Maintaining recovery from alcohol use disorder during the COVID-19 pandemic: The importance of recovery capital.
Maintaining recovery from alcohol use disorder during the COVID-19 pandemic: The importance of recovery capital.
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DOI：
10.1016/j.drugalcdep.2021.109142
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发表时间：
2021-12-01
影响因子：
4.2
通讯作者：
Skinstad AH
中科院分区：
文献类型：
--
作者：
Gilbert PA;Soweid L;Kersten SK;Brown G;Zemore SE;Mulia N;Skinstad AH
COVID-19大流行对酒精使用障碍（AUD）康复的潜在影响迄今尚未引起足够关注。作为回应，我们调查了恢复的稳定性，并确定了复发的相关因素，特别关注女性和男性之间的差异。数据来自一项全国性的调查，调查对象是酒精使用障碍已解决但饮酒量不高的成年人（n = 1492）。我们计算了汇总统计量和轻度复发的建模几率（即，在数据收集时消退），总体和按性别分层。同样大多数的女性和男性报告称，COVID-19大流行完全没有影响他们的康复（分别为88.9%和88.8%）。轻度复发事件很少发生，只有45名参与者（3.1%）报告在戒酒后恢复饮酒，35名参与者（2.7%）报告从先前适度饮酒增加，男性和女性之间的患病率没有差异。恢复资本显示女性和男性的保护作用一致且相当（调整后的比值比[aOR] 0.90; 95%置信区间[95% CI] 0.84，0.97; aOR 0.93; 95% CI 0.88，0.98）。我们没有发现流行病相关压力源的任何影响;然而，女性和男性的轻度复发有一些明显的相关性。恢复资本具有持续的保护作用，并且可以作为一个非常合适的干预目标，因为它是可修改的。鉴于性别差异，可能需要评估其他关键因素，并针对妇女和男子采取量身定制的干预措施，以确保稳定的恢复。
The potential impact of the COVID-19 pandemic on recovery from alcohol use disorder (AUD) has received scant attention to date. In response, we investigated the stability of recovery and identified correlates of relapse, with particular interest in differences between women and men. Data were obtained in a national survey of adults with resolved alcohol use disorder who were not drinking heavily (n = 1492). We calculated summary statistics and modeled odds of mild relapse (i.e., resolved at the time of data collection), overall and stratified by gender. Equivalent large majorities of women and men reported that the COVID-19 pandemic had not affected their recovery at all (88.9% and 88.8%, respectively). Mild relapse events were infrequent, with only 45 participants (3.1%) reporting a resumption of drinking after being abstinent and 35 participants (2.7%) reporting an increase from previously moderated drinking, with no differences in prevalence between men and women. Recovery capital showed consistent and comparable protective effects for both women and men (adjusted odds ratio [aOR] 0.90; 95% confidence interval [95% CI] 0.84, 0.97; and aOR 0.93; 95% CI 0.88, 0.98, respectively). We did not find any effect of pandemic-related stressors; however, there were a number of distinct correlates of mild relapse for women and men. Recovery capital showed a consistently protective effect and may serve as a highly suitable intervention target as it is modifiable. Given gender differences, assessments of other key factors and tailored interventions targeting women and men may be necessary to ensure stable recovery.
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DOI：
10.1111/acer.14555
发表时间：
2021-03-05
期刊：
ALCOHOL-CLINICAL AND EXPERIMENTAL RESEARCH
影响因子：
--
作者：
Barrio, Pablo;Baldaqui, Nuria;Manthey, Jakob
通讯作者：
Manthey, Jakob
DOI：
10.1097/01.alc.0000164374.32229.a2
发表时间：
2005-05-01
期刊：
ALCOHOL-CLINICAL AND EXPERIMENTAL RESEARCH
影响因子：
--
作者：
Dawson, DA;Grant, BF;Zhou, Y
通讯作者：
Zhou, Y
影响因子：
4.2
作者：
Edens, Ellen L.;Glowinski, Anne L.;Bucholz, Kathleen K.
通讯作者：
Bucholz, Kathleen K.
DOI：
10.3390/ijerph17134677
发表时间：
2020-07-01
影响因子：
--
作者：
Chodkiewicz, Jan;Talarowska, Monika;Bilinski, Przemyslaw
通讯作者：
Bilinski, Przemyslaw
影响因子：
13.5
作者：
Da, Ben L.;Im, Gene Y.;Schiano, Thomas D.
通讯作者：
Schiano, Thomas D.