Family and Individual Factors Associated With Substance Involvement and PTS Symptoms Among Adolescents in Greater New Orleans After Hurricane Katrina
Family and Individual Factors Associated With Substance Involvement and PTS Symptoms Among Adolescents in Greater New Orleans After Hurricane Katrina
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DOI：
10.1037/a0020808
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发表时间：
2010-12-01
影响因子：
5.9
通讯作者：
Alexandersson, Anders
中科院分区：
文献类型：
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作者：
Rowe, Cynthia L.;La Greca, Annette M.;Alexandersson, Anders
目的：本研究探讨了飓风的影响，以及家庭和个人的危险因素对创伤后应激（PTS）症状和物质参与的影响，在临床上提到的青少年受卡特里娜飓风。方法：共80名青少年（87%男性; 13-17岁;平均年龄= 15.6岁; 38%少数民族）和他们的父母接受了采访，在青少年的摄入量到药物滥用治疗，16至46个月灾后。独立措施包括飓风影响变量（最初的损失/破坏和感知的生命威胁）;人口和灾前变量（家庭收入，性别，灾前青少年物质使用，灾前创伤暴露和父母物质滥用）;灾后家庭因素（父母的精神病理学，家庭凝聚力和父母的监控）;和灾后青少年犯罪。结果如下：分层多元回归分析表明，青少年物质参与与家庭收入较高，父母的监督（青少年报告），更多的青少年犯罪。青少年报告的PTS症状与更大的飓风相关的初始损失/破坏，较低的家庭凝聚力（青少年报告），和更多的青少年犯罪，而父母报告的青少年PTS症状与更大的父母精神病理学，较低的父母监测（青少年报告），和较低的家庭凝聚力（父母报告）。结论：结果表明，飓风的影响只与预测报告的PTS有关。然而，某些灾后家庭和个人的危险因素（低家庭凝聚力和父母的监督，更多的青少年犯罪）与青少年物质参与和PTS症状。这些因素的识别为未来的研究方向，以及潜在的目标领域的筛选和干预与物质滥用的青少年灾后。
Objective: This study examined the influence of hurricane impact as well as family and individual risk factors on posttraumatic stress (PTS) symptoms and substance involvement among clinically referred adolescents affected by Hurricane Katrina. Method: A total of 80 adolescents (87% male; 13-17 years old; mean age = 15.6 years; 38% minorities) and their parents were interviewed at the adolescent's intake into substance abuse treatment, 16 to 46 months postdisaster. Independent measures included hurricane impact variables (initial loss/disruption and perceived life threat); demographic and predisaster variables (family income, gender, predisaster adolescent substance use, predisaster trauma exposure, and parental substance abuse); postdisaster family factors (parental psychopathology, family cohesion, and parental monitoring); and postdisaster adolescent delinquency. Results: Hierarchical multivariate regression analyses showed that adolescent substance involvement was associated with higher family income, lower parental monitoring (adolescent report), and more adolescent delinquency. Adolescent-reported PTS symptoms were associated with greater hurricane-related initial loss/disruption, lower family cohesion (adolescent report), and more adolescent delinquency, whereas parent-reported adolescent PTS symptoms were associated with greater parental psychopathology, lower parental monitoring (adolescent report), and lower family cohesion (parent report). Conclusions: The results suggest that hurricane impact was related only to adolescent-reported PTS. However, certain postdisaster family and individual risk factors (low family cohesion and parental monitoring, more adolescent delinquency) were associated both with adolescent substance involvement and with PTS symptoms. Identification of these factors suggests directions for future research as well as potential target areas for screening and intervention with substance-abusing adolescents after disasters.