Heterogeneity in Alcohol-Related Severity and Interests in Going to Treatment in Community Adults with Alcohol Use Disorder (AUD).

Heterogeneity in Alcohol-Related Severity and Interests in Going to Treatment in Community Adults with Alcohol Use Disorder (AUD).
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DOI:
10.1080/10826084.2022.2102192
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发表时间:
2022
影响因子:
2
通讯作者:
Conner, Kenneth
Conner, Kenneth
中科院分区:
医学4区
文献类型:
--
作者:
Maisto, Stephen A.;Aldalur, Aileen;Abar, Beau;Stecker, Tracy;Chiang, Andrew;Conner, Kenneth

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酒精使用障碍(AUD)在美国成年人中非常普遍,并与大量的个人和社会成本相关。然而,只有一小部分患有AUD的成年人开始治疗,包括那些最需要治疗的严重AUD症状。在本文中,我们使用潜在的配置文件分析(LPA)来描述从社区招募的患有严重AUD症状的未经治疗的成年人之间的AUD严重程度和酒精相关后果的症状差异。查明这些差异将有助于更好地了解这一人群,并将改善治疗推广的方法。根据403例(50%男性,77%白色,M年龄= 40.74岁)从社区招募的重度AUD患者的基线数据进行了LPA,这些患者入组了一项旨在鼓励开始治疗的干预试验。受试者未报告既往AUD治疗史。LPAs基于AUD严重程度、酒精相关的负面后果和自我报告的开始AUD治疗的意图的指标。LPA显示了4个特征。档案成员预测基线参与者的性别,他们是否与伴侣生活,并与基线过去30天的饮酒量。研究结果表征并描述了社区中患有未经治疗的重度AUD的成年人在倾向于激励这些人寻求治疗的变量上的变异性,这可能会显着推进治疗外展工作。
Alcohol use disorder (AUD) is highly prevalent among adults in the US and is associated with substantial personal and societal costs. Yet only a small percentage of adults with AUD initiate treatment, including those with severe AUD symptoms who are most in need of treatment. In this paper we use latent profile analysis (LPA) to describe differences in symptoms of AUD severity and alcohol-related consequences among untreated adults with severe AUD symptoms who were recruited from the community. Identification of such differences will result in better understanding of this population and will improve methods of treatment outreach. The LPAs were conducted on the baseline data of 403 (50% male, 77% White, M age = 40.74 with severe AUD recruited from the community and enrolled in a trial of an intervention designed to encourage treatment initiation. Participants reported no prior AUD treatment history. The LPAs were based on indicators of AUD severity, alcohol-related negative consequences, and self-reported intention to initiate AUD treatment. The LPAs revealed 4 profiles. Profile membership was predicted by baseline participant sex and whether they were living with a partner and was associated with baseline past 30-days alcohol consumption. The findings characterize and describe the variability among adults in the community with untreated severe AUD on variables that tend to motivate such individuals to seek treatment, which could significantly advance treatment outreach efforts.
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