Maisto S A, Pollock N K, Lynch K G, Martin C S, Ammerman R
Department of Psychology, Syracuse University, 430 Huntington Hall, Syracuse, New York 13244, USA.
Psychol Addict Behav. 2001 Mar;15(1):68-76. doi: 10.1037/0893-164x.15.1.68.
Clinical course was studied in 131 male and female adolescents with current alcohol use disorder (AUD) at baseline (BL). Participants were classified into 4 groups according to their diagnosis and drinking pattern 1 year later. The 4 groups were compared with each other and with 37 community control participants. Results showed that over half of the clinical sample no longer had a current AUD at 1 year; about 64% were and 36% were not still drinking. BL discriminators of 1-year status were alcohol dependence, other drug use, and coping. All of the clinical groups tended to show improvement at 1 year in the main dependent variables, and the abstainers' level of drug use and coping were comparable with that of the community participants. These findings suggest that many adolescents improve in functioning during the 1 year after alcohol and drug treatment and that a stress and coping model is useful for studying clinical course of AUDs in adolescents.
对131名在基线时患有当前酒精使用障碍（AUD）的青少年（男女皆有）的临床病程进行了研究。根据参与者一年后的诊断和饮酒模式将他们分为4组。将这4组相互比较，并与37名社区对照参与者进行比较。结果显示，超过一半的临床样本在1年后不再患有当前的酒精使用障碍；约64%仍在饮酒，36%已不再饮酒。1年状态的基线鉴别因素包括酒精依赖、其他药物使用和应对方式。所有临床组在1年时主要因变量均呈现改善趋势，戒酒者的药物使用水平和应对方式与社区参与者相当。这些发现表明，许多青少年在酒精和药物治疗后的1年内功能有所改善，并且压力和应对模型对于研究青少年酒精使用障碍的临床病程是有用的。
