Klepper Sarah, Odenwald Michael, Rösner Susanne, Senn Smeralda, Menning Hans, Pereyra-Kröll Devi, Rockstroh Brigitte
Department of Psychology, University of Konstanz, Konstanz, Germany.
Forel-Clinic, Ellikon, Zürich, Switzerland.
Front Psychol. 2017 Nov 13;8:1967. doi: 10.3389/fpsyg.2017.01967. eCollection 2017.
The role of alcohol-related risk perception for effective treatment of alcohol use disorders (AUD) is still unclear. The present study on 101 alcohol-dependent patients undergoing a 10-week AUD treatment protocol investigated the relationship between alcohol-related risk perception and alcohol use with the hypotheses that (1) risk perception changes across treatment, (2) changes vary with treatment-related experiences of abstinence/relapse indicating 'risk reappraisal,' and (3) adjustment of perceived own vulnerability according to 'risk reappraisal hypothesis' predicts abstinence during follow-up. Abstinence during treatment was related to a decrease, and relapse during treatment to a slight increase in perceived own risks. Abstinence during the 3-month follow-up varied with experience-induced risk reappraisal. The results show an impact of risk reappraisal on alcohol use and hence advocate a focus on risk reappraisal in AUD treatment.
酒精相关风险认知在酒精使用障碍（AUD）有效治疗中的作用仍不明确。本研究对101名接受为期10周AUD治疗方案的酒精依赖患者进行了调查，探讨酒精相关风险认知与酒精使用之间的关系，其假设为：（1）风险认知在治疗过程中会发生变化；（2）变化因戒酒/复发的治疗相关经历而异，表明存在“风险重新评估”；（3）根据“风险重新评估假设”调整自身感知到的易感性可预测随访期间的戒酒情况。治疗期间的戒酒与自身感知风险的降低有关，而治疗期间的复发则与自身感知风险的略有增加有关。3个月随访期间的戒酒情况因经历引发的风险重新评估而异。结果表明风险重新评估对酒精使用有影响，因此提倡在AUD治疗中关注风险重新评估。
