Alcohol use in adolescents and adult psychopathology and social outcomes: Findings from a 35-year cohort study
Alcohol use in adolescents and adult psychopathology and social outcomes: Findings from a 35-year cohort study
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DOI：
10.1177/0004867420924091
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发表时间：
2020-05-23
影响因子：
4.6
通讯作者：
Newton-Howes, Giles
中科院分区：
文献类型：
--
作者：
Boden, Joseph;Blair, Sarah;Newton-Howes, Giles
目的：探讨青少年和成年后期酒精使用障碍的症状和酒精消费的后果、精神病理和社会结局。方法：一项纵向、前瞻性的出生队列研究，克赖斯特彻奇健康与发展研究，在35年的时间里进行了检查。我们估计了青少年酒精使用的两种测量方法（酒精消耗量和酒精使用障碍症状）与两种后来的内化障碍之间的关联，外化精神病理学由物质使用障碍和成年后的社会心理结果测量，调整了童年时期的个人和家庭因素。结果：结果模式表明酒精症状预示着成年期的内化障碍。在完全调整的模型中，青少年饮酒量预示着成年后物质使用障碍、较低的受教育程度和较高的成年后领取福利的风险。结论：早期大量饮酒导致这种模式在成年后继续存在，从而导致较差的教育成就、增加的福利领取和物质使用障碍。然而，酒精使用障碍的早期症状会导致成年后精神健康障碍水平的增加。这种关系在20年的研究期间持续存在，并在统计上显著的协变量因素调整后。研究表明，早期的酒精使用模式对成年后的结果有直接和具体的影响。
Objective:To examine the consequences of alcohol consumption and symptoms of alcohol use disorder during adolescence and later adulthood psychopathology and social outcomes.Methods:A longitudinal, prospective birth cohort study, the Christchurch Health and Development Study, was examined across a 35-year period. We estimated the associations between two measures of adolescent alcohol use (volume of alcohol consumed and symptoms of alcohol use disorder) and two later internalising disorders, externalising psychopathology measured by substance use disorders and psychosocial outcomes in adulthood, adjusting for individual and family factors from childhood.Results:The pattern of results indicates alcohol symptoms predict internalising disorder in adulthood. Volume of alcohol used in adolescence predicted adult substance use disorders, lower educational attainment and higher risk of welfare benefit receipt in adulthood in fully adjusted models.Conclusion:Early consumption of larger volumes of alcohol led to continuation of this pattern in adult life with resulting poorer educational achievement, increased welfare benefit receipt and substance use disorders. Early symptoms of alcohol use disorder, however, led to increased adult levels of mental health disorders. This relationship persisted within a 20-year study period and after adjustment for statistically significant covariate factors. The study shows that early patterns of alcohol use have a direct and specific impact upon adult outcomes.