The A-OCDS predicts both craving and alcohol cue reactivity in adolescent alcoholics.
The A-OCDS predicts both craving and alcohol cue reactivity in adolescent alcoholics.
复制标题
A-OCDS 可以预测青少年酗酒者的渴望和酒精提示反应。
DOI：
10.1016/j.addbeh.2005.07.018
复制
发表时间：
2005
影响因子：
4.4
通讯作者：
Deas,Deborah
中科院分区：
文献类型：
--
作者：
Thomas,SuzanneE;Deas,Deborah
酒精依赖的青少年在酒精提示下可能会出现明显的渴望和生理反应，这可能会破坏治疗效果。制定青少年强迫性饮酒量表（A-OCDS）是为了帮助量化有酒精使用障碍的青少年对酒精的渴望程度。a - ocds是一种相对较新的仪器，需要实证数据来支持其在临床试验中的价值。目前的调查使用收集的数据作为临床实验室研究的一部分，检查有和没有酒精依赖的青少年的酒精渴望和线索反应。研究了青少年酗酒者（N=28）的A-OCDS总分和亚量表得分与饮酒的关系，以及渴望和酒精线索反应的几个指标。此外，还进行了回归分析，以表征A-OCDS总分和饮酒指数（每饮酒日饮酒量和戒酒天数百分比）对两种酒精渴望和线索反应性的预测能力。结果显示，A-OCDS总分，而不是每个饮酒日饮酒量或戒酒天数百分比，预测了两项渴望指数的得分。该研究使用了一个小而明确的酒精依赖青少年样本，支持a - ocds的结构有效性，并表明，在成年人中，酒精渴望和饮酒行为是相关的，但独立的酒精依赖因素。这些结果旨在指导未来的研究，在这些研究中，A-OCDS可能被用来测量酒精依赖青少年在治疗过程中的渴望和渴望的变化。
Adolescents with alcohol dependence may experience marked craving and physiologic reactivity in the presence of alcohol cues which could undermine treatment gains. The Adolescent Obsessive Compulsive Drinking Scale (A-OCDS) was developed to help quantify the severity of alcohol craving in adolescents with alcohol use disorders. The A-OCDS is a relatively new instrument, and empirical data are needed to support its value in clinical trials. The present investigation uses data collected as part of a clinical laboratory study examining alcohol craving and cue reactivity in adolescents with and without alcohol dependence. A-OCDS total and subscale scores from adolescent alcoholics (N=28) were examined regarding their relationship to drinking and several indices of craving and alcohol cue reactivity. In addition, regression analyses were performed to characterize the predictive ability of A-OCDS total scores and drinking indices (drinks per drinking day and percent days abstinent) on two measures of alcohol craving and cue reactivity. Results showed that the A-OCDS total scores, but not drinks per drinking day or percent days abstinent, predicted scores on both indices of craving. The study uses a small but well-defined sample of adolescents with alcohol dependence and supports the construct validity of the A-OCDS and suggests that, as in adults, alcohol craving and drinking behavior are related but separate elements of alcohol dependence. The results are intended to guide future studies in which the A-OCDS may be employed to measure craving and changes in craving over the course of treatment for adolescents with alcohol dependence.