School of Psychology and Psychiatry, Monash University, Clayton, Victoria, Australia.
J Head Trauma Rehabil. 2012 Sep-Oct;27(5):342-8. doi: 10.1097/HTR.0b013e318265a576.
To investigate variables associated with the frequency and quantity of alcohol consumption following a brief alcohol intervention in individuals with traumatic brain injury.
Initial sample of 60 participants with traumatic brain injury (mean age = 35 years) with preinjury history of alcohol use; of whom, 50 were evaluated at follow-up.
Randomized controlled trial, stratified for gender, which used a random-effects regression model to examine the association of predictor variables with the frequency and quantity of alcohol use 6 months following a brief alcohol intervention.
Alcohol Use Disorders Identification Test; Time Line Follow Back; California Verbal Learning Test-II; Modified Six Elements Test; Readiness to Change Questionnaire; and Hospital Anxiety and Depression Scale.
Participants received one of the following treatments: informal discussion; discussion plus information; and brief motivational interview plus information.
While both intervention groups showed less drinking, the intervention group membership effect was not significant. Being in the action stage of readiness to change was associated with lower drinking frequency and quantity. Higher education and higher levels of depression were associated with increased drinking. Memory and executive function, and heavy preinjury alcohol use, were not significant predictors.
These findings support a focus on readiness to change behavior and treatment of depression in addressing alcohol use issues following traumatic brain injury. Treatment efficacy studies in larger samples are needed.
研究创伤性脑损伤患者接受简短酒精干预后，与饮酒频率和饮酒量相关的变量。
最初的样本为 60 名创伤性脑损伤患者（平均年龄为 35 岁），有酒精使用的既往病史；其中，50 名在随访时接受了评估。
这是一项随机对照试验，按性别分层，采用随机效应回归模型，检验预测变量与接受简短酒精干预后 6 个月饮酒频率和饮酒量的相关性。
酒精使用障碍识别测试；时间线回溯；加利福尼亚语言学习测验-II；改良六要素测验；改变准备程度问卷；和医院焦虑和抑郁量表。
参与者接受以下治疗之一：非正式讨论；讨论加信息；简短动机性访谈加信息。
虽然两个干预组的饮酒量都有所减少，但干预组的效果并不显著。处于改变准备状态的行动阶段与较低的饮酒频率和饮酒量相关。较高的教育水平和较高的抑郁水平与饮酒量增加有关。记忆和执行功能以及重度既往酒精使用并不是显著的预测因素。
这些发现支持在处理创伤性脑损伤后饮酒问题时，关注改变行为的准备状态和治疗抑郁。需要在更大的样本中进行治疗效果研究。
