Epidemiological evidence about the relationship between PTSD and alcohol abuse: The nature of the association
Epidemiological evidence about the relationship between PTSD and alcohol abuse: The nature of the association
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DOI：
10.1016/s0306-4603(98)00098-7
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发表时间：
1998-11-01
影响因子：
4.4
通讯作者：
McFarlane, AC
中科院分区：
文献类型：
--
作者：
McFarlane, AC
本文使用Bradford Hill标准评估因果关系，以研究PTSD和酒精滥用之间关系的性质。一系列的研究，探讨这种关系。一项对社区样本中的2,501名受试者进行的横断面研究调查了风险饮酒与11种创伤事件之间的关系。与危险饮酒相关的创伤事件包括参与危及生命的事故，目睹严重伤害，强奸，成为使用CIDI的严重身体攻击的受害者。在一项对469名暴露在自然灾害中的消防员的纵向研究中，PTSD与饮酒量的增加和减少有关，PTSD而不是饮酒行为的变化。在其他三个人群中，精神病住院患者，车祸受害者和女囚犯，创伤后应激障碍和酒精滥用之间的关联强调了这种关系的临床和公共卫生的重要性。然而，现有证据确实支持这种关系的因果关系。其他风险因素是必要的，以预测酒精滥用暴露于创伤性事件后，虽然暴露于创伤性事件可以引起酒精滥用。(C)1998 Elsevier Science Ltd.
This article uses the Bradford Hill criteria for assessing causal associations to examine the nature of the relationship between PTSD and alcohol abuse. A series of studies are presented which examine this relationship. A cross-sectional study of 2,501 subjects in a community sample examined the relationship between at-risk drinking and 11 types of traumatic events. The traumatic events associated with at-risk drinking were involvement in life threatening accidents, witnessing severe injury, rape, being the victim of serious physical assault using the CIDI. In a longitudinal study of 469 firefighters exposed to a natural disaster, PTSD was associated:with both an increase and decrease in alcohol consumption and PTSD rather than exposure-accounted for the changes in drinking behaviour. In three other populations, psychiatric inpatients, motor accident victims and female prisoners, the association between PTSD and alcohol abuse emphasised the clinical and public health importance of this relationship. The available evidence does nevertheless support the causal nature of this relationship. Other risk factors are necessary to predict alcohol abuse following exposure to traumatic events, although exposure to traumatic events can be caused by alcohol abuse. (C) 1998 Elsevier Science Ltd.