DEVELOPMENT AND INITIAL VALIDATION OF A MEASURE OF DRINKING URGES IN ABSTINENT ALCOHOLICS
DEVELOPMENT AND INITIAL VALIDATION OF A MEASURE OF DRINKING URGES IN ABSTINENT ALCOHOLICS
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DOI：
10.1111/j.1530-0277.1995.tb01554.x
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发表时间：
1995-06-01
影响因子：
3.2
通讯作者：
STAEHLER, BA
中科院分区：
文献类型：
--
作者：
BOHN, MJ;KRAHN, DD;STAEHLER, BA
尽管酗酒者通常会有喝酒的冲动和渴望，但前瞻性研究发现，这种冲动和酗酒复发之间存在不一致的联系。以前的研究是通过对酒精渴望的单项评分或其他可靠性和有效性未知的测量来衡量饮酒冲动的。为了改进对酒精渴望的假设的评估，一份包含49个项目的问卷，反映了几个与冲动相关的领域，并进行了预先测试。项目评估了受试者对饮酒的渴望，对饮酒后积极影响的预期，饮酒后戒断和负面影响的缓解，以及饮酒的意图。对351名戒酒、寻求治疗的酗酒者的反应进行探索性和验证性因素分析表明，酒精冲动最好用单一因素来描述。基于这些分析，一个内部一致的、可靠的、心理测量有效的8项量表——酒精冲动问卷（AUG）被开发出来。数据表明，AUQ分数与酒精依赖严重程度和对酒精的认知关注密切相关，并随着戒酒时间的延长而下降。AUQ在酒精中毒治疗研究和对酒精或其他操作的反应性的实验室研究中可能有用。
Although drinking urges and cravings are commonly reported by alcoholics, prospective studies have found inconsistent associations between such urges and drinking relapses. Previous studies have measured drinking urges by use of single-item ratings of alcohol craving or other measures of unknown reliability and validity. To permit improved evaluation of hypotheses regarding alcohol craving, a 49-item questionnaire that reflects several urge-related domains was developed and pretested. items assessed subjects' desire for a drink, expectations of positive effects following drinking, relief of withdrawal and negative affect following drinking, and intention to drink. Exploratory and confirmatory factor analyses of the responses of 351 abstinent, treatment-seeking alcoholics indicated that alcohol urges are best described by a single factor. Based on these analyses, an internally consistent, reliable, and psychometrically valid 8-item scale, the Alcohol Urge Questionnaire (AUG), was developed. Data indicated that AUQ scores were strongly related to alcohol dependence severity and to cognitive preoccupation with alcohol, and that they declined with prolonged abstinence. The AUQ may be useful in alcoholism treatment research and in laboratory studies of reactivity to alcohol or other manipulations.