Drinking trajectories following an initial lapse.
Drinking trajectories following an initial lapse.
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初次失误后的饮酒轨迹。
DOI：
10.1037/0893-164x.22.2.157
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发表时间：
2008
期刊：
影响因子：
--
通讯作者：
Masyn,KatherineE
中科院分区：
文献类型：
--
作者：
Witkiewitz,Katie;Masyn,KatherineE
对于酒精依赖者来说，酒精治疗后的复发是一个主要问题，但人们对初次戒酒后的饮酒过程知之甚少。在当前的研究中，使用离散时间生存分析和潜在生长混合模型来评估 563 名接受社区酒精治疗的个体的首次戒酒时间和戒酒后饮酒轨迹。结果显示，随着时间的推移，衰退的风险逐渐降低。初次戒断后，3 个轨迹亚组提供了戒断后饮酒频率和数量异质性的简约表示，大多数人报告轻度、不频繁饮酒。纳入人口统计学、远端危险因素、首次戒酒时间和应对行为作为戒酒时间和戒酒后饮酒轨迹预测因素的协变量分析表明，酒精依赖和应对行为是戒酒和戒酒后饮酒行为的最强预测因素。
Relapse following alcohol treatment is a major problem for individuals who are alcohol dependent, yet little is known about the course of drinking after the initial lapse. In the current study, discrete-time survival analysis and latent growth mixture modeling were used to evaluate the time to first lapse and the trajectories of postlapse drinking in a sample of 563 individuals who received community alcohol treatment. Results showed a decreasing risk of lapsing over time. After the initial lapse, 3 trajectory subgroups provided a parsimonious representation of the heterogeneity in postlapse drinking frequency and quantity, with the majority of individuals reporting light, infrequent drinking. Covariate analyses incorporating demographics, distal risk factors, time to first lapse, and coping behavior as predictors of time to lapse and postlapse drinking trajectories indicated that alcohol dependence and coping behavior were the strongest predictors of lapsing and postlapse drinking behavior.