National Centre for Epidemiology and Population Health, The Australian National University, Canberra, ACT, Australia.
Alcohol Alcohol. 2010 Jan-Feb;45(1):95-102. doi: 10.1093/alcalc/agp080. Epub 2009 Nov 16.
The aim of this paper is to investigate two possible explanations for the higher levels of psychological distress observed among alcohol abstainers relative to light and moderate drinkers, and to investigate possible moderating effects of age on this association. The possible explanations were that: (i) the higher level of psychological distress among abstainers is due to the presence of a subset of former heavy drinkers in this group; and (ii) abstainers have poorer social relationships than light/moderate drinkers.
A national cross-sectional survey yielded data from 2856 Australians aged 20-22, 30-32 and 40-42 years (response rate 15.9%).
The sample was representative for many socio-demographic factors but under-represented people not in the labour force and over-represented those with university qualifications. In the oldest but not the younger age groups, abstainers reported significantly higher psychological distress relative to light/moderate drinkers. While abstainers in the oldest age group who were former heavy drinkers showed the highest levels of distress, excluding them from the analysis did not account for differences in distress between current abstainers and light/moderate drinkers. Abstainers aged 40-42 years were less socially integrated, less extraverted and had lower social support than light/moderate drinkers, and controlling for these factors partially explained their increased distress.
Significantly increased psychological distress of abstainers compared to light/moderate drinkers was demonstrated only in the oldest age group (40-42 years). The higher distress reported by abstainers in this age group was partially explained by abstainers having poorer social relationships than light/moderate drinkers.
本文旨在探讨与轻中度饮酒者相比，戒酒者心理困扰水平较高的两种可能解释，并探讨年龄对此关联的可能调节作用。这两种可能的解释是：（i）戒酒者中较高水平的心理困扰是由于该组中存在以前大量饮酒者的亚组；（ii）戒酒者的社交关系比轻/中度饮酒者差。
一项全国性横断面调查从 20-22、30-32 和 40-42 岁的 2856 名澳大利亚人（响应率为 15.9%）中获得了数据。
该样本在许多社会人口因素方面具有代表性，但在未就业人群中代表性不足，在具有大学学历的人群中代表性过高。在最年长的年龄组而非更年轻的年龄组中，与轻/中度饮酒者相比，戒酒者报告的心理困扰显著更高。虽然在最年长的年龄组中，以前大量饮酒的戒酒者表现出最高水平的困扰，但将他们排除在分析之外并不能解释当前戒酒者与轻/中度饮酒者之间的困扰差异。40-42 岁的戒酒者社交融合度较低，外向性较低，社会支持较低，控制这些因素部分解释了他们的困扰增加。
与轻/中度饮酒者相比，戒酒者的心理困扰显著增加仅在最年长的年龄组（40-42 岁）中得到证明。在该年龄组中，戒酒者报告的较高困扰部分可以解释为戒酒者的社交关系比轻/中度饮酒者差。
