Joint trajectory analysis of treated adolescents' alcohol use and symptoms over 1 year
Joint trajectory analysis of treated adolescents' alcohol use and symptoms over 1 year
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DOI：
10.1016/j.addbeh.2005.07.016
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发表时间：
2005-10-01
影响因子：
4.4
通讯作者：
Jackson, KM
中科院分区：
文献类型：
--
作者：
Chung, T;Maisto, SA;Jackson, KM
目的：本研究的特点是治疗青少年的酒精使用和症状轨迹超过1年，以描述形式的使用轨迹和症状轨迹，并在酒精使用和症状轨迹组成员的联合概率。方法：109青少年（年龄14-18岁，66%男性，94%白色），从成瘾治疗中招募，终生DSM-IV酒精诊断，使用时间线跟踪方法报告了每月电话联系中的每日饮酒和症状。一个基于组的建模方法共同估计轨迹的使用和symptoms.Results：四个酒精使用轨迹被确定为：“禁欲”（31%），低（36%），增加（28%），和高使用（5%）。确定了三种酒精症状轨迹：非常低的严重程度（44%），轻度（44%）和高严重程度（12%）。最常见的联合结果是“禁欲”和非常低的症状严重程度（32%）。结论：症状严重程度是中度相关的酒精使用模式超过1年。研究结果对超越复发定义为回到“任何用途”，以考虑更广泛的酒精使用和问题模式的治疗结果具有影响。(c)2005爱思唯尔有限公司保留所有权利。
Objective: This study characterized treated adolescents' alcohol use and symptom trajectories over 1 year to describe the form of use trajectories and symptom trajectories, and the joint probability of membership in alcohol use and symptom trajectory groups.Method: 109 teens (age 14-18, 66% male, 94% white), recruited from addictions treatment, with a lifetime DSM-IV alcohol diagnosis, reported on daily alcohol use and symptoms in monthly phone contacts using the Time Line Follow-Back method. A group-based modeling method jointly estimated trajectories of use and symptoms.Results: Four alcohol use trajectories were identified: "Abstinent" (31%), Low (36%), Increasing (28%), and High Use (5%). Three alcohol symptom trajectories were identified: Very Low severity (44%), Mild (44%), and High severity (12%). The most frequent joint outcome was "Abstinent" and Very Low symptom severity (32%).Conclusions: Symptom severity was moderately related to alcohol use pattern over 1 year. Findings have implications for moving beyond relapse defined as a return to "any use'' to consideration of treatment outcome in terms of a broader pattern of alcohol use and problems. (c) 2005 Elsevier Ltd. All rights reserved.