Haywood Darren, Pantaleo Ashleigh, Mullan Barbara A, Heslop Karen R, Baughman Frank D
Turner Institute for Brain and Mental Health and School of Psychological Sciences, Monash University, Clayton, Australia.
Department of Mental Health, St. Vincent's Hospital Melbourne, Fitzroy, Australia.
Subst Use Misuse. 2023;58(5):629-636. doi: 10.1080/10826084.2023.2177962. Epub 2023 Feb 15.
: There is a limited understanding of what specific mental health symptoms are associated to alcohol involvement. It is important to understand how the severity of different mental health dimensions may differ, and distinguish between, levels of alcohol involvement. : (a) explore for differences in severity of mental health symptoms between those with lower, and moderate/high alcohol involvement, (b) assess the degree to which mental health dimensions can distinguish between those with lower, and moderate/high alcohol involvement, and (c) examine what mental health dimensions are related to the highest risk of moderate/high alcohol involvement. : 400 participants representative of the general population in the USA were recruited online through Prolific and completed the Alcohol, Smoking and Substance Involvement Screening Test and Brief Symptom Inventory. Each of the nine mental health symptom dimensions significantly differed between lower and moderate/high alcohol involvement, with the moderate/high alcohol involvement group reporting greater severity symptoms. The nine symptom dimensions in combination also significantly distinguished lower and moderate/high alcohol involvement, however only somatization offered unique predictive utility. Lastly, global distress was also able to significantly distinguish the alcohol involvement groups, albeit to a lesser accuracy compared to the collection of individual symptom dimensions. : These findings suggest that overall mental health distress may be important to understanding alcohol involvement, however individual symptom dimensions can add further explanatory variance. In particular, somatic symptoms may offer unique utility in understanding the relationship between mental health and alcohol involvement.
对于与酒精使用相关的具体心理健康症状，人们的了解有限。了解不同心理健康维度的严重程度如何不同，并区分酒精使用的程度很重要。：（a）探究低酒精使用量和中度/高酒精使用量人群之间心理健康症状严重程度的差异，（b）评估心理健康维度在区分低酒精使用量和中度/高酒精使用量人群方面的程度，以及（c）研究哪些心理健康维度与中度/高酒精使用量的最高风险相关。：通过Prolific在线招募了400名代表美国普通人群的参与者，他们完成了酒精、吸烟和物质使用筛查测试以及简明症状量表。在低酒精使用量和中度/高酒精使用量人群之间，九个心理健康症状维度中的每一个都存在显著差异，中度/高酒精使用量组报告的症状严重程度更高。九个症状维度综合起来也能显著区分低酒精使用量和中度/高酒精使用量人群，然而只有躯体化症状具有独特的预测效用。最后，总体痛苦也能够显著区分酒精使用量组，尽管与单个症状维度的集合相比，准确性较低。：这些发现表明，总体心理健康困扰可能对理解酒精使用很重要，然而单个症状维度可以增加进一步的解释方差。特别是，躯体症状在理解心理健康与酒精使用之间的关系方面可能具有独特的效用。
