Pilowsky Daniel J, Keyes Katherine M, Geier Timothy J, Grant Bridget F, Hasin Deborah S
Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, New York, USA; Department of Psychiatry, Columbia College of Physicians and Surgeons, Columbia University, New York, New York, USA; New York State Psychiatric Institute, New York, New York, USA.
Soc Work Ment Health. 2013;11(2). doi: 10.1080/15332985.2012.711278.
We examined associations between stressful life events and relapse among adults in the United States with at least 1 year of remission from DSM-IV alcohol dependence. The sample consisted of individuals in remission from alcohol dependence at the Wave 1 interview (2001-2002) for the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC) who also participated in a Wave 2 interview (2004-2005; N 1,707). Associations between stressful life events, demographic variables, = and the binary outcome of alcohol dependence relapse were examined with multiple logistic regression models. After adjustment for potential confounders, respondents who were divorced or separated in the year preceding the baseline assessment (Wave 1) were over two times more likely (OR = 2.32; CI = 1.01-5.34) to have relapsed 3 years later (Wave 2), compared to those not experiencing a divorce/separation in the 12 months prior to Wave 1. No other stressful life event was associated with relapse. Findings suggest that formerly alcohol dependent adults are at increased risk for relapse following divorce/separation. These results highlight the need for social work practitioners to consider the possibility of relapse following a divorce when one or both partners have a history of alcohol dependence.
我们研究了美国成年人中应激性生活事件与复发之间的关联，这些成年人已从DSM-IV酒精依赖中缓解至少1年。样本包括在全国酒精及相关疾病流行病学调查（NESARC）的第1波访谈（2001 - 2002年）中已从酒精依赖中缓解且还参加了第2波访谈（2004 - 2005年；N = 1707）的个体。使用多重逻辑回归模型研究了应激性生活事件、人口统计学变量与酒精依赖复发的二元结局之间的关联。在对潜在混杂因素进行调整后，与在第1波之前12个月内未经历离婚/分居的受访者相比，在基线评估（第1波）前一年离婚或分居的受访者在3年后（第2波）复发的可能性高出两倍多（OR = 2.32；CI = 1.01 - 5.34）。没有其他应激性生活事件与复发相关。研究结果表明，曾经酒精依赖的成年人在离婚/分居后复发风险增加。这些结果凸显了社会工作从业者在一方或双方有酒精依赖史的离婚后考虑复发可能性的必要性。
