Differentiating DMS-IV alcohol dependence and abuse by course: Community heavy drinkers
Differentiating DMS-IV alcohol dependence and abuse by course: Community heavy drinkers
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DOI：
10.1016/s0899-3289(97)90011-0
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发表时间：
1997-01-01
期刊：
影响因子：
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通讯作者：
Endicott, J
中科院分区：
文献类型：
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作者：
Hasin, DS;Van Rossem, R;Endicott, J
本研究的目的是调查DSM-IV酒精滥用和酒精依赖的社区样本中的男性和女性之间的短期课程的差异。876人接受了包括DSM-IV标准Sor酒精使用障碍的基线访谈，并在大约一年后进行了类似的访谈。组间差异比较采用卡方检验，多项logistic回归分析用于检验组间差异，控制潜在混杂因素。酒精滥用和依赖的过程彼此之间存在显著差异，并且与基线时没有酒精诊断的个体之间存在显著差异。慢性化是最常见的结果依赖，但不是滥用。大多数基线诊断为滥用的受试者接受的诊断只有一个症状，即反复酒后驾车。虽然酒精依赖诊断的有效性在这个社区样本中得到了支持，但关于酒精滥用的结果仍然模棱两可。
The purpose of this study was to investigate the differences in shortterm course between DSM-IV alcohol abuse and alcohol dependence in a community sample of men and women. Eight hundred seventy-six individuals were given a baseline interview that included DSM-IV criteria Sor alcohol use disorders, and were followed up with a similar interview approximately one year later. Group differences were compared with chi-square tests, Multinomial logistic regression analyses were used to test group differences controlling for potential confounders. The course of alcohol abuse and dependence differed significantly from each other, and from individuals with no alcohol diagnosis at baseline. Chronicity was the most common outcome for dependence but not for abuse. Most subjects with baseline diagnoses of abuse received the diagnosis with only one symptom, repeated drunk driving. While the validity of the alcohol dependence diagnosis was supported in this community sample, the results concerning alcohol abuse remain equivocal.