青少年烟酒滥用与自尊、焦虑、抑郁的关系

Relationship between abuse behaviors of alcohol and cigarette self-respect,anxiety,depression in adolescents

目的探讨青少年烟酒滥用与自尊、情绪的关系,为药物滥用的一级预防提供依据。方法以1∶2配对法用自尊(SES)、焦虑(SAS)和流调中心抑郁(CES-D)量表为工具,对655名近3个月来吸烟≥1支/周,1 168名饮酒≥3次/月以及同时有烟酒滥用行为的186名男生及其对照进行了评测。结果烟酒滥用组SES、SAS和CES-D得分均高于对照;2种物质同时滥用的男生除上述总分高于对照外,无价值感(8.86±2.22)、正性情感缺乏(5.00±2.20)、抑郁情绪(4.40±2.21)和躯体症状(1.67±1.12)均显著高于对照的(8.37±2.11)、(4.54±2.11)、(3.00±2.11)、(1.34±1.08)。结论烟酒滥用青少年自尊水平低、焦虑/抑郁情绪高于对照。青少年物质滥用的干预应以社区为基础,行为心理为途径。

Objective To explore the relations between middle school students＇ abuse behavior of alcohol and cigarette self-respect, anxiety and depression. Methods To adopt 1：2 match method and SAS, SES, CES-D was questioners to investigate 655 middle students that number of smoking alcohol was more than 1/w and 1 168 middle students that number of drinking alcohol was more than 3t/m, and 186 students, which smoked and drunk, and their ease, in the past three months. Results The scores of student groups with abuse of alcohol/cigarette on SES, SAS and CES-D was obviously higher than that of eases;as for the student groups with abuse of both alcohol and cigarette, except for the above situation, their invaluable sensation was 8.86 ± 2.22, lacking of normal feeling 5.00 ± 2.20, depression mood 4.40 ± 2.21, body state 1.67 ± 1.12. Correspondingly, that of ease was 8.37 ± 2.11, 4.54 ± 2.11, 3.00 ± 2.11 and 1.34 ± 1.08, receptively. It was obvious that the former was higher than the latter（P 〈 0.05）. Conclusion The level of self-respect of adolescents with abuse of both alcohol and cigarette is lower and their anxiety, depression and mood are higher than those of ease. The intervention of adolescents＇ material abuse of both alcohol and cigarette is lower and their anxiety, depression and mood are higher than those of ease. The intervention of adolescents＇ material abuse should start with psychological health.