Not all symptoms of alcohol dependence are developmentally equivalent: Implications for the false-positives problem.

Not all symptoms of alcohol dependence are developmentally equivalent: Implications for the false-positives problem.
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DOI:
10.1037/adb0000723
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发表时间:
2021-06
期刊:
Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors
影响因子:
--
通讯作者:
Sher KJ
Sher KJ
中科院分区:
其他
文献类型:
--
作者:
Vergés A;Lee MR;Martin CS;Trull TJ;Martens MP;Wood PK;Sher KJ

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最近的研究探讨了酒精依赖 (AD) 标准在多大程度上前瞻性地预测了 AD 的病程。关键的是,这些研究缺乏发展视角。然而,不同年龄的标准表现不同可能表明对年轻人的过度认可。目前的研究根据 AD 病程的持续性和预测以及按年龄划分的饮酒情况检查了 AD 标准,以便确定可能被年轻人过度认可的标准。目前的研究使用了全国酒精及相关疾病流行病学调查的纵向数据来描述每个 AD 标准的新发率、复发率和持续率的年龄差异,从而显示这三个因素如何影响每个标准的总体年龄流行率曲线。此外,我们还测试了基线时每个标准与 AD 综合征新发、复发和持续性之间的预测关联的年龄调节。与老年人相比,年轻人的一些标准(特别是持续渴望减少或控制饮酒或不成功的努力,以及尽管存在身体/心理问题仍饮酒)对于AD病程的持久性和预测性较差。这些发现增加了年轻人中 AD 假阳性率升高的可能性,并提出了改进 AD 标准评估的方法。
Recent studies have examined the extent to which alcohol dependence (AD) criteria prospectively predict the course of AD. Critically, these studies have lacked a developmental perspective. However, differential performance of criteria by age might indicate over-endorsement in younger individuals. The current study examined AD criteria in terms of persistence and prediction of AD course and alcohol use by age in order to identify criteria that are likely to be overly endorsed by younger individuals. The current study used longitudinal data from the National Epidemiologic Survey on Alcohol and Related Conditions to depict age differences in rates of new onset, recurrence, and persistence for each AD criterion, thereby showing how these three factors contribute to the overall age-prevalence curve of each criterion. Additionally, we tested age moderation of the predictive association between each criterion at baseline and new onset, recurrence, and persistence of syndromal AD. Some criteria (particularly, persistent desire or unsuccessful efforts to cut down or control drinking, and drinking despite physical/psychological problems), are both less persistent and less predictive of AD course among younger adults compared to older adults. These findings raise the possibility of elevated rates of false-positive AD among younger adults and suggest ways to improve the assessment of AD criteria.
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