Trinkverhalten und psychosoziale Belastungen bei Kindern alkoholkranker Eltern (CoAs)[1]

Zusammenfassung

Methode: In der Studie wurden 70 Jugendliche aus Familien mit mindestens einem alkoholkranken Elternteil (CoAs) mit 70 Jugendlichen aus Normalfamilien (Eltern ohne Alkoholabusus oder Abhängigkeit, non CoAs) bezüglich einer Vielzahl psychosozialer Faktoren miteinander verglichen. Unsere Ergebnisse belegen ein höheres Ausmaß an Ablehnung durch die Eltern und mehr Verhaltens- und Aufmerksamkeitsprobleme in der CoA-Gruppe. Des Weiteren wiesen Jugendliche mit alkoholkranken Eltern im Vergleich zu non CoAs etwa dreimal so häufig ein problematisches Trinkverhalten auf (23 % vs. 7 %). Schlussfolgerung: Kinder alkoholkranker Eltern stellen bezüglich späterer Verhaltensprobleme und Trinkverhalten eine Risikogruppe dar. Intervention und Prävention sollten aus diesem Grunde speziell in Alkoholfamilien unter Einbeziehung der Eltern und Kinder stattfinden.

Drinking Behavior and Psychosocial Risk Factors among Children of Alcoholics (CoAs)

Objectives: We compared a variety of psychosocial risk factors in 70 adolescents (12-18 years of age) out of families with at least one alcohol abusing parent with 70 controls (nonCoAs). Groups were controlled for age and gender. Method/Results: A multivariate variance analysis revealed a higher extent of reported rejection by parents and more self rated behavioral- and attention problems in the CoA sample. Moreover approximately 23 % of the CoA sample showed symptoms of alcohol abuse or dependency whereas it was only 7 % in the nonCoA sample. Conclusions: Considering our results it is of high importance to identify families at risk at the earliest possible stage and to further develop intervention and prevention programs to increase social competence of parents and children.

Schlüsselwörter

Kinder alkoholkranker Eltern - Alkoholabusus - Verhaltensprobleme - Jugendalter

Key words

Children of Alcoholics - Alcohol Abuse - Behavioral Problems - Adolescence

1 Die Arbeit ist Teil des Community Medicine Forschungsverbundes an der Universität Greifswald. Dieser wird durch das Ministerium für Bildung und Forschung (grant no. ZZ9603), das Kultusministerium und das Landes-Sozialministerium von Mecklenburg-Vorpommern gefördert. Der Community Medicine Forschungsverbund umfasst eine Vielzahl von assoziierten Forschungsprojekten, die auf den Datensatz der Bevölkerungsstichprobe der Basisstudie (Study of Health in Pomerania, SHIP; John et al., in press) zugreifen.

