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酗酒者对过去发生的饮酒情况和生活事件的自我报告的可靠性。

The reliability of alcohol abusers' self-reports of drinking and life events that occurred in the distant past.

作者信息

Sobell L C, Sobell M B, Riley D M, Schuller R, Pavan D S, Cancilla A, Klajner F, Leo G I

机构信息

Addiction Research Foundation, Clinical Institute, Toronto, Ontario, Canada.

出版信息

J Stud Alcohol. 1988 May;49(3):225-32. doi: 10.15288/jsa.1988.49.225.

Abstract

This study investigated the test-retest reliability of 69 alcohol abusers' current reports about their past (approximately 8 years prior to interview) drinking behavior and life events. Drinking behavior was assessed by the Lifetime Drinking History (LDH) questionnaire and life events were assessed using the Recent Life Changes Questionnaire (RLCQ). Reliability coefficients for LDH variables were generally moderate to high (r = .52 to .81). Using empirical criteria, the diagnostic power of the two LDH interviews to classify correctly subjects as either having had or not having had a drinking problem was quite high. The reliability coefficient for the RLCQ was r = .85 and 91.7% of the identified events were reported in both interviews. Similarly high test-retest reliabilities and individual event agreement rates were obtained for the six homogeneous subscales of the RLCQ. Subjects were also asked why they had given inconsistent answers to life events questions in the two interviews. Inconsistencies often resulted from errors in the temporal placement of events or from misunderstanding items, rather than from failure to recall an event; this suggests that some sources of error in recalling life events can be reduced. It is concluded that alcohol abusers' reports of drinking and life events occurring many years prior to the date of interview are generally reliable. This finding is consistent with previous studies showing high test-retest reliabilities for reports of recent drinking and related events.

摘要

本研究调查了69名酗酒者关于其过去(访谈前约8年)饮酒行为和生活事件的当前报告的重测信度。饮酒行为通过终身饮酒史(LDH)问卷进行评估,生活事件则使用近期生活变化问卷(RLCQ)进行评估。LDH变量的信度系数一般为中等至高(r = 0.52至0.81)。根据实证标准,两次LDH访谈将受试者正确分类为有或没有饮酒问题的诊断能力相当高。RLCQ的信度系数为r = 0.85,在两次访谈中均报告了91.7%的已识别事件。RLCQ的六个同质子量表也获得了同样高的重测信度和个体事件一致率。受试者还被问及他们在两次访谈中对生活事件问题给出不一致答案的原因。不一致往往是由于事件时间定位错误或对项目的误解,而不是由于未能回忆起某个事件;这表明回忆生活事件中的一些误差来源是可以减少的。研究得出结论,酗酒者对访谈日期多年前发生的饮酒和生活事件的报告总体上是可靠的。这一发现与之前关于近期饮酒及相关事件报告具有高重测信度的研究一致。

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