Centre for Translational Neuroscience and Mental Health, The University of Newcastle, University Drive, Callaghan, NSW 2308, Australia.
J Subst Abuse Treat. 2013 Mar;44(3):264-70. doi: 10.1016/j.jsat.2012.07.009. Epub 2012 Sep 13.
Brief interventions are effective for problem drinking and reductions are known to occur in association with screening and assessment. The present study sought to assess, among participants (N=202) in a clinical trial, how much change occurred between baseline assessment and a one-session brief intervention (S1), and the predictors of early change. The primary focus was on changes in the Beck Depression Inventory Fast Screen scores and alcohol consumption (standard drinks per week) prior to random allocation to nine further sessions addressing either depression, alcohol, or both problems. There were large and clinically significant reductions between baseline and S1, with the strongest predictors being baseline scores in the relevant domain and change in the other domain. Client engagement was also predictive of early depression changes. Monitoring progress in both domains from first contact, and provision of empathic care, followed by brief intervention appear to be useful for this high prevalence comorbidity.
简短干预对饮酒问题有效，并且已知与筛查和评估相关联会发生减少。本研究旨在评估临床试验中的参与者（N=202），在基线评估和单次简短干预（S1）之间发生了多少变化，以及早期变化的预测因素。主要关注点是在随机分配到进一步解决抑郁、酒精或两者问题的九个疗程之前，贝克抑郁量表快速筛查评分和酒精摄入量（每周标准饮品）的变化。基线和 S1 之间有较大的且具有临床意义的减少，最强的预测因素是相关领域的基线分数和另一个领域的变化。客户参与也预测了早期抑郁变化。从首次接触开始监测两个领域的进展，并提供同理心关怀，然后进行简短干预，对于这种高患病率的共病似乎是有用的。
