Long-term psychosocial effects of childhood exposure to parental problem drinking.

Long-term psychosocial effects of childhood exposure to parental problem drinking.
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童年接触父母酗酒问题的长期社会心理影响。

DOI:
10.1176/ajp.150.4.608
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发表时间:
1993
期刊:
The American journal of psychiatry
影响因子:
--
通讯作者:
George,LK
George,LK
中科院分区:
--
文献类型:
--
作者:
Greenfield,SF;Swartz,MS;Landerman,LR;George,LK

文献摘要

被引文献

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目的由于先前研究的结果不一致和方法上的困难,儿童时期接触父母问题饮酒的影响仍不清楚。作者使用大量社区样本来检验儿童时期父母酗酒是否与成年后出现更多精神症状以及社交和职业功能受损有关。方法该研究使用了皮埃蒙特健康调查的自我报告数据,该调查是流行病学流域计划的一个项目,该数据是从居住在北卡罗来纳州五个县流域的 2,936 名成年人的分层随机样本中收集的。美国国家心理健康研究所诊断访谈计划用于测量受试者一生的精神症状。社会和职业功能通过衡量社会支持的两个量表、衡量职业声望的量表和职业问题指数进行评估。回归分析用于确定儿童期接触父母问题饮酒是否与成年后不良心理社会后果相关。结果,童年期接触过父母问题饮酒的成年人更有可能表现出精神症状和婚姻不稳定,但他们的职业功能与其他样本没有差异。结论即使在控制了其他混杂的儿童危险因素后,儿童期接触父母问题饮酒与成年后的特定不良影响呈正相关。
ObjectiveThe effects of childhood exposure to parental problem drinking remain unclear because of inconsistent findings and methodologic difficulties in previous studies. The authors used a large community sample to examine whether exposure to parental problem drinking in childhood was related to a greater number of psychiatric symptoms and impaired social and occupational functioning in adulthood.MethodThe study used self-report data from the Piedmont Health Survey, a project of the Epidemiologic Catchment Area program, which were collected from a stratified random sample of 2,936 adults residing in a five-county catchment area in North Carolina. The National Institute of Mental Health Diagnostic Interview Schedule was used to measure the subjects' lifetime psychiatric symptoms. Social and occupational functioning were assessed with two scales measuring social support, a scale measuring occupational prestige, and an occupational problem index. Regression analyses were used to determine whether exposure to parental problem drinking in childhood was associated with adverse psychosocial outcomes in adulthood.ResultsAdults who had been exposed to parental problem drinking in childhood were more likely to manifest psychiatric symptoms and marital instability, but they showed no difference from the rest of the sample in occupational functioning.ConclusionsExposure to parental problem drinking in childhood is positively associated with specific adverse effects in adulthood even after controlling for other confounding childhood risk factors.