Stressful Life Events and Relapse Among Formerly Alcohol Dependent Adults
Stressful Life Events and Relapse Among Formerly Alcohol Dependent Adults
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DOI：
10.1080/15332985.2012.711278
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发表时间：
2013-01-01
影响因子：
1.1
通讯作者：
Hasin, Deborah S.
中科院分区：
文献类型：
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作者：
Pilowsky, Daniel J.;Keyes, Katherine M.;Hasin, Deborah S.
我们研究了 DSM-IV 酒精依赖缓解至少 1 年的美国成年人的压力生活事件与复发之间的关联。样本由国家酒精及相关病症流行病学调查 (NESARC) 第 1 波访谈（2001-2002 年）中酒精依赖缓解的个体组成，他们也参加了第 2 波访谈（2004-2005 年；N = 1,707）。使用多重逻辑回归模型检查了压力生活事件、人口统计学变量和酒精依赖复发的二元结果之间的关联。对潜在混杂因素进行调整后，与第 1 波之前 12 个月内没有经历过离婚/分居的受访者相比，在基线评估（第 1 波）之前一年离婚或分居的受访者在 3 年后（第 2 波）复发的可能性高出两倍以上（OR = 2.32；CI = 1.01-5.34）。没有其他压力生活事件与复发相关。研究结果表明，以前有酒精依赖的成年人在离婚/分居后复发的风险增加。这些结果凸显了社会工作从业者需要考虑当一方或双方有酒精依赖史时离婚后复发的可能性。
We examined associations between stressful life events and relapse among adults in the United States with at least 1 year of remission from DSM-IV alcohol dependence. The sample consisted of individuals in remission from alcohol dependence at the Wave 1 interview (2001-2002) for the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC) who also participated in a Wave 2 interview (2004-2005; N = 1,707). Associations between stressful life events, demographic variables, and the binary outcome of alcohol dependence relapse were examined with multiple logistic regression models. After adjustment for potential confounders, respondents who were divorced or separated in the year preceding the baseline assessment (Wave 1) were over two times more likely (OR = 2.32; CI = 1.01-5.34) to have relapsed 3 years later (Wave 2), compared to those not experiencing a divorce/separation in the 12 months prior to Wave 1. No other stressful life event was associated with relapse. Findings suggest that formerly alcohol dependent adults are at increased risk for relapse following divorce/separation. These results highlight the need for social work practitioners to consider the possibility of relapse following a divorce when one or both partners have a history of alcohol dependence.