Brief alcohol intervention in a psychiatric outpatient setting: a randomized controlled study
Brief alcohol intervention in a psychiatric outpatient setting: a randomized controlled study
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精神科门诊中的短暂酒精干预：一项随机对照研究
DOI：
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发表时间：
2012
影响因子：
3.7
通讯作者：
L. Jansson
中科院分区：
文献类型：
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作者：
Christina Nehlin;L. Grönbladh;A. Fredriksson;L. Jansson
背景：虽然短期酒精干预（BI）被广泛研究，但来自精神科门诊的研究很少。本研究的目的是探讨两种BI变体对精神科门诊患者的影响。通过使用临床精神病学工作人员进行干预，我们试图收集BI在临床环境中的有用性信息。方法邀请酒精使用障碍鉴定测试（AUDIT）评分为危险或有害饮酒的精神科门诊患者参与研究。门诊患者被随机分为最小组（评估、反馈和信息单张）或BI组（添加个性化建议）。在基线和干预后6个月和12个月进行测量。主要观察指标为12个月随访时AUDIT评分的变化。结果共纳入150例患者，接受最小干预（n = 68）或BI （n = 82）。在12个月时，两组的审计评分都有小幅下降，两组之间的结果没有显著差异。在12个月的随访中，21%的参与者从危险审计评分水平改善到无害水平，8%的参与者从有害水平改善到危险水平（8%）。结论简短的酒精干预可使危险或有害酒精使用的精神病患者的AUDIT评分有一定程度的降低。结果表明，BI可能在精神科门诊环境中有一定的价值。尽管如此，对有饮酒风险的精神病患者进行更深入的酒精干预还需要进一步研究。
BackgroundAlthough brief alcohol intervention (BI) is widely studied, studies from psychiatric outpatient settings are rare. The aim of this study was to investigate the effects of two variants of BI in psychiatric outpatients. By using clinical psychiatric staff to perform the interventions, we sought to collect information of the usefulness of BI in the clinical setting.MethodsPsychiatric outpatients with Alcohol Use Disorders Identification Test (AUDIT) scores indicating hazardous or harmful drinking were invited to participate in the study. The outpatients were randomized to minimal (assessment, feedback, and an informational leaflet) or BI (personalized advice added). Measurements were performed at baseline and at six and 12 months after the intervention. The primary outcome was change in AUDIT score at the 12-month follow-up.ResultsIn all, 150 patients were enrolled and received either a minimal intervention (n = 68) or BI (n = 82). At 12 months, there was a small reduction in AUDIT score in both groups, with no significant differences in outcome between groups. At 12-month follow-up, 21% of participants had improved from a hazardous AUDIT score level to a nonhazardous level, and 8% had improved from a harmful level to a hazardous level (8%).ConclusionsBrief alcohol interventions may result in a reduction of AUDIT score to a small extent in psychiatric patients with hazardous or harmful alcohol use. Results suggest that BI may be of some value in the psychiatric outpatient setting. Still, more profound forms of alcohol interventions with risky-drinking psychiatric patients need elaboration.
影响因子：
4.2
作者：
Rubinsky AD;Kivlahan DR;Volk RJ;Maynard C;Bradley KA
通讯作者：
Bradley KA