Treatment Seeking among College Students with Comorbid Hazardous Drinking and Elevated Mood/Anxiety Symptoms
Treatment Seeking among College Students with Comorbid Hazardous Drinking and Elevated Mood/Anxiety Symptoms
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DOI：
10.1080/10826084.2017.1392982
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发表时间：
2018-01-01
影响因子：
2
通讯作者：
Schmidt, Norman B.
中科院分区：
文献类型：
--
作者：
Capron, Daniel W.;Bauer, Brian W.;Schmidt, Norman B.
背景：有害饮酒在大学生中很普遍，并且经常与情绪和/或焦虑障碍合并症；然而，这些疾病往往得不到治疗。先前的研究发现，有危险饮酒共病的个体比单独有危险饮酒的个体更有可能寻求治疗。目的：本研究测试了可能的心理和结构解释来理解这些寻求治疗的行为。方法：于2010年9月至2011年4月，对222名被确定为危险饮酒者的学生（审计8）进行抽样调查。采用模拟实际寻求治疗的行为测量和自我报告测量来评估寻求治疗行为，以及精神病理学和个体预测因素对治疗兴趣的影响。结果：学生对情绪问题的治疗比对酒精问题的治疗更感兴趣。此外，在伴有危险饮酒的个体中，寻求治疗的兴趣明显更高。当提供免费的校内诊所预约电话时，没有学生对接受酒精使用问题的治疗感兴趣，但有些学生对接受情绪问题的预约感兴趣（n = 13）。在那些在电话中表示有兴趣的学生中，有7人参加了诊所预约。Logistic回归分析显示，焦虑、焦虑敏感和抑郁的学生更有可能参加门诊预约。结论/重要性：总之，针对情绪和焦虑障碍可能是提高危险饮酒大学生求诊率的可行方法。
Background: Hazardous drinking is prevalent among college students and often comorbid with mood and/or anxiety disorders; however, these disorders frequently go untreated. Prior studies have found that individuals with comorbid hazardous drinking are more likely to seek treatment than those with an hazardous drinking alone. Objectives: The current study tested possible psychological and structural explanations to understand these treatment seeking behaviors. Methods: A sample of 222 students identified as hazardous drinkers (AUDIT 8) participated from September 2010 to April 2011. Behavioral measures designed to mimic actual treatment seeking and self-report measures were used to assess treatment seeking behaviors, and the influence of psychopathology and individual predictors on treatment interest. Results: Students were more interested in treatment for emotional problems than for alcohol problems. Further, treatment seeking interest was significantly higher among individuals with comorbid hazardous drinking. When provided a telephone offer for a free on-campus clinic appointment, no students were interested in receiving treatment for alcohol use problems, but some were interested in an appointment for emotional problems (n = 13). Of those students expressing interest on the phone, seven attended the clinic appointment. Logistic regression analyses revealed that students with anxiety, anxiety sensitivity, and depression were more likely to attend the clinic appointment. Conclusions/Importance: In sum, targeting mood and anxiety disorders may be a viable way to increase treatment seeking rates in hazardous drinking college students.