Literatur

• 1 Herjanic B, Herjanic M, Penick E. et al .Children of alcoholics. Currents in alcoholism. Seixas F New York; Grune & Stratton 1977: 445-455
• 2 Merikangas K R, Weissman M M, Prusoff B A. et al . Depressives with secondary alcoholism: psychiatric disorders in offspring.  J Stud Alcohol. 1985;  46 199-204
• 3 Sher K J. Children of alcoholics and the intergenerational transmission of alcoholism: A biopsychosocial perspective, in Addictive behaviors across the life span: Prevention, treatment, and policy issues. GAM JSB, McMahon RJ Newbury Park, CA, US; Sage Publications 1993: 3-33
• 4 Schuckit M A, Smith T L, Radziminski S, Heyneman E K. Behavioral Symptoms and Psychiatric Diagnoses Among 162 Children in Nonalcoholic or Alcoholic Families.  Am J Psychiatry. 2000;  157 1881-1883
• 5 Johnson S, Leonard K E, Jacob T. Drinking, drinking styles and drug use in children of alcoholics, depressives and controls.  J Stud Alcohol. 1989;  50 427-431
• 6 Pandina R J, Johnson V. Familial drinking history as a predictor of alcohol and drug consumption among adolescent children.  J Stud Alcohol. 1989;  50 245-53
• 7 Knop J, Teasdale T W, Schulsinger F, Goodwin D W. A prospective study of young men at high risk for alcoholism: School behavior and achievement.  J Stud Alcohol. 1985;  46 273-278
• 8 Bennett L W, Tolman R M, Rogalski C J, Srinivasaraghavan J. Domestic abuse by male alcohol and drug addicts.  Violence Vict. 1994;  9 359-368
• 9 Earls F, Reich W, Jung K G, Cloninger C R. Psychopathology in children of alcoholic and antisocial parents.  Alcohol Clin Exp Res. 1988;  12 481-487
• 10 Goodwin D W. Genetic determinants of alcohol addiction.  Adv Exp Med Biol. 1975;  56 339-355
• 11 Cadoret R J. Psychopathology in adopted-away offspring of biologic parents with antisocial behavior.  Arch Gen Psychiatry. 1978;  35 176-184
• 12 Havey J M, Dodd D K. Variables associated with alcohol abuse among self-identified collegiate COAs and their peers.  Addictive Behav. 1993;  18 567-575
• 13 Stabenau J R. Is risk for substance abuse unitary?.  J Nerv Ment Dis. 1992;  180 583-588
• 14 Knop J, Goodwin D W, Jensen P. et al . A 30-year follow-up study of the sons of alcoholic men.  Acta Psychiatr Scand. 1993;  87 48-53
• 15 Chandy J M, Harris L, Blum R W, Resnick M D. Disordered eating among adolescents whose parents misuse alcohol: protective and risk factors.  Int J Addict. 1994;  29 505-516
• 16 Whipple S C, Noble E P. Personality characteristics of alcoholic fathers and their sons.  J Stud Alcohol. 1991;  52 331-337
• 17 Bennett G. Stress, social support, and self-esteem of young alcoholics in recovery.  Issues Ment Health Nurs. 1988;  9 151-167
• 18 Roosa M W, Sandler I N, Beals J, Short J L. Risk status of adolescent children of problem-drinking parents.  Am J Community Psychol. 1988;  16 225-239
• 19 Emmelkamp P MG, Heeres H. Drug addiction and parental rearing style: a controlled study.  Int J Addict. 1988;  23 207-216
• 20 Foxcroft D R, Lowe G. Adolescent drinking behaviour and family socialization factors: a meta-analysis.  J Adolesc. 1991;  14 255-273
• 21 Needle R, McCubbin H, Wilson M. et al . Interpersonal influences in adolescent drug use - the role of older siblings, parents, and peers.  Int J Addict. 1986;  21 739-66
• 22 Lopez J MO, Redondo L M, Martin A L. Influence of family and peer group on the use of drugs by adolescents.  Intern J Addict. 1989;  24 1065-1082
• 23 Fergusson D M, Lynskey M T, Horwood L J. The role of peer affiliations, social, family and individual factors in continuities in cigarette smoking between childhood and adolescence.  Addiction. 1995;  90 647-659
• 24 John U, Greiner B, Hensel E. et al . Study of Health in Pomerania (SHIP): A health examination survey in an east German region. Objectives and design.  Sozial und Präventivmedizin (im Druck).
• 25 APA .Diagnostic and statistical manual of mental disorders, fourth edition, international version. Washington DC; Psychiatric Association 1995
• 26 Bucholz K K, Cadoret R, Cloninger C R. et al . A new, semi-structured psychiatric interview for use in genetic linkage studies: a report on the reliability of the SSAGA.  J Stud Alcohol. 1994;  55 149-158
• 27 Perris C, Jacobsson L, Lindstrom H. et al . Development of a new inventory assessing memories of parental rearing behaviour.  Acta Psychiatr Scand. 1980;  61 265-274
• 28 Arrindell W A, Perris C, Eisemann M. et al .Parental rearing behavior from a cross-cultural perspective: A summary of data obtained in 14 nations, in Parenting and Psychopathology. Perris C, Arrindell WA, Eisemann M Chichester; Wiley 1994
