Impaired control scale: cross-validation and relationships with treatment outcome
Impaired control scale: cross-validation and relationships with treatment outcome
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DOI：
10.1046/j.1360-0443.1998.93576112.x
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发表时间：
1998-05-01
期刊：
影响因子：
6
通讯作者：
Luce, A
中科院分区：
文献类型：
--
作者：
Heather, N;Booth, P;Luce, A
目标。(I)在英国问题饮酒者样本中交叉验证澳大利亚对控制障碍量表（ICS）的研究结果。(2)探讨对ICS评分的可能改进(3)探讨ICS与治疗结果的关系。设计。在重复测量设计中，由训练有素的工作人员在治疗期间和6个月随访期间进行问卷调查和访谈。设置。纽卡斯尔和利物浦的两个酒精和药物治疗服务（英国）。参与者。229名问题饮酒者作为住院或门诊病人前来就诊，他们的治疗目标是戒酒或适度戒酒。测量。ICS分数;典型每周饮酒量（单位）；与酒精有关问题的程度；酒精依赖的严重程度；使用消费水平和当前酒精相关问题对结果进行分类，并附带对自我报告的确认。发现。在接受治疗的英国酗酒者样本中证实了ICS令人满意的信度和效度。一种改进的评分“替代法”被开发出来，为所有受试者提供一个单一的控制受损的衡量标准，而不管他们试图控制的程度如何。ICS评分与治疗结果显著相关，在一组旨在戒断但失败的受试者中，ICS评分预测了提取依赖程度影响后的结果状态。结论。对酒精消费的控制受损可以通过ICS以可靠和有效的方式进行测量。ICS在研究控制障碍和作为临床评估工具方面具有潜在的用途。
Aims. (I) To cross-validate Australian findings on the Impaired Control Scale (ICS) in an English sample of problem drinkers. (2) To examine a possible improvement to the scoring of the ICS (3) To explore the relationship of the ICS to treatment outcome. Design. In a repeated measures design, questionnaires and interviews were administered by trained staff during treatment and again at 6 months follow-up. Setting. Two alcohol and drug treatment services in Newcastle and Liverpool (UK). Participants. Two hundred and twenty-nine problem drinkers attending as in-or outpatients, with abstinence or moderation treatment goals. Measurements. ICS scores; typical weekly alcohol consumption (units); degree of alcohol-related problems; severity of alcohol dependence; and classification of outcome using consumption levels and current alcohol-related problems, with collateral confirmation of self-reports. Findings. The satisfactory reliability and validity of the ICS was confirmed in an English sample of problem drinkers in treatment. An improved "substitution method" of scoring was developed to give a single measure of impaired control for all subjects irrespective of degree of attempted control. ICS scores were significantly correlated with treatment outcome and, among a subgroup of subjects who had aimed at abstinence but failed, predicted outcome status after the effects of degree of dependence had been extracted. Conclusions. Impaired control over alcohol consumption can be measured in a reliable and valid fashion by the ICS. The ICS has potential uses in research on impaired control and as a clinical assessment tool.