Prospective Analysis of Behavioral Economic Predictors of Stable Moderation Drinking Among Problem Drinkers Attempting Natural Recovery.
Prospective Analysis of Behavioral Economic Predictors of Stable Moderation Drinking Among Problem Drinkers Attempting Natural Recovery.
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尝试自然恢复的问题饮酒者稳定适度饮酒的行为经济预测因素的前瞻性分析。
DOI：
10.1111/acer.13245
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发表时间：
2016
期刊：
影响因子：
--
通讯作者：
Davies,SusanL
中科院分区：
文献类型：
--
作者：
Tucker,JalieA;Cheong,JeeWon;Chandler,SusanD;Lambert,BriceH;Pietrzak,Brittney;Kwok,Heather;Davies,SusanL
背景随着干预措施已超出临床治疗范围，包括对酒精问题较轻的人进行短暂干预，预测谁能够实现稳定的适度饮酒变得越来越重要。最近关于自然恢复的行为经济学（BE）研究表明，活跃的问题饮酒者将金钱支出分配在酒精上并在较长时间内为未来储蓄，往往会获得更好的后续恢复结果，包括维持稳定的适度饮酒。这项研究将这种基于金钱的“酒精储蓄可自由支配支出”(ASDE) 指数与行为冲动和自我控制的多种 BE 类似测量方法的预测效用进行了比较，以预测自然恢复尝试的结果，这些测量方法很少一起进行研究。方法社区居住的问题饮酒者在未经治疗的情况下停止酗酒后不久就入组，进行了长达一年的前瞻性随访（N=175 [75.4%]男]，法师= 50.65岁）。他们完成了对决议前饮酒行为和问题的基线评估、模拟行为选择任务（延迟折扣、改善最大化和酒精购买任务），以及时间线跟踪访谈，包括决议前一年的酒精支出与自愿储蓄（ASDE指数）的比较。结果多项逻辑回归模型显示，在BE测量中，只有ASDE指数预测稳定的适度饮酒与稳定的戒酒或涉及复发的不稳定的决议相比。正如假设的那样，稳定的节制与更平衡的饮酒和储蓄的决议前分配相关（比值比 = 1.77，95% 置信区间 = 1.02 至 3.08，p < 0.05），这表明它与长期行为调节过程相关，而不是禁欲。 结论 ASDE 独特的预测效用可能依赖于其对情境元素的全面表示，以支持这种行为分配模式。稳定的低风险饮酒，而不是禁酒，需要这样的监管过程。
BackgroundAs interventions have expanded beyond clinical treatment to include brief interventions for persons with less severe alcohol problems, predicting who can achieve stable moderation drinking has gained importance. Recent behavioral economic (BE) research on natural recovery has shown that active problem drinkers who allocate their monetary expenditures on alcohol and saving for the future over longer time horizons tend to have better subsequent recovery outcomes, including maintenance of stable moderation drinking. This study compared the predictive utility of this money‐based “Alcohol‐Savings Discretionary Expenditure” (ASDE) index with multiple BE analogue measures of behavioral impulsivity and self‐control, which have seldom been investigated together, to predict outcomes of natural recovery attempts.MethodsCommunity‐dwelling problem drinkers, enrolled shortly after stopping abusive drinking without treatment, were followed prospectively for up to a year (N=175 [75.4% male],Mage = 50.65 years). They completed baseline assessments of preresolution drinking practices and problems, analogue behavioral choice tasks (Delay Discounting, Melioration‐Maximization, and Alcohol Purchase Tasks), and a Timeline Followback interview including expenditures on alcohol compared to voluntary savings (ASDE index) during the preresolution year.ResultsMultinomial logistic regression models showed that, among the BE measures, only the ASDE index predicted stable moderation drinking compared to stable abstinence or unstable resolutions involving relapse. As hypothesized, stable moderation was associated with more balanced preresolution allocations to drinking and savings (odds ratio = 1.77, 95% confidence interval = 1.02 to 3.08,p< 0.05), suggesting it is associated with longer‐term behavior regulation processes than abstinence.ConclusionsThe ASDE's unique predictive utility may rest on its comprehensive representation of contextual elements to support this patterning of behavioral allocation. Stable low‐risk drinking, but not abstinence, requires such regulatory processes.
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作者：
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Gwaltney, Chad J.
使用 IVR 自我监控自然解决饮酒问题的行为经济学分析。
影响因子：
2.3
作者：
Tucker,JalieA;Foushee,HRussell;Black,BethanyC
通讯作者：
Black,BethanyC