住院酒精治疗后男性和女性饮酒及功能结局的预测因素。
Predictors of drinking and functional outcomes for men and women following inpatient alcohol treatment.
作者信息
Sugarman Dawn E, Kaufman Julia S, Trucco Elisa M, Brown Jodi C, Greenfield Shelly F
机构信息
Alcohol and Drug Abuse Treatment Program, McLean Hospital, Belmont, Massachusetts; Department of Psychiatry, Harvard Medical School, Boston, Massachusetts.
出版信息
Am J Addict. 2014 May-Jun;23(3):226-33. doi: 10.1111/j.1521-0391.2014.12098.x.
BACKGROUND AND OBJECTIVES
This prospective study uses path analytic models to examine baseline characteristics associated with both functioning and drinking outcomes 12 months after inpatient alcohol treatment.
METHODS
Alcohol-dependent participants (N = 101) were recruited during inpatient alcohol treatment and assessed monthly 1 year after discharge.
RESULTS
Alcohol severity was negatively associated with education and self-efficacy; marital status was positively associated with self-efficacy; and education and self-efficacy were negatively associated with drinking outcomes. Low alcohol severity, not having a depression diagnosis, and being married were associated with less social support impairment, which was in turn associated with better drinking outcomes. Having a history of sexual abuse did not influence drinking outcomes. However, having a history of sexual abuse was negatively associated with global functioning.
CONCLUSIONS AND SCIENTIFIC SIGNIFICANCE
Drinking outcomes were associated with education, self-efficacy, social support, and diagnosis of depression at baseline; however, global functioning 1 year following treatment was primarily and negatively associated with sexual abuse history. Future treatment research should include measures of both functioning and drinking behavior outcomes.
背景与目的
本前瞻性研究采用路径分析模型，以检验与住院酒精治疗12个月后的功能及饮酒结果相关的基线特征。
方法
在住院酒精治疗期间招募酒精依赖参与者（N = 101），出院1年后每月进行评估。
结果
酒精严重程度与教育程度及自我效能感呈负相关；婚姻状况与自我效能感呈正相关；教育程度和自我效能感与饮酒结果呈负相关。酒精严重程度低、无抑郁症诊断且已婚与较少的社会支持损害相关，而这又与更好的饮酒结果相关。有性虐待史不影响饮酒结果。然而，有性虐待史与整体功能呈负相关。
结论与科学意义
饮酒结果与基线时的教育程度、自我效能感、社会支持及抑郁症诊断相关；然而，治疗1年后的整体功能主要与性虐待史呈负相关。未来的治疗研究应包括功能及饮酒行为结果的测量。
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