Self-reported cognitive scales in a US National Survey: reliability, validity, and preliminary evidence for associations with alcohol and drug use
Self-reported cognitive scales in a US National Survey: reliability, validity, and preliminary evidence for associations with alcohol and drug use
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DOI：
10.1111/add.13911
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发表时间：
2017-12-01
期刊：
影响因子：
6
通讯作者：
Hasin, Deborah S.
中科院分区：
文献类型：
--
作者：
Aharonovich, Efrat;Shmulewitz, Dvora;Hasin, Deborah S.
目的评估美国一般人群中成年人（≥ 18岁）认知功能指标与酒精或药物使用之间的关系。设计：根据执行功能指数项目的维度和信度，设计了两个认知量表。评价了两个量表和验证器之间的关系。认知量表和过去一年的酒精或药物使用频率之间的关联用校正的比值比（aOR）进行估计。设置美国，使用2012-13年全国流行病学调查酒精和相关条件-III，一个全国代表性的成人样本选择多阶段概率抽样。参加者36085人。过去一年的物质使用结果变量将酗酒，大麻，可卡因，阿片类药物，镇静剂/安定剂和兴奋剂的使用分为频繁（至少每周到每天），不频繁（任何到两到三次/月）或不使用，由酒精使用障碍和相关残疾访谈计划表-5评估。关键的预测因素是两个认知量表。结构验证者包括教育和功能障碍。协变量包括年龄、性别、收入和人种/种族。结果九个认知项目符合两因素模型（比较拟合指数= 0. 973）：注意力（5个项目）和执行功能（4个项目）。两个量表均与高等教育程度呈正相关（Ps
Aims To evaluate relationships between measures of cognitive functioning and alcohol or drug use among adults (>= 18 years) in the US general population. Design Two cognitive scales were created based on dimensionality and reliability of self-reported Executive Function Index items. Relationships between the two scales and validators were evaluated. Associations between the cognitive scales and past-year frequency of alcohol or drug use were estimated with adjusted odds ratios (aOR). Setting United States, using the 2012-13 National Epidemiologic Survey on Alcohol and Related Conditions-III, a nationally representative adult sample selected by multi-stage probability sampling. Participants 36085 respondents. Measurements Past-year substance use outcome variables categorized binge drinking, marijuana, cocaine, opioid, sedative/tranquilizer and stimulant use as frequent (at least weekly to daily), infrequent (any to two to three times/month) or no use, assessed by the Alcohol Use Disorder and Associated Disabilities Interview Schedule-5. Key predictors were the two cognitive scales. Construct validators included education and functional impairment. Covariates included age, gender, income and race/ethnicity. Findings Nine cognitive items fitted a two-factor model (comparative fit index=0.973): attention (five items) and executive functioning (four items). Both scales were associated positively with higher education (Ps