Hasin D, Carpenter K M
Department of Psychiatry, Columbia University College of Physicians and Surgeons, New York State Psychiatric Institute, New York 10032, USA.
Alcohol Clin Exp Res. 1998 May;22(3):580-4. doi: 10.1111/j.1530-0277.1998.tb04296.x.
Questions about usual drinking play an important role in the construction of alcohol consumption measures. However, little is known about difficulties in answering these questions for respondents with variability in their drinking patterns. We investigated this in a community sample of 945 drinkers and in a clinical sample of 400 patients treated for alcohol and/or drug problems. Demographic variables were not consistently related to self-reported difficulty in answering, but a diagnosis of current DSM-IV alcohol dependence was significantly related in both samples. In modeling the relationship between alcohol consumption and DSM-IV alcohol dependence, the fit of the model to the data was significantly improved by the addition of a variable indicating respondents' difficulty answering the usual drinking questions. Using this information in the development of alcohol consumption questions may provide more precise estimates of the risk from alcohol consumption to outcomes such as alcohol dependence.
关于通常饮酒情况的问题在饮酒量测量指标的构建中起着重要作用。然而，对于饮酒模式存在差异的受访者在回答这些问题时所面临的困难，我们知之甚少。我们在一个由945名饮酒者组成的社区样本以及一个由400名接受酒精和/或药物问题治疗的患者组成的临床样本中对此进行了调查。人口统计学变量与自我报告的回答困难并无一致关联，但在两个样本中，当前DSM-IV酒精依赖诊断均与回答困难显著相关。在对饮酒量与DSM-IV酒精依赖之间的关系进行建模时，通过添加一个表明受访者回答通常饮酒问题困难程度的变量，模型对数据的拟合度得到了显著改善。在制定饮酒量问题时利用这些信息，可能会更精确地估计饮酒导致诸如酒精依赖等后果的风险。
