Alcohol craving predicts drinking during treatment: An analysis of three assessment instruments
Alcohol craving predicts drinking during treatment: An analysis of three assessment instruments
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DOI：
10.15288/jsa.2003.64.120
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发表时间：
2003-01-01
期刊：
影响因子：
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通讯作者：
Volpicelli, JR
中科院分区：
文献类型：
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作者：
Flannery, BA;Poole, SA;Volpicelli, JR
目的：本研究的目的是检验三种渴求工具在预测治疗期间饮酒方面的作用。使用的三个评估是宾夕法尼亚大学酒精渴求量表(PACS)、酒精冲动问卷(AUQ)和强迫性饮酒量表(OCDS)的强迫子量表(OBS)的第1-6项。方法：这三种仪器是在宾夕法尼亚大学治疗研究中心进行的为期9个月的双盲安慰剂对照试验中使用纳曲酮100毫克/天，以及使用布伦达手册进行的基于手动的心理社会干预。研究开始时，参与者(133名男性和50名女性)使用这些工具每周或每两周自我报告一次渴望。每周的饮酒量是通过Timeline Followback采访报告的。以第1周的渴求评分为自变量，以随后治疗周的饮酒量为因变量，对数据进行广义估计方程分析。结果：三个量表中的每一个都预测了在随后的治疗周内饮酒。PACS是最强的预测指标，其次是OBS，然后是AUQ。最重要的是，与前一周的饮酒相比，三种量表测量的渴望对随后饮酒的预测作用更强。结论：渴求评估为预测治疗期间饮酒提供了一种有用的手段。这些信息将有助于设计临床试验和许多治疗方式。(J螺柱.酒类：2003年第120-126年)
Objective: The purpose of this investigation was to examine the utility of thee craving instruments to predict drinking during treatment. The three assessments used were the Penn Alcohol Craving Scale (PACS), the Alcohol Urge Questionnaire (AUQ) and Items 1-6 of the Obsessive subscale (OBS) of the Obsessive Compulsive Drinking Scale (OCDS). Method: The three instruments were administered during the course of a 9-month, double-blind, placebo-controlled trial of 100 mg/day of naltrexone, and a manual-based psychosocial intervention using the BRENDA manual conducted at the University of Pennsylvania's Treatment Research Center. Participants (133 men and 50 women at the initiation of the study) used these instruments to self-report craving on a weekly or biweekly basis. The weekly number of drinks was reported using the Timeline Followback interview. The data were analyzed with generalized estimating equations using craving scores at I week as the independent variable and number of drinks in the subsequent treatment week as the dependent variable. Results: Each of the three scales predicted drinking during the subsequent treatment week. The PACS was the strongest predictor followed closely by the OBS and then the AUQ. Most important, craving as measured by the three scales was a stronger predictor of subsequent drinking than was drinking during the prior treatment week. Conclusions: Craving assessment provides a useful means of predicting drinking during treatment. Such information would be helpful in designing clinical trials and for many treatment modalities. (J Stud. Alcohol 64: 120-126, 2003).