Predictors of Moderated Drinking in a Primarily Alcohol-Dependent Sample of Men Who Have Sex With Men
Predictors of Moderated Drinking in a Primarily Alcohol-Dependent Sample of Men Who Have Sex With Men
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DOI：
10.1037/a0026713
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发表时间：
2012-09-01
影响因子：
3.4
通讯作者：
Hail, Lisa
中科院分区：
文献类型：
--
作者：
Kuerbis, Alexis;Morgenstern, Jon;Hail, Lisa
在一系列酒精使用障碍（AUD）患者中，了解适度饮酒对哪些人来说是可行的、可实现的和可持续的目标仍然是一个重要的公共卫生问题。尽管人们普遍认为这是严重的危险因素，但很少有经验证据可以得出结论，共同发生的精神健康障碍或药物依赖是否会导致个人无法成功地减少饮酒。利用二次数据分析，本研究的目的是确定寻求治疗和非寻求治疗的预测因素，主要是酒精依赖，问题饮酒的男男性行为（MSM），重点是高危因素精神合并症和药物依赖。对问题饮酒者（N = 187）进行评估，提供他们饮酒的反馈，让他们选择接受简短的AUD治疗或自行改变饮酒习惯，然后随访15个月。研究结果显示，在控制酒精依赖严重程度时，精神疾病合并症或药物依赖都不能预测实现适度的能力。那些更年轻、受教育程度更高、酒精依赖程度更轻的人更有可能实现适度饮酒。探讨了治疗对预测因子的影响。讨论了本研究的局限性和未来的研究领域。
Understanding for whom moderated drinking is a viable, achievable, and sustainable goal among those with a range of alcohol use disorders (AUD) remains an important public health question. Despite common acceptance as severe risk factors, there is little empirical evidence to conclude whether co-occurring mental health disorders or drug dependence contribute to an individual's inability to successfully moderate his drinking. Utilizing secondary data analysis, the purpose of this study was to identify predictors of moderation among both treatment-seeking and non-treatment-seeking, primarily alcohol-dependent, problem-drinking men who have sex with men (MSM), with an emphasis on the high risk factors psychiatric comorbidity and drug dependence. Problem drinkers (N = 187) were assessed, provided feedback about their drinking, given the option to receive brief AUD treatment or change their drinking on their own, and then followed for 15 months. Findings revealed that neither psychiatric comorbidity or drug dependence predicted ability to achieve moderation when controlling for alcohol dependence severity. Those who were younger, more highly educated, and had more mild alcohol dependence were more likely to achieve moderated drinking. Impact of treatment on predictors is explored. Limitations of this study and arenas for future research are discussed.