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Relations among parental substance use, violence exposure and mental health : the national survey of adolescents
(Relations entre usage de substances psychoactives par les parents, exposition à la violence et santé mentale : données de l'enquête nationale américaine sur les adolescents)
Auteur(s) :
R. F. HANSON ;
S. SELF-BROWN ;
FRICKER-ELHAI A. ;
D. G. KILPATRICK ;
B. E. SAUNDERS ;
H. RESNICK
Article en page(s) :
1988-2001
Refs biblio. :
43
Domaine :
Plusieurs produits / Several products
Langue(s) :
Anglais
Discipline :
EPI (Epidémiologie / Epidemiology)
Note générale :
Addictive Behaviors, 2006, 31, (11), 1988-2001
Note de contenu :
graph. ; tabl.
Résumé :
ENGLISH :
Objective. To study the relations among parental substance use, violence exposure and psychopathology in a nationally representative sample of adolescents. Method. Random digit dialing methodology was used to obtain a nationally representative sample of 4023 adolescents, ages 1217. Telephone surveys, conducted in 1995, assessed demographics, parental substance use, violence exposure, and three psychiatric disorders: major depressive disorder (MDE), posttraumatic stress disorder (PTSD), and substance abuse/dependence (SA/D). Results. Obtained prevalence rates included: 8.2% for sexual assault, 22.5% for physical assault, and 39.7% for witnessing violence at home or in the community. Substance use by a family member was reported by 18.4% (n = 721) of adolescents, with 50.6% reporting parental alcohol use and 19.1% (n = 138) reporting parental drug use. Consistent with hypotheses, violence exposure and parental substance use, particularly parental alcohol abuse, were independently associated with outcomes. Additionally, parental substance use emerged as a moderator for MDE, PTSD, and SA/D; however, the moderating relations varied according to the outcome variable investigated. Conclusions. Violence-exposed adolescents reporting parental alcohol or drug use had the highest rates of psychiatric diagnoses. (Editor's abstract.)
ENGLISH :
Objective. To study the relations among parental substance use, violence exposure and psychopathology in a nationally representative sample of adolescents. Method. Random digit dialing methodology was used to obtain a nationally representative sample of 4023 adolescents, ages 1217. Telephone surveys, conducted in 1995, assessed demographics, parental substance use, violence exposure, and three psychiatric disorders: major depressive disorder (MDE), posttraumatic stress disorder (PTSD), and substance abuse/dependence (SA/D). Results. Obtained prevalence rates included: 8.2% for sexual assault, 22.5% for physical assault, and 39.7% for witnessing violence at home or in the community. Substance use by a family member was reported by 18.4% (n = 721) of adolescents, with 50.6% reporting parental alcohol use and 19.1% (n = 138) reporting parental drug use. Consistent with hypotheses, violence exposure and parental substance use, particularly parental alcohol abuse, were independently associated with outcomes. Additionally, parental substance use emerged as a moderator for MDE, PTSD, and SA/D; however, the moderating relations varied according to the outcome variable investigated. Conclusions. Violence-exposed adolescents reporting parental alcohol or drug use had the highest rates of psychiatric diagnoses. (Editor's abstract.)
Affiliation :
National Crime Victims Research and Treatment Center, Medical University of South Carolina, 165 Cannon Street, P.O. Box 250852, Charleston, SC 29425. E-mail : hansonrfmusc.edu
Etats-Unis. United States.
Etats-Unis. United States.
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