Lapses following alcohol treatment: modeling the falls from the wagon.
Lapses following alcohol treatment: modeling the falls from the wagon.
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DOI：
10.15288/jsad.2008.69.594
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发表时间：
2008-07
影响因子：
3.4
通讯作者：
Witkiewitz K
中科院分区：
文献类型：
--
作者：
Witkiewitz K
本研究调查了治疗后前12个月内饮酒和不饮酒之间的过渡，以及治疗后饮酒的过渡是否与酒精依赖症状有关。来自MATCH项目（匹配酒精中毒治疗与客户异质性）门诊（n = 952）和康复后（n = 774）组的个人数据被纳入分析。饮酒后果、饮酒天数百分比和每饮酒日的饮酒量被用作饮酒行为的指标。潜转换分析用于估计饮酒模式的模型，定义为饮酒类之间的转换概率，从治疗后立即到治疗后6个月和12个月。在康复后和门诊样本中，在每个时间点确定了三种饮酒类别：频繁大量饮酒，后果严重，中度不频繁饮酒，后果较低，不饮酒，后果较低。许多参与者保持不喝酒，而那些喝酒的人，随着时间的推移，有一种转变为少喝酒的趋势。治疗组之间的转换概率是不恒定的：从中度饮酒到频繁饮酒的转换概率是康复组的6倍多，与门诊组相比，在这两个样本中，过度饮酒和重度饮酒类的成员资格与酒精依赖症状显着正相关。MATCH治疗组间无差异。本研究探讨了治疗后饮酒的转变和酒精依赖在预测治疗后饮酒中的作用。结果表明，在酒精依赖程度较高的个体中，适度饮酒的可能性较低。
This study investigated transitions between drinking and nondrinking during the first 12 months following treatment and whether transitions in posttreatment drinking are related to alcohol-dependence symptoms. Data from individuals in the outpatient (n = 952) and aftercare (n = 774) arms of Project MATCH (Matching Alcoholism Treatments to Client Heterogeneity) were included in the analyses. Drinking consequences, percentage of drinking days, and drinks per drinking day were used as indicators of drinking behavior. Latent transition analysis was used to estimate a model of drinking patterns, defined by transition probabilities between drinking classes, from immediately following treatment to 6 and 12 months following treatment. Across both aftercare and outpatient samples, three drinking classes were identified at each time point: frequent heavy drinking with high consequences, moderate infrequent drinking with low consequences, and nondrinking with low consequences. Many participants maintained nondrinking, and, of those who drank, there was a trend toward transitioning to less drinking over time. Transition probabilities were noninvariant across treatment arms: The probability of transitioning from moderate drinking to frequent drinking was more than six times more likely in the aftercare arm, as compared with the outpatient arm. In both samples the transition to heavy drinking and membership in the heavy-drinking class were significantly positively related to alcohol-dependence symptoms. There were no differences across MATCH treatment groups. This study examined transitions in post-treatment drinking and the role of alcohol dependence in predicting posttreatment drinking. The results suggest a low probability of moderate drinking among individuals with greater alcohol dependence.
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DOI：
10.15288/jsa.2006.67.552
发表时间：
2006-07-01
期刊：
JOURNAL OF STUDIES ON ALCOHOL
影响因子：
--
作者：
Lanza, Stephanie T.;Collins, Linda M.
通讯作者：
Collins, Linda M.
影响因子：
0.9
作者：
Hser, YI;Shen, HK;Anglin, MD
通讯作者：
Anglin, MD
影响因子：
5.9
作者：
Colder, CR;Campbell, RT;Flay, BR
通讯作者：
Flay, BR
影响因子：
7
作者：
Böckenholt, U
通讯作者：
Böckenholt, U
影响因子：
2
作者：
Chung, H;Park, Y;Lanza, ST
通讯作者：
Lanza, ST