A Daily Process Examination of the Bidirectional Relationship Between Craving and Alcohol Consumption as Measured Via Interactive Voice Response
A Daily Process Examination of the Bidirectional Relationship Between Craving and Alcohol Consumption as Measured Via Interactive Voice Response
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DOI：
10.1111/acer.12191
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发表时间：
2013-12-01
影响因子：
3.2
通讯作者：
Helzer, John E.
中科院分区：
文献类型：
--
作者：
Fazzino, Tera L.;Harder, Valerie S.;Helzer, John E.
背景渴求是酒精使用障碍的一个核心组成部分，尽管在文献中关于渴求在酒精使用中的重要性有相互矛盾的发现。本研究的目标是研究的双向关系的渴望和酒精消费量在重度drinkers.MethodsParticipants收到简短的酒精干预从他们的初级保健医生，然后被要求每天报告的渴望和酒精消费量的交互式语音应答（IVR）电话系统为180天。研究样本包括246名参与者（166名男性），平均年龄为46岁。97%是白人，66%符合酒精依赖标准。分析使用广义估计方程（GEE），以评估是否渴望强度预测第二天的饮酒量和饮酒量是否预测第二天的渴望强度。显着的相互作用与性别导致分层analysis.ResultsGEE分析揭示了一个显着的双向关系之间的渴望和饮酒，渴望强度预测第二天的总饮料消耗（P=0.001），和总饮料预测第二天的渴望强度（P=0.02）。探索性分析发现，性别显着缓和的渴望饮酒的关系（p=0.002）与男性增加第二天酒精使用更多（B=0.19）比女性（B=0.08）。根据我们的研究结果，我们建议在短暂的干预期间，医生应同时解决饮酒和渴望问题，并提供应对渴望的建议。
BackgroundCraving is a central component to alcohol use disorders, although there are contradictory findings in the literature regarding the importance of craving in alcohol use. The study goal was to examine the bidirectional relationship between craving and alcohol consumption in heavy drinkers.MethodsParticipants received brief alcohol interventions from their primary care physicians and then were asked to make daily reports of craving and alcohol consumption to an interactive voice response (IVR) telephone system for 180days. The study sample included 246 participants (166 men) with mean age of 46. Ninety-seven percent were Caucasian and 66% met criteria for alcohol dependence. Analysis used generalized estimating equations (GEE) to evaluate whether craving intensity predicted next day alcohol consumption and whether alcohol consumption predicted next day craving intensity. Significant interactions with gender led to stratified analyses.ResultsGEE analyses revealed a significant bidirectional relationship between craving and drinking, where craving intensity predicted next day total drinks consumed (p=0.001), and total drinks predicted next day craving intensity (p=0.02). Exploratory analysis found that gender significantly moderated the craving-drinking relationship (p=0.002) with men increasing next day alcohol use more (b=0.19) than women (b=0.08).ConclusionsFindings suggest a bidirectional relationship between craving and drinking may contribute to the development or maintenance of heavy drinking, particularly for men. Based on our findings, we recommend that during brief interventions, physicians address both drinking and craving and provide advice for coping with craving.