analyses are restricted to females in the sample (N = 582).ResultsStructural equation modeling provides support for the inference that childhood victimization plays a causal role in the development of alcohol symptoms in women. There also is support for the hypothesized mediating role of two mechanisms (depression and using alcohol/drugs to cope), but not for the other mediators.ConclusionsEvidence from this prospective study suggests that childhood victimization may be one of the causal factors in the development of alcohol problems in females. Interventions should be directed at abused and neglected females of all ages to help them to deal with depression and to develop coping strategies to prevent the development of serious alcohol problems.
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影响因子：
1.1
作者：
B. Miller;W. Downs;Dawn M. Gondoli;Angeliki V. Keil
通讯作者：
Angeliki V. Keil
影响因子：
7.6
作者：
BARON, RM;KENNY, DA
通讯作者：
KENNY, DA
防止药物滥用
DOI：
10.1086/449234
发表时间：
1995
期刊：
Crime and Justice
影响因子：
--
作者：
J. Hawkins;Michael W. Arthur;R. Catalano
通讯作者：
R. Catalano
性虐待的相关性
DOI：
--
发表时间：
1989
期刊：
影响因子：
--
作者：
P. A. Harrison;N. Hoffmann;G. Edwall
通讯作者：
G. Edwall
遭受性虐待的学龄前儿童、学龄儿童和青春期儿童情绪困扰的严重程度。
DOI：
10.1176/ps.36.5.503
发表时间：
1985
期刊：
Hospital & community psychiatry
影响因子：
--
作者：
B. Gomes;J. Horowitz;M. Sauzier
通讯作者：
M. Sauzier