DEVELOPMENT AND VALIDATION OF THE BIPHASIC ALCOHOL EFFECTS SCALE

DEVELOPMENT AND VALIDATION OF THE BIPHASIC ALCOHOL EFFECTS SCALE
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DOI:
10.1111/j.1530-0277.1993.tb00739.x
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发表时间:
1993-02-01
影响因子:
3.2
通讯作者:
SWIFT, RM
SWIFT, RM
中科院分区:
医学3区
文献类型:
--
作者:
MARTIN, CS;EARLEYWINE, M;SWIFT, RM

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酒精产生刺激和镇静作用,这两种作用被认为会影响饮酒习惯。本文描述了双相酒精效应量表(BAES)的发展和初步验证,这是一种自我报告的单极形容词评定量表,旨在测量酒精的兴奋和镇静作用。最初的12种兴奋剂和12种镇静药物来自先前的酒精效应测量,以及在血液酒精曲线的上升和下降分支进行的访谈中受试者产生的中毒描述。该题库对清醒的大学生进行两次测试,测试间隔为2周。难以理解的项目,或评分高或重测信度低的项目,被剔除,产生7项兴奋剂分量表和7项镇静分量表。这些量表在清醒状态下显示出较高的内部一致性,而删除额外的条目并不能改善这种一致性。本研究的数据也为修订BAES说明书提供了依据。然后,在给予0.75 ml/kg酒精(男性)或0.65 ml/kg酒精(女性)后,在血液酒精曲线的上升和下降肢向30名男性和12名女性非酒精者提供新的14项仪器。在血液酒精曲线的两条分支上,两个BAES亚量表的内部一致性很高(Cronbach's alpha = 0.85至0.94),并且没有通过删除额外的项目来改善。对血液酒精曲线两侧进行的因子分析支持了所提出的BAES因子结构。观察到亚量表和肢体的预测相互作用,在血液酒精浓度升高时,兴奋剂评分高于镇静评分,在血液酒精浓度下降时,镇静评分高于兴奋剂评分。这些数据初步验证了BAES作为酒精刺激和镇静作用的自我报告测量。
Alcohol produces stimulant and sedative effects, and both types of effect are thought to influence drinking practices. This article describes the development and preliminary validation of the Biphasic Alcohol Effects Scale (BAES), a self-report, unipolar adjective rating scale designed to measure both stimulant and sedative effects of alcohol. An initial pool of 12 stimulant and 12 sedative items was derived from previous alcohol effect measures, and from descriptors of intoxication generated by subjects during interviews conducted on both the ascending and descending limbs of the blood alcohol curve. This item pool was administered to a sample of sober college students twice, with a 2-week inter-test interval. Items that were difficult to comprehend, or that had high ratings or low test-retest reliability, were eliminated, resulting in a seven-item stimulant subscale and a seven-item sedative subscale. These subscales showed high internal consistency in a sober state, which was not improved by additional item deletion. The data from this study also provided a basis for revising the instructions for the BAES. The new 14-item instrument was then given to 30 male and 12 female nonalcoholics on the ascending and descending limbs of the blood alcohol curve, after the administration of either 0.75 ml/kg alcohol (males) or 0.65 ml/kg alcohol (females). Internal consistency was high for both BAES subscales on both limbs of the blood alcohol curve (Cronbach's alpha = 0.85 to 0.94), and was not improved by additional item deletion. Factor analyses conducted on both limbs of the blood alcohol curve supported the proposed factor structure of the BAES. A predicted interaction of subscale and limb was observed, with stimulant ratings higher than sedative ratings during rising blood alcohol concentrations (BACs), and sedative ratings higher than stimulant ratings during falling BACs. These data provide some initial validation of the BAES as a self-report measure of the stimulant and sedative effects of alcohol.