Self-medication among traumatized youth: structural equation modeling of pathways between trauma history, substance misuse, and psychological distress.
Self-medication among traumatized youth: structural equation modeling of pathways between trauma history, substance misuse, and psychological distress.
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DOI：
10.1007/s10865-012-9413-5
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发表时间：
2013-04
影响因子：
3.1
通讯作者：
Howard, Matthew O.
中科院分区：
文献类型：
--
作者：
Garland, Eric L.;Pettus-Davis, Carrie;Howard, Matthew O.
为了对暴露在创伤性生活事件中的心理痛苦进行自我治疗，高危青年可能会通过使用药物来寻求醉酒。随之而来的是，精神活性物质的自我用药理论上会增加未来精神和物质使用障碍的风险。本研究采用结构方程模型，通过创伤史、物质滥用和心理困扰之间的递归和非递归关系，检验了723名住院治疗的青少年的反社会行为的自我用药情况。研究结果支持以下研究假设：(A)精神创伤史对心理痛苦的影响部分是由物质滥用所中介的，(B)暴露于创伤生活事件会在物质滥用和心理痛苦之间形成反馈循环。这项对表现出行为障碍的青少年的大规模调查结果表明，在受创伤的青少年中识别自我用药过程可能对制定有针对性的预防和治疗举措至关重要。
In an effort to self-medicate psychological distress stemming from exposure to traumatic life events, at-risk youth may be likely to seek intoxication via substance use. Concomitantly, self-medication with psychoactive substances is theorized to confer risk of developing future psychiatric and substance use disorders. The present study employed structural equation modeling to examine self-medication among a sample of 723 youth in residential treatment for antisocial behavior via recursive and non-recursive relationships between trauma history, substance misuse, and psychological distress. Results supported study hypotheses that: (a) the effects of trauma history on psychological distress are partially mediated by substance misuse, and (b) exposure to traumatic life events drives a feedback loop between substance misuse and psychological distress. Findings from this large-scale survey of adolescents exhibiting behavioral dysfunction suggest that identification of self-medication processes among traumatized youth may be crucial for developing targeted prevention and treatment initiatives.
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影响因子：
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作者：
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通讯作者：
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DOI：
10.1097/00004583-200202000-00012
发表时间：
2002-02-01
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作者：
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