Department of Psychology, Syracuse University, Syracuse, New York, USA.
Department of Emergency Medicine, University of Rochester Medical Center, Rochester, New York, USA.
Subst Use Misuse. 2022;57(10):1626-1632. doi: 10.1080/10826084.2022.2102192. Epub 2022 Jul 22.
Alcohol use disorder (AUD) is highly prevalent among adults in the US and is associated with substantial personal and societal costs. Yet only a small percentage of adults with AUD initiate treatment, including those with severe AUD symptoms who are most in need of treatment. In this paper we use latent profile analysis (LPA) to describe differences in symptoms of AUD severity and alcohol-related consequences among untreated adults with severe AUD symptoms who were recruited from the community. Identification of such differences will result in better understanding of this population and will improve methods of treatment outreach.
The LPAs were conducted on the baseline data of 403 (50% male, 77% White, age = 40.74 with severe AUD recruited from the community and enrolled in a trial of an intervention designed to encourage treatment initiation. Participants reported no prior AUD treatment history. The LPAs were based on indicators of AUD severity, alcohol-related negative consequences, and self-reported intention to initiate AUD treatment.
The LPAs revealed 4 profiles. Profile membership was predicted by baseline participant sex and whether they were living with a partner and was associated with baseline past 30-days alcohol consumption.
The findings characterize and describe the variability among adults in the community with untreated severe AUD on variables that tend to motivate such individuals to seek treatment, which could significantly advance treatment outreach efforts.
在美国，酒精使用障碍（AUD）在成年人中非常普遍，并且与巨大的个人和社会成本相关。然而，只有一小部分 AUD 患者开始接受治疗，包括那些 AUD 症状严重且最需要治疗的患者。在本文中，我们使用潜在剖面分析（LPA）来描述从社区招募的未接受治疗的严重 AUD 患者中 AUD 严重程度和与酒精相关后果的症状差异。此类差异的识别将有助于更好地了解这一人群，并改善治疗推广方法。
对从社区招募并参加旨在鼓励治疗开始的干预试验的 403 名（50%为男性，77%为白人，年龄=40.74 岁，AUD 严重程度）未接受治疗的严重 AUD 患者的基线数据进行 LPA。参与者报告没有之前的 AUD 治疗史。LPA 基于 AUD 严重程度、与酒精相关的负面后果以及自我报告的开始 AUD 治疗的意愿的指标。
LPA 揭示了 4 种模式。模式成员资格由基线参与者的性别以及他们是否与伴侣同住预测，与基线过去 30 天的饮酒量相关。
这些发现描述了社区中未接受治疗的严重 AUD 成年人在可能促使这些人寻求治疗的变量上的特征和变异性，这可以极大地推进治疗推广工作。
