Alcohol Use Predicts 10-Year Depressive Symptom Trajectories in the Health and Retirement Study
Alcohol Use Predicts 10-Year Depressive Symptom Trajectories in the Health and Retirement Study
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DOI：
10.1177/0898264315615837
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发表时间：
2016-08-01
影响因子：
2.8
通讯作者：
Schutte, Kathleen K.
中科院分区：
文献类型：
--
作者：
Brennan, Penny L.;SooHoo, Sonya;Schutte, Kathleen K.
目的：探讨中年晚期成年人基线饮酒行为对其随后10年抑郁症状轨迹的影响。方法：健康和退休研究参与者（N = 7，939）对基线人口统计学，健康和饮酒特征进行了评估，并在接下来的10年中每两年评估一次抑郁症状。结果如下：生长混合模型生成了四类抑郁症状轨迹：持续低（72%），持续升高（6%），增加（12%）和减少（10%）。基线戒酒，可能是由于健康状况较差和饮酒问题史，以及重度饮酒，酗酒和有饮酒问题史，增加了持续升高类成员的风险。没有饮酒问题史的参与者以及轻度、中度和重度饮酒者的戒酒保护了他们在不断增加的类别中的成员资格。没有饮酒问题史的参与者的戒酒增加了减少类成员的可能性，适度饮酒减少了减少类成员的可能性。讨论：中年晚期成年人的酒精使用与随后的长期抑郁症状有关。
Objective: To determine effects of late-middle-aged adults' baseline drinking behavior on their subsequent 10-year depressive symptom trajectories. Method: Health and Retirement Study participants (N = 7,939) were assessed on baseline demographic, health, and drinking characteristics, and biennially assessed for the next 10 years on their depressive symptoms. Results: Growth mixture modeling generated four classes of depressive symptom trajectories: Consistently low (72%), consistently elevated (6%), increasing (12%), and decreasing (10%). Baseline abstinence from alcohol, possibly enforced by poorer health and a history of drinking problems, and heavier drinking, binge drinking, and having a history of drinking problems, raised risk of membership in the consistently elevated class. Abstinence by participants without history of drinking problemsand light, moderate, and heavier drinkingprotected against membership in the increasing class. Abstinence by participants without history of drinking problems elevatedand moderate drinking reducedlikelihood of membership in the decreasing class. Discussion: Late-middle-aged adults' alcohol use is associated with the subsequent long-term course of their depressive symptoms.