Children of alcoholics in Spain: from risk to pathology. Results from the ALFIL program.

摘要: To identify the possible risk factors and negative outcomes associated with parental alcoholism. A secondary aim was to determine influence of family density alcoholism on children alcoholics’ (COAs) psychological functioning. multisite epidemiological study conducted in 8 Spanish cities, recruiting a total sample 371 COAs (whose parents were contact alcohol treatment centers accepted participate this study) 147 controls (from schools same localities as COAs). Both groups 6–17 years old received comprehensive evaluation mental disorders (no symptoms, subclinical symptoms or clinical diagnosis for each disorder; according DSM-IV criteria); other substance use (none, occasional, regular risky consumption); school achievement (low, middle high) academic performance indicators (WISC-R Information Arithmetic subtests, support activities failed subjects courses). Lastly, several cognitive functions measured by WISC-R Similarities, Block Design Digit Symbol Toulouse-Pieron test Stroop test. Logistic regression methods used compare both linear model The following confounding variables controlled for: age, gender, socio-economic status cohesion. Children twice likely present four times more than have definite any disorder. More specifically, had significantly higher attention deficit disorder/hyperactivity, depression, phobias, enuresis tics. also tended generalized anxiety worse results all tests their low nine that controls. Family related psychiatric these children. whose are Spain constitute target group selective prevention, they different outcomes, which mainly include deficits, depression anxiety.