Do internalising or externalising behaviours in adolescence mediate the child maltreatment-alcohol substance use relationship?

IF 5.2 1区医学 Q1 PSYCHIATRY

Addiction Pub Date : 2025-03-02 DOI:10.1111/add.70016

Mike Trott, Claudia Bull, Jake Moses Najman, Dan Siskind, Urska Arnautovska, Steve Kisely

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引用次数: 0

Abstract

Background and aims: Child maltreatment (CM) is associated with several negative mental health outcomes in later life, including alcohol and substance use (AU and SU). Internalising (e.g. anxiety and depression) and externalising (e.g. delinquency and anti-social behaviour) behaviours have also been associated with CM, and with AU and SU. This study measured whether externalising or internalising behaviours in adolescence mediate the relationship between agency-reported CM and hospital admissions for AU or SU.

Design, setting and participants: Observational study linking administrative health data from Queensland, Australia, to prospective birth cohort data comprising agency-reported CM up to 14 years (exposure).

Measurements: Externalising and internalising behaviours at 14 years measured using the Youth Self-Report (mediator) and administratively linked inpatient hospital admissions for AU and SU from ages 25-39 (outcome).

Findings: Adjusted causal mediation analyses (n = 5092) found that externalising behaviours statistically significantly mediated 31% (P = 0.007) of the CM AU relationship, and 22% of the CM SU relationship (P = 0.016). Internalising behaviours did not statistically significantly mediate between CM and either AU or SU.

Conclusions: In Queensland, Australia, externalising behaviours appear to partially mediate the relationship between agency-reported child maltreatment and hospital admissions for alcohol and substance use, while internalising behaviours do not.

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背景和目的：儿童虐待（CM）与日后生活中的几种负面心理健康结果有关，包括酗酒和使用药物（AU 和 SU）。内化行为（如焦虑和抑郁）和外化行为（如犯罪和反社会行为）也与虐待儿童、酗酒和滥用药物有关。本研究测量了青少年时期的外化或内化行为是否会对机构报告的CM与因AU或SU入院之间的关系起到中介作用：观察性研究将澳大利亚昆士兰州的行政健康数据与前瞻性出生队列数据（包括机构报告的 14 岁以下儿童CM）联系起来：14岁时的外化和内化行为采用青少年自我报告（中介）进行测量，25-39岁期间因AU和SU入院的住院病人采用行政关联（结果）进行测量：调整后的因果中介分析（n = 5092）发现，外化行为在统计学上显著中介了31%的CM AU关系（P = 0.007）和22%的CM SU关系（P = 0.016）。内化行为在统计意义上并不明显介导 CM 与 AU 或 SU 之间的关系：结论：在澳大利亚昆士兰州，外化行为似乎可以部分调节机构报告的儿童虐待与因酗酒和使用药物而入院之间的关系，而内化行为则不能。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Addiction 医学-精神病学

CiteScore

10.80

自引率

6.70%

发文量

319

审稿时长

3 months

期刊介绍： Addiction publishes peer-reviewed research reports on pharmacological and behavioural addictions, bringing together research conducted within many different disciplines. Its goal is to serve international and interdisciplinary scientific and clinical communication, to strengthen links between science and policy, and to stimulate and enhance the quality of debate. We seek submissions that are not only technically competent but are also original and contain information or ideas of fresh interest to our international readership. We seek to serve low- and middle-income (LAMI) countries as well as more economically developed countries. Addiction’s scope spans human experimental, epidemiological, social science, historical, clinical and policy research relating to addiction, primarily but not exclusively in the areas of psychoactive substance use and/or gambling. In addition to original research, the journal features editorials, commentaries, reviews, letters, and book reviews.