University of California, San Diego, Department of Psychiatry, 8950 Villa La Jolla Drive, Suite B-218, La Jolla, CA 92037, USA.
Drug Alcohol Depend. 2013 Mar 1;128(3):194-9. doi: 10.1016/j.drugalcdep.2012.08.022. Epub 2012 Sep 13.
The low level of response (LR) to alcohol is an endophenotype that predicts future heavy drinking and alcohol use disorders (AUDs). LR can be measured by laboratory-based alcohol challenges or by the retrospective Self-Report of the Effects of Alcohol (SRE) questionnaire. This paper reports the relationships among these two measures and how each related to both recent and future drinking quantities and problems across 15 years in 235 men.
Probands from the San Diego Prospective Study (SDPS) participated in alcohol challenges to determine their LR at age 20, and subsequently at ages 35, 40, 45 and 50 filled out an SRE regarding the number of standard drinks needed for up to four effects early in life (SRE5) and across early, recent, and heaviest drinking life epochs (SRET). Changes in SRE scores across time were evaluated with ANOVAs and Pearson correlations were used to evaluate how SRE5, SRET and earlier alcohol challenge-based LRs related to prior five-year drinking histories and future alcohol involvement.
While SRE scores decreased 9% over the 15 years, the relationships between SRE values with prior five-year drinking parameters and with future alcohol intake and problems remained robust, and even improved with advancing age. A similar pattern was seen for correlations between SRE and alcohol challenge-based LRs 15-30 years previously.
Alcohol challenge and SRE-based LRs related to each other, to alcohol use patterns, and to future alcohol problems across age 35-50 in the men studied here.
对酒精的低反应(LR)是一种预测未来重度饮酒和酒精使用障碍(AUD)的内表型。LR 可以通过实验室基于酒精的挑战或通过回顾性的酒精效应自我报告(SRE)问卷来测量。本文报告了这两种测量方法之间的关系,以及它们如何与 235 名男性在 15 年内的近期和未来饮酒量和问题相关。
圣地亚哥前瞻性研究(SDPS)的受试者参加了酒精挑战,以确定他们在 20 岁时的 LR,随后在 35、40、45 和 50 岁时填写了一份关于一生中最多四种效应所需的标准饮料数量的 SRE5(SRE5)以及整个早期、近期和最重饮酒期的 SRET。使用 ANOVA 评估 SRE 分数随时间的变化,使用 Pearson 相关系数评估 SRE5、SRET 和早期酒精挑战的 LR 与之前五年的饮酒史和未来的酒精参与度的关系。
尽管 SRE 分数在 15 年内下降了 9%,但 SRE 值与之前五年的饮酒参数以及与未来饮酒量和问题之间的关系仍然很稳定,并且随着年龄的增长甚至有所改善。SRE 与 15-30 年前基于酒精挑战的 LR 之间的相关性也呈现出类似的模式。
在研究的男性中,酒精挑战和 SRE 基于的 LR 相互关联,与饮酒模式相关,并与 35-50 岁时的未来酒精问题相关。