Department of Psychology, University of California, Los Angeles, California.
Am J Addict. 2014 Jan-Feb;23(1):96-101. doi: 10.1111/j.1521-0391.2013.12071.x. Epub 2013 Jun 6.
The study examined the effects of an alcohol challenge on naturalistic drinking among alcohol-dependent individuals and explored brief motivational interviewing (MI) as a potential intervention for these participants.
Alcohol-dependent individuals (n = 32, eight females) completed the intake assessment, alcohol challenge, one MI session, and 1-month follow-up (87.5% retention) where they completed measures of drinking and motivation for change.
As expected, multilevel mixed models revealed that drinking did not increase post-alcohol challenge. Participants reported a reduction in ambivalence, drinking days, and a trend towards fewer total drinks between the MI and 1-month follow-up.
Consistent with other studies, the alcohol challenge did not worsen alcohol use. Results support further investigation of brief MI for alcohol-dependent participants in alcohol challenges.
Alcohol administration to alcohol-dependent participants appears to not exacerbate naturalistic drinking. MI may be a feasible intervention for non-treatment seeking alcohol-dependent participants in alcohol challenge studies.
本研究考察了酒精挑战对酒精依赖个体自然饮酒的影响，并探讨了简短动机性访谈（MI）作为这些参与者潜在干预措施的效果。
32 名酒精依赖个体（8 名女性）完成了入组评估、酒精挑战、一次 MI 疗程和 1 个月随访（87.5%的保留率），在此期间他们完成了饮酒量和改变动机的测量。
正如预期的那样，多层次混合模型显示，酒精挑战后饮酒量没有增加。参与者报告 MI 和 1 个月随访之间的矛盾感、饮酒天数和总饮酒量减少的趋势。
与其他研究一致，酒精挑战并未使酒精使用恶化。结果支持进一步研究简短 MI 对酒精挑战中未接受治疗的酒精依赖参与者的效果。
向酒精依赖参与者给予酒精似乎不会加重其自然饮酒。MI 可能是酒精挑战研究中未接受治疗的酒精依赖参与者的一种可行干预措施。
