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首页> 外文期刊>The journal of clinical psychiatry >Alcohol and substance abuse in parentally bereaved youth
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Alcohol and substance abuse in parentally bereaved youth

机译：父母丧亲的青年酗酒和滥用毒品

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Objective: Little is known about the role of parental bereavement regarding alcohol and substance abuse. Our aim was to examine whether the incidence of alcohol and substance abuse is higher in parentally bereaved youth and, if so, what might explain this increased incidence. Method: In a longitudinal population-based study conducted between November 2002 and December 2012, the incidence of alcohol and substance abuse or dependence (ASAD) during a period of 5 years was examined (using DSMIV criteria) in 235 youth whose parents died of suicide, accident, or sudden natural death and 178 demographically similar nonbereaved youth. Results: In a period that covered 5 years subsequent to the death, bereaved youth had an increased incidence and earlier time to onset of ASAD relative to nonbereaved controls (incident rate ratio = 2.44; 95% CI, 1.17-5.56). Additionally, youth over the age of 13 years (hazard ratio [HR] = 6.68; 95% CI, 3.22-13.89; P < .001), those who developed a disruptive behavior disorder (HR = 7.55; 95% CI, 1.83-31.22; P = .005), and those who had greater functional impairment (HR = 0.93; 95% CI, 0.90-0.95; P < .001) were at increased risk for ASAD. However, after adjusting for the abovenoted variables, the relationship between parental bereavement and pathological youth alcohol and substance use was not statistically significant (HR = 1.73; 95% CI, 0.79-3.81; P = .17). Conclusions: Bereaved youth are at greater risk for ASAD than their nonbereaved counterparts, especially adolescent boys with disruptive behavior disorders. The effect of bereavement was explained by its overall impact on greater functional impairment in bereaved offspring. Interventions that help to improve offspring functioning and that prevent or attenuate the development of disruptive behavior disorders have the potential to prevent ASAD in bereaved youth.
机译：目的：对父母丧亲在酒精和药物滥用中的作用了解甚少。我们的目的是检查父母丧亲的青年中酒精和药物滥用的发生率是否更高，如果是，那么可以解释这种增加的发生率的原因。方法：在2002年11月至2012年12月之间进行的一项基于人群的纵向研究中，使用DSMIV标准对235名父母自杀身亡的青年进行了为期5年的酒精和药物滥用或依赖性（ASAD）发生率调查，意外事故或突然的自然死亡，以及178个在人口统计学上相似的未丧亲青年。结果：在死后5年内，与未丧亲的对照组相比，丧亲的青年发生ASAD的发生率更高，发病时间更早（发生率比= 2.44; 95％CI，1.17-5.56）。此外，年龄在13岁以上的年轻人（危险比[HR] = 6.68; 95％CI，3.22-13.89; P <.001），那些患有破坏性行为障碍的人（HR = 7.55; 95％CI，1.83- 31.22; P = .005），以及功能障碍较大的患者（HR = 0.93; 95％CI，0.90-0.95; P <.001）患ASAD的风险增加。然而，在对上述变量进行调整之后，父母丧亲与病理性青年酒精与物质使用之间的关系在统计学上不显着（HR = 1.73; 95％CI，0.79-3.81; P = .17）。结论：丧亲的青年比非丧亲的青年患ASAD的风险更大，尤其是患有破坏性行为障碍的青春期男孩。丧亲的影响可以通过其对丧亲后代更大功能损害的总体影响来解释。有助于改善后代功能，预防或减轻破坏性行为障碍发展的干预措施有可能预防丧亲青年的ASAD。

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