• 29 Arrindell W A, Richter J, Eisemann M. et al . The short EMBU: its use among students in East Germany and Sweden.  Personality and Individual Differences (im Druck).
• 30 Achenbach T M. Child Behavior Checklist and related instruments. Maruish ME The use of psychological testing for treatment planning and outcome assessment Hillsdale; Lawrence Erlbaum Associates 1994
• 31 Döpfner M, Berner W, Lehmkuhl G. Handbuch: Fragebogen für Jugendliche. Forschungsergebnisse zur deutschen Fassung des Youth Self Report (YSR) der Child Behavior Checklist. Köln; KJFD, Arbeitsgruppe Kinder,- Jugend- und Familiendiagnostik 1994
• 32 Rosenberg M. Conceiving the self. Malabar; Robert E. Krieger 1979
• 33 Tewes U. Hamburg-Wechsler-Intelligenztest für Kinder Revision 1983. Bern; Huber 1985
• 34 Smith G T, Goldman M S, Greenbaum P E, Christiansen B A. Expectancy for social facilitation from drinking: the divergent paths of high-expectancy and low-expectancy adolescents.  J Abnorm Psychol. 1995;  104 32-40
• 35 Colder C R, Chassin L. The psychosocial characteristics of alcohol users versus problem users: data from a study of adolescants at risk.  J Stud Alcohol. 1999;  11 321-348
• 36 Chassin L, Curran P J, Hussong A M, Colder C R. The relation of parent alcoholism to adolescent substance use: a longitudinal follow-up study.  J Abnorm Psychol. 1996;  105 70-80
• 37 Curran P J, Chassin L A. longitudinal study of parenting as a protective factor for children of alcoholics.  J Stud Alcohol. 1996;  57 305-313
• 38 Steinhausen H C. Children of alcoholic parents. A review.  Eur Child Adolesc Psychiatry. 1995;  4 143-152
• 39 Steinhausen H C, Nestler V, Spohr H L. Development and psychopathology of children with the fetal alcohol syndrome.  J Dev Behav Pediatr. 1982;  3 49-54
• 40 Sher K J, Walitzer K S, Wood P K, Brent E E. Characteristics of children of alcoholics: Putative risk factors, substance use and abuse, and psychopathology.  J Abnorm Psychol. 1991;  100 427-448
• 41 Cloninger C R. Neurogenetic adaptive mechanisms in alcoholism.  Science. 1987;  236 410-416
• 42 Cohen D A, Richardson J, LaBree L. Parenting behaviors and the onset of smoking and alcohol use: a longitudinal study.  Pediatrics. 1994;  94 368-375
• 43 Cotton N S. The familial incidence of alcoholism: a review.  J Stud Alcohol. 1979;  40 89-116
• 44 Schuckit M A. Biological, psychological and environmental predictors of the alcoholism risk: a longitudinal study.  J Stud Alcohol. 1998;  59 485-494
• 45 Loeber R. Subtypes of conduct disorder [letter].  J Am Acad Child Adolesc Psychiatry. 1990;  29 837-838
• 46 Hawkins J D, Catalano R F, Miller J Y. Risk and protective factors for alcohol and other drug problems in adolescence and early adulthood: implications for substance abuse prevention.  Psychol Bull. 1992;  112 64-105
• 47 Barnow S, Lucht M, Freyberger H J. Children of Alcoholics (CoAs): The impact of a family history positive and parenting on emotional and behavioral problems, self esteem, peer group membership and drinking behavior of children: a path analysis.  J Stud Alcohol (submitted).
• 48 Schuckit M A, Klein J, Twitchell G, Smith T. Personality test scores as predictors of alcoholism almost a decade later.  Am J Psychiatry. 1994;  151 1038-1042
• 49 Emshoff J G. A preventive intervention with children of alcoholics.  Prevention in Human Services. 1989;  7 225-253
• 50 Botvin G J, Baker E, Dusenbury L, Botvin E M, Diaz T. Long-term follow-up results of a randomized drug abuse prevention trial in a white middle-class population.  JAMA. 1995;  273 1106-1112
• 51 Harter S L. Psychosocial adjustment of adult children of alcoholics: a review of the recent empirical literature.  Clin Psychol Rev. 2000;  20 311-337

1 Die Arbeit ist Teil des Community Medicine Forschungsverbundes an der Universität Greifswald. Dieser wird durch das Ministerium für Bildung und Forschung (grant no. ZZ9603), das Kultusministerium und das Landes-Sozialministerium von Mecklenburg-Vorpommern gefördert. Der Community Medicine Forschungsverbund umfasst eine Vielzahl von assoziierten Forschungsprojekten, die auf den Datensatz der Bevölkerungsstichprobe der Basisstudie (Study of Health in Pomerania, SHIP; John et al., in press) zugreifen.

2 Fischer W, Barnow S, Freyberger HJ. Kinder alkoholkranker Eltern (Projekt 09, Community Medicine, BMBF: Laufzeit 1.4.1998- 31.6.2001)

3 Die Spanne ergibt sich jeweils aus Werten für Jungen und Mädchen.