Use of survival analyses to examine onset and staging of DSM-IV alcohol symptoms in women.
Use of survival analyses to examine onset and staging of DSM-IV alcohol symptoms in women.
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DOI：
10.1037/0893-164x.16.3.236
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发表时间：
2002-09
期刊：
影响因子：
--
通讯作者：
Nicola M. Chung;J. Langenbucher;B. McCrady;E. Epstein;S. Cook
中科院分区：
文献类型：
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作者：
Nicola M. Chung;J. Langenbucher;B. McCrady;E. Epstein;S. Cook
尽管他们的诊断有效性的影响，很少有研究探讨女性酒精症状发作的模式。使用DSM-IV的结构化临床访谈（M。B。首先，M。吉尔河L.斯皮策和J. B。W.威廉姆斯，1995）数据，作者将生存分析应用于精神疾病诊断和统计手册（第4版;美国精神病学协会，1994年）87名接受治疗的妇女的酒精症状。法律的问题很少发生，不符合分期模式。与先前研究的男性相比，女性表现出较晚的症状，其发展分为4个阶段：虐待，后果，适应疾病和生理依赖。三种情况-危险使用、比预期更大/更长的使用和使用时间过长-发生在早期，可能有助于筛查目的。
Despite their implications for diagnostic validity, few studies have examined patterns of alcohol symptom onset in women. Using Structured Clinical Interview for the DSM-IV (M. B. First, M. Gibbon, R. L. Spitzer, & J. B. W. Williams, 1995) data, the authors applied survival analysis to Diagnostic and Statistical Manual of Mental Disorders (4th ed.; American Psychiatric Association, 1994) alcohol symptoms in 87 women in treatment. Legal problems occurred rarely and did not fit a staging model. Compared with men previously studied, women showed a later onset of symptoms, which developed in 4 stages: abuse, consequation, accommodation to the illness, and physiological dependence. Three symptoms-hazardous use, larger/longer use than intended, and lots of time spent using--occurred early and may be useful for screening purposes.