Development of a 20-item questionnaire for drinking behavior pattern (DBP-20) toward personalized behavioral approaches for alcohol use disorder.
Development of a 20-item questionnaire for drinking behavior pattern (DBP-20) toward personalized behavioral approaches for alcohol use disorder.
复制标题
制定包含 20 项的饮酒行为模式调查问卷 (DBP-20)，以实现酒精使用障碍的个性化行为方法。
DOI：
10.1016/j.alcohol.2022.03.002
复制
发表时间：
2022
期刊：
影响因子：
2.3
通讯作者：
T.
中科院分区：
文献类型：
--
作者：
Kurihara;K.;Shinzato;H.;Koda;M.;Enoki;H.;Otsuru;T.;Takaesu;Y.;& Kondo;T.
虽然有酒精使用障碍（AUD）的筛查工具，如酒精使用障碍识别测试（AUDIT），但这些工具并不能直接表征AUD患者的个体饮酒行为。因此，本研究的目的是开发一种新的自我报告问卷，以确定AUD患者饮酒行为模式的特征。研究小组基于对AUD患者的半结构化访谈，开发了一份自我管理的20项饮酒行为模式问卷（DBP-20）。对232例AUD患者和222例正常饮酒者（1≤AUDIT <20）进行DBP-20和AUDIT测试作为对照。对AUD患者进行DBP-20的探索性因子分析，并比较AUD患者与对照组的单项和亚量表得分。分析了审计与DBP-20总分和分量表得分的相关性。对DBP-20及其子量表进行受试者工作特征（ROC）分析，以区分AUD患者和对照组。探索性因子分析揭示了DBP-20的多维四因子模型：应对消极情绪、自动性、增强性和社会使用。除了社交使用量表外，AUD患者的DBP-20总分和子量表得分与对照组相比在所有因素上都有显著差异。消极情绪应对和自动性分量表得分以及DBP-20总分均与审计得分高度相关。总DBP-20评分在区分AUD患者和正常饮酒者方面表现出最大的敏感性、负预测值和ROC曲线下面积。饮酒作为应对消极情绪和自动性的一种手段可能是AUD患者所特有的。DBP-20可以帮助AUD患者意识到自己有针对性的问题饮酒行为，并在与治疗师的合作关系中寻求个性化的行为方法。
Although screening tools are available for alcohol use disorders (AUD), such as the Alcohol Use Disorders Identification Test (AUDIT), these tools do not directly characterize individual drinking behavior for patients with AUD. Therefore, the aim of this study was to develop a new self-report questionnaire to identify the characteristics of drinking behavior patterns in patients with AUD.The study team developed a self-administered 20-item questionnaire for drinking behavior pattern (DBP-20) based on semi-structured interviews of patients with AUD. The DBP-20 and AUDIT were administered to 232 patients with AUD and 222 normal drinkers (1 ≤ AUDIT <20) as controls. Exploratory factor analysis of the DBP-20 was conducted for patients with AUD, followed by comparisons of its item and subscale scores between patients with AUD and controls. Correlations of AUDIT with total and subscale scores of the DBP-20 were also analyzed. Receiver operating characteristic (ROC) analyses for the DBP-20 and its subscales were performed to distinguish patients with AUD from controls.Exploratory factor analysis revealed a multidimensional 4-factor model of the DBP-20: coping with negative affect, automaticity, enhancement, and social use. Significant differences in DBP-20 total and subscale scores were observed for patients with AUD versus controls for all factors, except the social use subscale. Both the coping with negative affect and automaticity subscale scores as well as total DBP-20 scores were highly correlated with AUDIT scores. Total DBP-20 scores showed the greatest sensitivity, negative predictive value, and area under the ROC curve to distinguish patients with AUD from normal drinkers.Drinking as a means of coping with negative affect and automaticity may be specific for patients with AUD. DBP-20 may help patients with AUD to be aware of their own targeted problematic drinking behaviors and to seek their personalized behavioral approaches in a collaborative relationship with therapists.