Brief intervention for heavy-drinking college students: 4-year follow-up and natural history
Brief intervention for heavy-drinking college students: 4-year follow-up and natural history
复制标题
对酗酒大学生的简短干预： 4 年随访和自然史
DOI：
10.2105/ajph.91.8.1310
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发表时间：
2001-08-01
影响因子：
12.7
通讯作者：
Marlatt, GA
中科院分区：
文献类型：
--
作者：
Baer, JS;Kivlahan, DR;Marlatt, GA
目标。这项研究考察了与大学饮酒自然史相关的个人预防干预对高危大学饮酒者的长期反应。在一项随机对照试验中，对报告在高中期间大量饮酒的大学新生进行了单疗程、个性化的预防干预评估。从整个筛查池中随机选择的另一组提供了标准化比较。参与者的自我报告每年评估一次，为期4年。高风险控制组显示出饮酒量减少和负面后果的长期趋势，而饮酒频率没有变化。那些接受短暂预防性干预的人报告说，特别是在负面后果方面，出现了显著的额外减少。绝对的个体变化分析表明，缓解是正常的，他们表明，接受短暂干预的参与者在饮酒负面后果方面更有可能改善，更不可能恶化。即使在成熟趋势的背景下，对高危大学饮酒者进行简短的个人预防干预也可以获得长期好处。
Objectives. This study examined long-term response to an individual preventive intervention for highrisk college drinkers relative to the natural history of college drinking.Methods. A single-session, individualized preventive intervention was evaluated within a randomized controlled trial with college freshmen who reported drinking heavily while in high school. An additional group randomly selected from the entire screening pool provided a normative comparison. Participant self-report was assessed annually for 4 years.Results. High-risk controls showed secular trends for reduced drinking quantity and negative consequences without changes in drinking frequency. Those receiving the brief preventive intervention reported significant additional reductions, particularly with respect to negative consequences. Categorical individual change analyses show that remission is normative, and they suggest that participants receiving the brief intervention are more likely to improve and less likely to worsen regarding negative drinking consequences.Conclusions. Brief individual preventive interventions for high-risk college drinkers can achieve longterm benefits even in the context of maturational trends.