Personality-targeted interventions delay the growth of adolescent drinking and binge drinking
Personality-targeted interventions delay the growth of adolescent drinking and binge drinking
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DOI：
10.1111/j-1469-7610.2007.01826.x
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发表时间：
2008-02-01
影响因子：
7.6
通讯作者：
Mackie, Clare
中科院分区：
文献类型：
--
作者：
Conrod, Patricia J.;Castellanos, Natalie;Mackie, Clare
背景：人格因素与青少年酒精滥用的易感性有关。这项研究探讨了在青春期早期提供针对个性的干预措施是否可以推迟高危青年的饮酒和酗酒。研究方法：对368名9至10岁（中位年龄14岁）的青少年进行了随机对照试验，这些青少年具有药物滥用的人格风险因素。参与者要么接受针对个性的干预，要么不接受干预。通过干预后6个月和12个月的自我报告收集有关酒精使用的结果数据，并对完整的意向治疗样本进行分析。结果如下：对潜在增长曲线模型的多组分析显示，基线和6个月随访之间的酒精使用增长存在组间差异，在此期间，对照组的饮酒增加幅度大于干预组。干预措施特别有效地防止那些学生的增长狂欢饮酒的感觉寻求（SS）的个性。与对照组的SS饮酒者相比，干预组的SS饮酒者在6个月（OR = 0.45）和12个月（OR = 0.50）时酗酒的可能性分别降低了45%和50%，p = 0.001，phi = 0.49，需要治疗的人数= 2.0。结论：考虑到酒精使用的发病年龄和后来的酒精依赖之间的鲁棒性，反向关系，这种干预策略可能被证明是有效的，通过帮助高风险的青年推迟他们的饮酒增长到以后的发展阶段，以防止成年人酒精使用障碍的发病。
Background: Personality factors are implicated in the vulnerability to adolescent alcohol misuse. This study examined whether providing personality-targeted interventions in early adolescence can delay drinking and binge drinking in high-risk youth. Methods: A randomised control trial was carried out with 368 adolescents recruited from years 9 and 10 (median age 14) with personality risk factors for substance misuse. Participants received either a personality-targeted intervention or no intervention. Outcome data were collected on alcohol use through self-reports at 6 and 12-month post intervention and analyses were conducted on the full intent to treat sample. Results: Multi-group analysis of a latent growth curve model showed a group difference in the growth of alcohol use between baseline and 6-months follow-up, with the control group showing a greater increase in drinking than the intervention group for this period. Interventions were particularly effective in preventing the growth of binge drinking in those students with a sensation seeking (SS) personality. SS drinkers in the intervention group were 45% and 50% less likely to binge drink at 6 (OR = .45) and 12 months (OR = .50) respectively, than SS drinkers in the control group, p = .001, phi = .49, Number Needed to Treat = 2.0. Conclusions: Considering the robust, inverse relationship between age of onset of alcohol use and later alcohol dependence, this intervention strategy may prove effective in preventing the onset of adult alcohol use disorders, by helping high-risk youth delay the growth of their drinking to a later developmental stage.