Alcohol outcome expectancies and risk for alcohol use problems in women with and without a family history of alcoholism

Alcohol outcome expectancies and risk for alcohol use problems in women with and without a family history of alcoholism
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DOI:
10.1016/s0376-8716(03)00007-3
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发表时间:
2003-05-21
影响因子:
4.2
通讯作者:
Evans, SM
Evans, SM
中科院分区:
医学2区
文献类型:
--
作者:
Pastor, AD;Evans, SM

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研究表明,酒精预期与饮酒和酒精滥用以及酒精使用者的依赖症状呈正相关。这项研究着眼于酒精预期,酗酒家族史,月经周期和饮酒行为的关系。本研究使用酒精期望问卷(AEQ)对85名年龄在18至35岁之间的女性进行了酒精期望比较。41名女性有确认的父母酗酒史(家族史阳性,FHP),44名女性没有父母酗酒史(家族史阴性,FHN)。参与者的情绪,饮酒量和饮酒的日常后果在一个月经周期内进行了前瞻性跟踪。在六个AEQ分量表中的四个分量表以及综合评分中,FHP女性在筛选时的酒精期望值显著更高。酒精预期与FHN妇女的饮酒行为显着相关。在FHP女性中,无论饮酒水平如何,酒精预期都会升高。在前瞻性地跟踪他们的饮酒行为和饮酒的后果后,FHP女性的酒精期望值下降,而FHN女性则没有。酗酒的FHP女性中饮酒的负面结果增加。无论家族史状况如何,与月经周期的卵泡期和黄体期相比,适度饮酒者在月经期的饮酒量显著增加。这些发现表明,月经周期也可能在饮酒方面发挥作用。因此,本研究的结果表明,在解决妇女酗酒问题时,应考虑与酒精消费水平、月经周期阶段和酗酒家族史有关的问题。(C)2003爱思唯尔科学爱尔兰有限公司保留所有权利。
Studies have shown that alcohol expectancies are positively associated with drinking and alcohol abuse and dependence symptoms among alcohol users. This study looked at the relationship of alcohol expectancies, family history of alcoholism, menstrual cycle and drinking behavior. The present study compared alcohol expectancies using the Alcohol Expectancy Questionnaire (AEQ) in 85 women ranging from 18 to 35 years of age. Forty-one women had a confirmed parental history of alcoholism (family history positive, FHP) and 44 women had no parental history of alcoholism (family history negative, FHN). Participants' mood, alcohol consumption, and daily consequences of alcohol use were prospectively tracked across one menstrual cycle. Alcohol expectancies at screening were significantly greater in FHP women in four of the six AEQ subscales, as well as the composite score. Alcohol expectancies correlated significantly with drinking behavior among FHN women. In FHP women, alcohol expectancies were elevated regardless of their drinking level. Alcohol expectancies decreased among FHP women, but not FHN women, after prospectively tracking their drinking behavior and consequences of drinking. Negative outcomes of drinking were increased among the FHP women who were heavy drinkers. Irrespective of family history status, alcohol use in moderate drinkers increased significantly during menses compared to the follicular and luteal phases of the menstrual cycle. These findings suggest that menstrual cycle may also play a role in alcohol consumption. Thus, the results of the present study indicate that issues related to the level of alcohol consumption, menstrual cycle phase and family history of alcoholism should be considered when addressing alcohol abuse in women. (C) 2003 Elsevier Science Ireland Ltd. All rights reserved.