Gossop Michael, Browne Nadine, Stewart Duncan, Marsden John
National Addiction Centre, Maudsley Hospital, 4 Windsor Walk, SE5 8AF, London, UK.
J Subst Abuse Treat. 2003 Oct;25(3):135-43. doi: 10.1016/s0740-5472(03)00129-6.
This paper investigates alcohol outcomes and heavy drinking among 418 drug misusers from the National Treatment Outcome Research Study who completed followup interviews at 1, 2, and 4-5 years. About a quarter of the sample were drinking heavily at intake. Alcohol consumption at followup was predicted by drinking prior to intake, and about a quarter of those who were classified as alcohol abstainers, medium-level drinkers, or heavy drinkers at intake, remained in the same drinking category at all assessment points. Drinking outcomes were not related to opioid use. Heavy drinkers at followup were more likely to be using non-opioid drugs. The poor drinking outcomes are a matter for concern. Drug misusers with concurrent alcohol problems may require special treatment provision. The extent of heavy drinking among drug misusers both before and after treatment indicates a need to develop and strengthen programs and interventions to tackle alcohol-related problems in this patient group.
本文对来自国家治疗结果研究的418名药物滥用者的酒精使用结果和酗酒情况进行了调查，这些人在1年、2年以及4至5年时完成了随访访谈。约四分之一的样本在入组时酗酒。随访时的酒精消费量可由入组前的饮酒情况预测，约四分之一在入组时被归类为戒酒者、中度饮酒者或酗酒者的人，在所有评估点都保持在同一饮酒类别。饮酒结果与阿片类药物使用无关。随访时的酗酒者更有可能使用非阿片类药物。不良的饮酒结果令人担忧。同时存在酒精问题的药物滥用者可能需要特殊的治疗措施。治疗前后药物滥用者中的酗酒程度表明，有必要制定和加强相关项目及干预措施，以解决该患者群体中与酒精相关的问题。
