父母酗酒与青少年犯罪行为之间的关系:探索创伤后应激障碍症状、焦虑症状和冲动的串行和并行中介作用。

IF 4.1 2区 医学 Q1 PSYCHIATRY
Belise Blandine Isingizwe, Japhet Niyonsenga, Clementine Kanazayire, Naasson Nduwamungu, Jeanne Marie Ntete, Jean Mutabaruka
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引用次数: 0

摘要

背景:尽管越来越多的证据表明父母酗酒(PA)与青少年犯罪有关,但人们对全球范围内调解这种联系的因素知之甚少。因此,本研究旨在探讨创伤后应激障碍(PTSD)症状、广泛性焦虑障碍(GAD)症状和冲动性是否依次或平行地介导青少年PA与犯罪之间的关联。方法:随机抽取341名年龄在17至25岁之间的男性参与者(M = 21.34, SD = 2.23),这些参与者来自卢旺达的Iwawa康复中心,该中心为受犯罪、酒精或药物滥用或无家可归影响的青年提供服务。数据收集于2022年2月至5月,采用PA、PTSD症状、GAD症状、冲动和犯罪的标准化测量方法。使用SPSS中的宏过程分析中介模型,以检查简单(单一中介),串行和并行中介模型。结果:父母酗酒(69.5%)、可能的PTSD(45.2%)、广泛性焦虑症(42%)和冲动(Mean = 9.12, SD = 4.07)的发生率较高。分析揭示了PA、犯罪和中介之间的显著关联。PTSD症状、广泛性焦虑症和冲动性分别和平行地介导了不良行为与犯罪的关系,其中冲动性是最强的中介,占总效应的21.3%,占总间接效应的6.2%。在测试的模型中,序列中介模型强调了一个令人信服的级联通路,其中PA与冲动性相关,随后是PTSD症状的增加,然后与焦虑症状和犯罪的增加相关(PA→冲动性→PTSD→广泛性焦虑症→犯罪)。结论:虽然该研究使用了线性统计模型,但其结果挑战了传统的假设,即创伤性压力必然会引发风险级联,并提出了其他顺序,例如冲动发挥了更早的或初始的作用。这些发现支持需要文化敏感和创伤知情的干预措施,专门解决受父母酗酒影响的青少年的冲动性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Associations between parental alcoholism and delinquent behaviours among youth: exploring serial and parallel mediation by posttraumatic stress disorder symptoms, anxiety symptoms and impulsivity.

Associations between parental alcoholism and delinquent behaviours among youth: exploring serial and parallel mediation by posttraumatic stress disorder symptoms, anxiety symptoms and impulsivity.

Associations between parental alcoholism and delinquent behaviours among youth: exploring serial and parallel mediation by posttraumatic stress disorder symptoms, anxiety symptoms and impulsivity.

Associations between parental alcoholism and delinquent behaviours among youth: exploring serial and parallel mediation by posttraumatic stress disorder symptoms, anxiety symptoms and impulsivity.

Background: Despite mounting evidence linking parental alcoholism (PA) with delinquency in youth, little is known about the factors that mediate this link globally. This study, therefore, aimed to explore whether Posttraumatic Stress Disorder (PTSD) symptoms, Generalized Anxiety Disorder (GAD) symptoms and impulsivity serially or parallel mediate the associations between PA and delinquency among youth.Method: A random sample of 341 male participants aged between 17 and 25 years (M = 21.34, SD = 2.23) was selected from the Iwawa Rehabilitation Centre for youth affected by delinquency, alcohol or substance abuse, or homelessness in Rwanda. Data were collected from February to May 2022, using standardized measures of PA, PTSD symptoms, GAD symptoms, impulsivity and delinquency. Mediation models were analysed using the Macro Process in SPSS to examine the simple (single mediator), serial, and parallel mediating models.Results: The results showed high prevalence of parental alcoholism (69.5%), possible PTSD (45.2%), GAD (42%), and impulsivity (Mean = 9.12, SD = 4.07). Analyses revealed significant associations between PA, delinquency, and the mediators. PTSD symptoms, GAD, and impulsivity individually and parallelly mediated the relationship between PA and delinquency, with impulsivity emerging as the strongest mediator, accounting for 21.3% of the total effect and 6.2% of the overall indirect effect. Among the tested models, serial mediation models highlighted a compelling cascading pathway where PA is associated with impulsivity, followed by increased PTSD symptoms, which are then linked to heightened anxiety symptoms and delinquency (PA → impulsivity → PTSD → GAD → delinquency).Conclusion: While the study uses linear statistical models, the results challenge traditional assumptions that traumatic stress necessarily initiates the cascade of risk by suggesting alternative sequences, such as impulsivity playing an earlier or initiating role. These findings support the need for culturally sensitive and trauma-informed interventions that specifically address impulsivity in youth affected by parental alcoholism.

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来源期刊
CiteScore
7.60
自引率
12.00%
发文量
153
审稿时长
18 weeks
期刊介绍: The European Journal of Psychotraumatology (EJPT) is a peer-reviewed open access interdisciplinary journal owned by the European Society of Traumatic Stress Studies (ESTSS). The European Journal of Psychotraumatology (EJPT) aims to engage scholars, clinicians and researchers in the vital issues of how to understand, prevent and treat the consequences of stress and trauma, including but not limited to, posttraumatic stress disorder (PTSD), depressive disorders, substance abuse, burnout, and neurobiological or physical consequences, using the latest research or clinical experience in these areas. The journal shares ESTSS’ mission to advance and disseminate scientific knowledge about traumatic stress. Papers may address individual events, repeated or chronic (complex) trauma, large scale disasters, or violence. Being open access, the European Journal of Psychotraumatology is also evidence of ESTSS’ stand on free accessibility of research publications to a wider community via the web. The European Journal of Psychotraumatology seeks to attract contributions from academics and practitioners from diverse professional backgrounds, including, but not restricted to, those in mental health, social sciences, and health and welfare services. Contributions from outside Europe are welcome. The journal welcomes original basic and clinical research articles that consolidate and expand the theoretical and professional basis of the field of traumatic stress; Review articles including meta-analyses; short communications presenting new ideas or early-stage promising research; study protocols that describe proposed or ongoing research; case reports examining a single individual or event in a real‑life context; clinical practice papers sharing experience from the clinic; letters to the Editor debating articles already published in the Journal; inaugural Lectures; conference abstracts and book reviews. Both quantitative and qualitative research is welcome.
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