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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：酒精和药物滥用父母虐待青年

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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：几乎是众所周知的父母丧亲对酒精和药物滥用的作用。我们的目的是审查酒精和药物滥用的发病率在父母中的父母中是较高的，如果是的话，可能解释这种增加的发病率。方法：在2002年11月至2012年12月至2012年12月之间进行的基于纵向的研究中，在235名青年中审查了5年期间（使用DSMIV标准）的酒精和药物滥用或依赖（ASAD）的发生率，其父母死于自杀，意外或突然自然死亡和178人口统计学上类似的非束缚青年。结果：在死亡之后涵盖5年的期限内，失去的青年相对于非束缚对照（入射率比= 2.44; 95％CI，1.17-5.56），失去的青年发生了增加的发病率和较早的时间。此外，13岁以上的青年（危险比[HR] = 6.68; 95％CI，3.22-13.89; P <.001），那些开发破坏性行为障碍的人（HR = 7.55; 95％CI，1.83- 31.22; p = .005），具有更大功能性损害的人（HR = 0.93; 95％CI，0.90-0.95; p <.001）均为ASAD的风险。然而，在调整弃有变量后，父母丧亲和病理青年酒精和物质使用之间的关系在统计学上没有统计学意义（HR = 1.73; 95％CI，0.79-3.81; P = .17）。结论：Bereaved YeTh对ASAD的风险更大，而不是他们的爆破行为障碍的青少年男孩。丧亲丧亲的影响是通过其对丧失失去失去的后代的更大功能障碍的总体影响来解释。有助于改善后代运作的干预措施，并阻止或减弱破坏性行为障碍的发展有可能预防反歧视的青年。

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    HamdanS.; MelhemN.M.; PortaG.; SongM.S.; BrentD.A.;

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    School of Behavioral Science Academic College of Tel-Aviv Jaffa (MTA) Tel-Aviv Israel;

    Department of Psychiatry University of Pittsburgh School of Medicine Pittsburgh PA United States;

    Western Psychiatric Institute and Clinic University of Pittsburgh Medical Center Pittsburgh PA;

    Lincoln University PA United States;

    Department of Psychiatry University of Pittsburgh School of Medicine Pittsburgh PA United States;

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