Department of Psychiatry, Complutense University of Madrid, Hospital 12 de Octubre, Madrid, Spain.
Am J Med. 2010 Jan;123(1):72-8. doi: 10.1016/j.amjmed.2009.08.012.
Binge drinking is a common pattern of alcohol use in the US. However, no studies have evaluated the effectiveness of brief interventions targeting only binge drinkers.
Randomized controlled clinical trial with a 12-month follow-up period conducted from March 1, 2003 to March 1, 2006 in Spain. Of a screened population of 15,325 patients seeking routine medical care from their primary care providers, patients who met inclusion criteria were randomized into an experimental group (n=371) or a control group (n=381). The primary outcome measures were the frequency of binge drinking episodes and weekly alcohol intake.
There were no significant differences at baseline between groups in alcohol use and demographic variables. At the end of the 12-month follow-up period, there were significant reductions in binge-drinking status (52.2% vs 67.2%, P <.001), number of episodes of binge drinking (1.14 vs 1.56, P <.001), number of drinks weekly (19.2 vs 22.4, P <.001), and frequency of excessive alcohol intake in 7 days (47.9% vs 66.6%, P >.001).
This study provided evidence that screening and brief counseling delivered by a primary care physician as part of regular health care significantly reduced binge drinking episodes in binge drinkers.
在美国，狂饮是一种常见的饮酒模式。然而，尚无研究评估仅针对狂饮者的简短干预措施的有效性。
这是一项在西班牙进行的、为期 12 个月的随访期的随机对照临床试验，于 2003 年 3 月 1 日至 2006 年 3 月 1 日开展。在接受常规医疗护理的 15325 名患者中，对筛选出的人群进行评估，符合纳入标准的患者被随机分配到实验组（n=371）或对照组（n=381）。主要结局指标为狂饮发作的频率和每周饮酒量。
在基线时，两组在饮酒量和人口统计学变量方面无显著差异。在 12 个月的随访期末，狂饮状态（52.2% vs 67.2%，P<.001）、狂饮发作次数（1.14 次 vs 1.56 次，P<.001）、每周饮酒量（19.2 单位 vs 22.4 单位，P<.001）和 7 天内过量饮酒频率（47.9% vs 66.6%，P>.001）均显著降低。
本研究提供了证据表明，初级保健医生在常规保健护理中进行的筛查和简短咨询可显著减少狂饮者的狂饮发作次数。
