دورية أكاديمية
The Moderation Effect of Disability Status on the Associations Among ACEs, Mental Health, and Binge Drinking.
| العنوان: | The Moderation Effect of Disability Status on the Associations Among ACEs, Mental Health, and Binge Drinking. |
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| المؤلفون: | Westmore MR; School of Social Work, University of Texas at Arlington, Arlington, USA., Huang H; School of Social Work, University of Texas at Arlington, Arlington, USA. |
| المصدر: | Journal of evidence-based social work (2019) [J Evid Based Soc Work (2019)] 2024 May-Jun; Vol. 21 (3), pp. 412-430. Date of Electronic Publication: 2024 Jan 15. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Taylor & Francis Online Country of Publication: United States NLM ID: 101766756 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2640-8074 (Electronic) Linking ISSN: 26408066 NLM ISO Abbreviation: J Evid Based Soc Work (2019) Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Philadelphia, PA : Taylor & Francis Online, [2019]- |
| مواضيع طبية MeSH: | Binge Drinking*/epidemiology , Binge Drinking*/psychology , Disabled Persons*/statistics & numerical data , Disabled Persons*/psychology , Behavioral Risk Factor Surveillance System*, Humans ; Male ; Female ; Adult ; Middle Aged ; Mental Health ; Adolescent ; Young Adult ; Adverse Childhood Experiences/statistics & numerical data ; Surveys and Questionnaires ; Mental Disorders/epidemiology ; Aged |
| مستخلص: | Purpose: Mental health and substance use social workers must be prepared to work with people with disabilities, as this population has higher rates of adverse childhood experiences (ACEs), and ACEs can lead to mental health and substance use problems. The study's purpose is to assess the moderating effect of disability on the interrelationships among ACEs, mental health, and binge drinking. Materials and Methods: Using data from the 2021 Behavioral Risk Factor Surveillance System (BRFSS) survey, we first used multigroup confirmatory factor analysis to establish the underlying factor structure of the ACEs questionnaire for respondents with and without disabilities. Next, we used multigroup structural equation modeling to assess the mediating effect of mental health difficulties on the association between ACEs and binge drinking for respondents with and without disabilities. Results: A three-factor measurement model (emotional or physical abuse, sexual abuse, and household dysfunction) demonstrated excellent model fits. Mental health difficulties significantly mediated the association between ACEs and binge drinking for all respondents. Disability status was a statistically significant moderator of a few associations, with more mental health variance explained by ACEs for the disabled respondents. Direct paths showed household dysfunction and sexual abuse had greater impacts on mental health for disabled respondents, and indirect paths showed these factors also had greater impacts on binge drinking among disabled respondents. Discussion and Conclusion: To prevent mental health and binge drinking problems among disabled individuals, we need evidence-based interventions to identify their ACEs and provide accessible, trauma-informed treatments to them. |
| فهرسة مساهمة: | Keywords: Binge drinking; adverse childhood experiences; disability; mental health; substance misuse; trauma |
| تواريخ الأحداث: | Date Created: 20240116 Date Completed: 20240428 Latest Revision: 20240428 |
| رمز التحديث: | 20240429 |
| DOI: | 10.1080/26408066.2024.2303005 |
| PMID: | 38225878 |
| قاعدة البيانات: | MEDLINE |
PDF full text from Publisher | تدمد: | 2640-8074 |
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| DOI: | 10.1080/26408066.2024.2303005 |