Community Mental Health Center Vinderen, Diakonhjemmet Hospital , Oslo , Norway.
Department of Psychology, University of Oslo , Oslo , Norway.
Front Psychiatry. 2014 Mar 27;5:31. doi: 10.3389/fpsyt.2014.00031. eCollection 2014.
Treatment-seeking patients (N = 233) were recruited as they started a course of relapse prevention and coping with depression. The mean Beck depression inventory (BDI-II) score was 26 points, indicating a moderate degree of depression. The sample was recruited from different outpatient clinics and screened for alcohol-related problems with the alcohol use disorders identification test (AUDIT). Almost half of the total sample had a score on AUDIT >8 indicating an alcohol problem. The participants in this study did not undergo a clinical interview to check out if their symptoms, as assessed with BDI-II and AUDIT, were part of a formal diagnosis in accordance with the criteria in ICD 10 or DSM IV. A specific instrument, perceived uncontrollability of depression (UNCONTROL), was used to measure the persons' perceived control of depressive symptoms; a set of statements about coping with depressive symptoms where high scores indicate lack of coping with the symptoms. Alcohol problems were not found to be significantly associated with the perceived control of ongoing depressive symptoms and did not moderate the relationship between depressive symptoms and the perceived control of depressive symptoms. The results question the assumption that alcohol use is related to coping with depressive symptoms in patients with alcohol abuse and depressive symptoms.
治疗寻求者（N=233）在开始进行复发预防和应对抑郁的课程时被招募。贝克抑郁量表（BDI-II）的平均得分为 26 分，表明存在中度抑郁。该样本来自不同的门诊诊所，并使用酒精使用障碍识别测试（AUDIT）筛查与酒精相关的问题。总样本中几乎有一半的 AUDIT 得分>8，表明存在酒精问题。本研究中的参与者没有进行临床访谈，以检查他们的症状，如 BDI-II 和 AUDIT 评估的，是否符合 ICD 10 或 DSM IV 标准的正式诊断的一部分。使用特定的工具，即不可控性抑郁（UNCONTROL），来衡量人们对抑郁症状的感知控制程度；这是一组关于应对抑郁症状的陈述，其中高分表示缺乏对症状的应对。没有发现酒精问题与正在进行的抑郁症状的感知控制显著相关，也没有调节抑郁症状与抑郁症状的感知控制之间的关系。研究结果对酒精使用与酒精滥用和抑郁症状患者应对抑郁症状之间存在关联的假设提出了质疑。
