Classification and course of alcohol problems among adolescents in addictions treatment programs
Classification and course of alcohol problems among adolescents in addictions treatment programs
复制标题
DOI：
10.1111/j.1530-0277.2001.tb02184.x
复制
发表时间：
2001-12-01
影响因子：
3.2
通讯作者：
Martin, CS
中科院分区：
文献类型：
--
作者：
Chung, T;Martin, CS
背景资料：本研究采用潜在类别分析法，检验了成瘾治疗项目中的青少年是否可以可靠地分为轻度和重度酒精问题类别，并检验了潜在类别结构与DSM-1V酒精诊断的关系。转移概率之间的潜在类在1年的后续行动和他们的预测因素被用来描述短期的酒精problems.Methods的过程：青少年招募成瘾治疗管理的结构化临床面试的DSM（SCID）酒精使用障碍（AUD）期间或不久后成瘾，治疗和1年的后续修改部分。使用学龄儿童情感障碍和精神分裂症时间表（K-SADS）的修改版本在基线处评估DSM-IV终身行为障碍诊断。无症状、轻度和重度）提供了与酒精症状数据的最佳拟合，并且在性别、种族之间是一致的。和行为障碍交叉分类的潜在类成员与DSM-IV酒精诊断表明，只有一个公平的协议水平。从基线到随访，酒精问题严重程度总体下降。条件转移概率表明，男性和那些与品行障碍。特别是对于那些在严重的类在基线，有较低的可能性过渡到无症状的类在1年follow-up.Conclusions：酒精问题的潜在的类结构，在青少年的临床样本是最好的代表3级严重程度为基础的模型。潜在类别成员与DSM-IV酒精诊断的交叉分类表明重组诊断标准的潜在效用，以更好地区分滥用和依赖诊断的相对严重程度。在1年的随访中，潜伏期之间的转换相当普遍，其特征是酒精症状普遍减少。
Background: This study tested whether adolescents in addictions treatment programs could be reliably classified into milder and more severe alcohol problem categories using latent class analysis, and examined the relation of latent class structure to DSM-lV alcohol diagnoses. Transition probabilities among the latent classes at 1-year follow-up and their predictors were used to characterize the short-term course of alcohol problems.Methods: Adolescents recruited from addictions treatment were administered a modified section of the Structured Clinical Inter-view for the DSM (SCID) alcohol use disorders (AUD) during or shortly after addiction, treatment and at 1-year follow-up. DSM-IV lifetime conduct disorder diagnosis was assessed at baseline using a modified version of the Schedule for Affective Disorders and Schizophrenia for School-Age Children (K-SADS).Results: A 3-class solution that represented increasing severity of alcohol problems (i.e., asymptomatic, mild, and severe) provided the best fit to the alcohol symptom data, and was consistent across gender, ethnicity. and presence of conduct disorder. Cross-classification of latent class membership with DSM-lV alcohol diagnosis indicated only a fair level of agreement. There was an overall decrease in alcohol problem severity from baseline to follow-up. Conditional transition probabilities indicated that males and those with conduct disorder. particularly for those in the severe class at baseline, had it lower likelihood of transitioning to the asymptomatic class at 1-year follow-up.Conclusions: The latent class structure of alcohol problem, in an adolescent clinical sample was best represented by a 3-class severity-based model. Cross-classification of latent class membership with DSM-lV alcohol diagnosis suggests the potential utility of re-organizing diagnostic criteria to better distinguish the relative severity of abuse and dependence diagnoses. Transitions between latent classes were fairly common at 1-year follow-up, and characterized by a general reduction in alcohol symptoms.