Moos R H, Fenn C B, Billings A G, Moos B S
Department of Psychiatry and Behavioral Sciences, Stanford University Medical Center, Palo Alto, CA 94305.
J Subst Abuse. 1988;1(2):135-52. doi: 10.1016/s0899-3289(88)80017-8.
A growing body of evidence points to the importance of life stressors and social resources in the development and course of alcoholism and other substance abuse disorders. This article describes the Life Stressors and Social Resources Inventory (LISRES), which provides an integrated assessment of life stressors and social resources in eight domains: physical health, home/neighborhood, financial, work, spouse/partner, children, extended family, and friends. The indices were developed on data obtained at two points in time 18 months apart from four demographically comparable groups: alcoholic patients, depressed patients, arthritic patients, and non-problem-drinking adults. As expected, alcoholic patients reported more acute and chronic stressors and fewer social resources than did non-problem-drinking adults. More important, the indices were predictively related to changes in alcohol consumption, drinking problems, depression, and self-confidence. Procedures such as the LISRES have some potential clinical and research applications and may be helpful in examining the process of recovery and relapse in substance abuse disorders.
越来越多的证据表明，生活压力源和社会资源在酗酒及其他物质使用障碍的发展和病程中具有重要意义。本文介绍了生活压力源与社会资源量表（LISRES），该量表对八个领域的生活压力源和社会资源进行综合评估：身体健康、家庭/邻里、财务、工作、配偶/伴侣、子女、大家庭和朋友。这些指标是根据从四个在人口统计学上具有可比性的群体中相隔18个月的两个时间点获得的数据制定的：酗酒患者、抑郁症患者、关节炎患者和无饮酒问题的成年人。正如预期的那样，酗酒患者报告的急性和慢性压力源比无饮酒问题的成年人更多，而社会资源更少。更重要的是，这些指标与酒精消费、饮酒问题、抑郁和自信心的变化具有预测性关联。像LISRES这样的程序具有一些潜在的临床和研究应用，可能有助于检查物质使用障碍的康复和复发过程。
