Parks K A, Nochajski T H, Wieczorek W F, Miller B A
Research Institute on Addictions, Buffalo, New York 14203, USA.
Alcohol Clin Exp Res. 1996 May;20(3):434-9. doi: 10.1111/j.1530-0277.1996.tb01071.x.
The severity of alcohol problems in a sample of 812 women driving while intoxicated (DWI) offenders enrolled in a Drinking Driver Program in New York State was assessed through the use of multiple measures. These women voluntarily provided information through a self-administered questionnaire completed at the beginning of the program. Classification of alcohol problems based on DSM-III-R criteria was compared with classification based on the use of alcohol-specific and nonalcohol-specific measures of alcohol-related problems. Greater hostility and a larger number of drinks ever consumed accounted for nearly 12% of the variance between no diagnosis and alcohol abuse women, whereas these two variables plus age, race, depression, and having a relative with alcohol problems accounted for nearly 41% of the variance between alcohol abuse and dependent women. A subsample of women within each DSM-III-R diagnostic group showed high risk for later, more severe alcohol problems. Multiple measures of alcohol problems help to elucidate subtle differences in alcohol problems within each of the broad categories specified by the DSM, and should facilitate more appropriate intervention and treatment plans for women DWI offenders with alcohol-related problems.
通过多种测量方法，对纽约州812名因醉酒驾驶（DWI）而参加酒驾者项目的女性样本中的酒精问题严重程度进行了评估。这些女性在项目开始时通过自行填写问卷自愿提供信息。将基于《精神疾病诊断与统计手册》第三版修订版（DSM-III-R）标准的酒精问题分类与基于使用特定酒精和非特定酒精的酒精相关问题测量方法的分类进行了比较。更大的敌意和曾经饮用的饮料数量更多，在未诊断出酒精问题的女性和酒精滥用女性之间的差异中占近12%，而这两个变量加上年龄、种族、抑郁以及有酗酒亲属的情况，在酒精滥用女性和酒精依赖女性之间的差异中占近41%。每个DSM-III-R诊断组中的女性子样本显示出日后出现更严重酒精问题的高风险。对酒精问题的多种测量有助于阐明DSM规定的每个大类中酒精问题的细微差异，并应为有酒精相关问题的女性酒驾者制定更合适的干预和治疗计划提供便利。
