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One size should not fit all, so use the right tool for the job.一刀切并不适合所有情况，因此要因事制宜。
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We still question the utility and validity of the binge/heavy drinking criterion.我们仍然质疑暴饮暴食/大量饮酒标准的实用性和有效性。
Addiction. 2016 Oct;111(10):1733-4. doi: 10.1111/add.13384. Epub 2016 May 3.

本文引用的文献

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Questioning the validity of the 4+/5+ binge or heavy drinking criterion in college and clinical populations.质疑大学和临床人群中4+/5+暴饮或重度饮酒标准的有效性。
Addiction. 2016 Oct;111(10):1720-6. doi: 10.1111/add.13210. Epub 2015 Dec 28.
2
Alcohol-Impaired Driving Among Adults - United States, 2012.2012年美国成年人酒驾情况
MMWR Morb Mortal Wkly Rep. 2015 Aug 7;64(30):814-7. doi: 10.15585/mmwr.mm6430a2.
3
Drinking Level, Drinking Pattern, and Twenty-Year Total Mortality Among Late-Life Drinkers.老年饮酒者的饮酒量、饮酒模式与20年总死亡率
J Stud Alcohol Drugs. 2015 Jul;76(4):552-8. doi: 10.15288/jsad.2015.76.552.
4
Validation and implementation of the Australian Treatment Outcomes Profile in specialist drug and alcohol settings.验证和实施澳大利亚治疗成果简介在专科药物和酒精环境中。
Drug Alcohol Rev. 2014 Jan;33(1):33-42. doi: 10.1111/dar.12083. Epub 2013 Nov 11.
5
Alcohol consumption, heavy drinking, and mortality: rethinking the j-shaped curve.饮酒、酗酒与死亡率：对J形曲线的重新思考。
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Binge drinking-induced subtle myocardial injury. binge drinking 导致的细微心肌损伤。
Alcohol Clin Exp Res. 2013 Aug;37(8):1261-3. doi: 10.1111/acer.12208. Epub 2013 Jun 25.
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The effect of drinking goals at treatment entry on longitudinal alcohol use patterns among adults with alcohol dependence.治疗开始时饮酒目标对酒精依赖成年人纵向饮酒模式的影响。
Drug Alcohol Depend. 2013 Sep 1;132(1-2):182-8. doi: 10.1016/j.drugalcdep.2013.01.018. Epub 2013 Feb 21.
8
Associations between binge and heavy drinking and health behaviors in a nationally representative sample.在全国代表性样本中，狂饮和重度饮酒与健康行为之间的关联。
Addict Behav. 2011 Dec;36(12):1240-5. doi: 10.1016/j.addbeh.2011.07.034. Epub 2011 Aug 2.
9
Risk of pancreatic cancer by alcohol dose, duration, and pattern of consumption, including binge drinking: a population-based study.按酒精剂量、持续时间和饮酒模式（包括 binge drinking）评估的胰腺癌风险：一项基于人群的研究。
Cancer Causes Control. 2010 Jul;21(7):1047-59. doi: 10.1007/s10552-010-9533-6. Epub 2010 Mar 27.
10
Heavy episodic drinking: determining the predictive utility of five or more drinks.重度暴饮：确定饮用五杯或更多酒的预测效用。
Psychol Addict Behav. 2008 Mar;22(1):68-77. doi: 10.1037/0893-164X.22.1.68.

一刀切并不适合所有情况，因此要因事制宜。

One size should not fit all, so use the right tool for the job.

机构信息

Center for Alcohol and Addiction Studies, Department of Behavioral and Social Sciences, Brown University School of Public Health, Box G-S121-5, Providence, RI, 02912, USA.

出版信息

Addiction. 2016 Oct;111(10):1729-31. doi: 10.1111/add.13283. Epub 2016 Mar 1.

DOI:10.1111/add.13283
PMID:26929136
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7220028/
Abstract

The 4/5+ criterion for heavy drinking has limited validity as an index of treatment efficacy, and use of continuous and multi-dimensional measures of outcome are recommended. The 4/5+ criterion continues to be a useful indicator of alcohol-related risk for screening and prevention.

摘要

4/5+ 标准作为治疗效果的指标，其有效性有限，建议使用连续和多维的结果测量方法。4/5+ 标准仍然是用于筛选和预防酒精相关风险的有用指标。