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患有酒精使用障碍(AUD)和创伤后应激障碍(PTSD)共病的男性和女性中,酒精使用的日常监测与回顾性回忆之间的对应程度。

Degree of correspondence between daily monitoring and retrospective recall of alcohol use among men and women with comorbid AUD and PTSD.

作者信息

Krenek Marketa, Lyons Robert, Simpson Tracy L

机构信息

Mental Illness Research, Education, and Clinical Center, VA Puget Sound Health Care System, Seattle, Washington.

Seattle Institute on Biomedical and Clinical Research, Seattle, Washington.

出版信息

Am J Addict. 2016 Mar;25(2):145-51. doi: 10.1111/ajad.12342. Epub 2016 Jan 29.

DOI:10.1111/ajad.12342
PMID:26824635
Abstract

BACKGROUND AND OBJECTIVES

The majority of studies that have identified good correspondence between daily monitoring and retrospective recall of alcohol use have included participants who are relatively stable, are moderate drinkers, report abstinence, and are not diagnosed with comorbid disorders. The current study examined degree of correspondence between alcohol use that was reported daily via interactive voice response (IVR) telephone monitoring and retrospectively using an abbreviated Form-90 (Form-35) covering the same 35-day time period.

METHODS

Participants were 54 men and women with comorbid alcohol dependence and posttraumatic stress disorder (PTSD) who reported drinking during the time period.

RESULTS

Results indicated that participants reported more drinking days via IVR. Correspondence was strong between the reporting methods for aggregate-level alcohol use variables, including presence/absence of drinking days and heavy drinking days and standard drinks, and associations increased for weeks closer to the assessment date for drinking days and heavy drinking days. Day-to-day agreement was moderate for drinking days and heavy drinking days, though there was large between-person variability in correspondence between reporting methods. Post-hoc analyzes suggested that men and participants who drink more tend to have lower correspondence between assessment methods.

DISCUSSION AND CONCLUSIONS

Overall, findings partially replicated previous research and extend our knowledge of alcohol assessment in a comorbid sample.

SCIENTIFIC SIGNIFICANCE

Findings highlight the importance of considering the influence that moderating variables have on reporting of alcohol use.

摘要

背景与目的

大多数已确定日常监测与酒精使用回顾性回忆之间具有良好对应性的研究,纳入的参与者相对稳定,为适度饮酒者,报告戒酒情况,且未被诊断患有共病。本研究考察了通过交互式语音应答(IVR)电话监测每日报告的酒精使用情况与使用涵盖相同35天时间段的简化版90表(35表)进行回顾性报告之间的对应程度。

方法

参与者为54名患有酒精依赖和创伤后应激障碍(PTSD)共病且在该时间段报告饮酒的男性和女性。

结果

结果表明,参与者通过IVR报告的饮酒天数更多。对于总体水平的酒精使用变量,包括饮酒天数、重度饮酒天数和标准饮酒量的报告方法之间的对应性很强,并且对于接近饮酒天数和重度饮酒天数评估日期的几周,关联性增加。饮酒天数和重度饮酒天数的每日一致性为中等,尽管报告方法之间的对应性存在较大的个体差异。事后分析表明,男性和饮酒较多的参与者在评估方法之间的对应性往往较低。

讨论与结论

总体而言,研究结果部分重复了先前的研究,并扩展了我们对共病样本中酒精评估的认识。

科学意义

研究结果强调了考虑调节变量对酒精使用报告的影响的重要性。

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