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Seventy-five years of policy on alcohol problems: an American perspective. 75年的酒精问题政策:一个美国人的视角。
Q1 Medicine Pub Date : 2014-03-01 DOI: 10.15288/JSADS.2014.S17.116
P. Roman
OBJECTIVEThis article traces the evolution of alcohol-related social policy over the past 75 years.METHODThe literature was reviewed and is critically discussed.RESULTSThe social history of alcohol policies over the last 75 years began with the scientific approach to alcohol in the 1930s and later shifted to a central interest in the disease of alcoholism. Beginning with the National Council on Alcoholism Education, advocates struggled to "mainstream" treatment for this disease into the health care system. Major steps included decriminalization of public intoxication, emphasis of the social respectability of persons with alcohol problems, development of a treatment system that was accompanied by health insurance coverage, and work-based programs to identify and attract employed patients with health insurance coverage. These structures were considerably altered by the War on Drugs, managed care, and the merger of drug and alcohol treatment. The Affordable Care Act, however, has the potential for achieving the mainstreaming goals for alcohol problems originally conceived in the early 1940s.CONCLUSIONSResponsible involvement of the alcoholic beverage industry could greatly enhance current activities but is not likely to occur. Stigma persists in part because of associations with prevention and treatment of illegal drug use problems. The Affordable Care Act offers opportunities and challenges to the specialty of treating alcohol use disorders.
本文追溯了过去75年来与酒精相关的社会政策的演变。方法回顾文献并进行批判性讨论。结果过去75年酒精政策的社会史始于20世纪30年代对酒精的科学研究,后来转向对酒精中毒疾病的关注。从全国酗酒教育委员会开始,倡导者们努力将这种疾病的治疗纳入医疗保健系统的“主流”。主要步骤包括公共场合醉酒合法化,强调酗酒者的社会尊严,发展与健康保险相结合的治疗系统,以及以工作为基础的项目,以确定和吸引有健康保险的就业患者。禁毒战争、管理式护理以及药物和酒精治疗的合并大大改变了这些结构。然而,《平价医疗法案》有可能实现酒精问题的主流化目标,这一目标最初是在20世纪40年代初提出的。结论酒精饮料行业负责任的参与可以大大加强目前的活动,但不太可能发生。耻辱感持续存在的部分原因是与预防和治疗非法药物使用问题有关。《平价医疗法案》为治疗酒精使用障碍的专业提供了机会和挑战。
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引用次数: 5
College student drinking research from the 1940s to the future: where we have been and where we are going. 从20世纪40年代到未来的大学生饮酒研究:我们在哪里,我们要去哪里。
Q1 Medicine Pub Date : 2014-01-01
Jason R Kilmer, Jessica M Cronce, Mary E Larimer

Objective: College student drinking is not a new phenomenon, yet the field of research studying college student drinking is relatively young. In recognition of the 75th anniversary of what is now the Journal of Studies on Alcohol and Drugs, this article reviews the path from the first article to focus exclusively on college student drinking as the topic (published in 1945) to the current state of the science and attempts to look forward to the next steps in the field's research agenda.

Method: Articles were selected by consensus of the authors from incarnations of the journal and other academic journals based on their relevance to the genesis of current best practices regarding college student drinking prevention.

Results: Major eras and themes include (a) early efforts to describe and understand college student drinking; (b) building foundations for prevention and intervention efforts in response to growing concerns about high-risk drinking; (c) the emergence of harm-reduction efforts, normative interventions, and efforts to document campus strategies; (d) efficacious prevention efforts and high-risk drinking; (e) the "Call to Action" Task Force Report from the National Institute on Alcohol Abuse and Alcoholism; and (f) updates to the science (including emerging technology).

Conclusions: Understanding the rich history of science related to college drinking prevention should prepare and guide our field for the next 75 years of scientific advances, leading to even greater understanding of the etiology and topology of college student drinking as well as more effective methods to reduce alcohol-related harms.

目的:大学生饮酒并不是一个新现象,但对大学生饮酒的研究领域相对较年轻。为了纪念《酒精与药物研究杂志》创刊75周年,本文回顾了从第一篇专门以大学生饮酒为主题的文章(1945年出版)到目前的科学状况的发展历程,并试图展望该领域研究议程的下一步。方法:根据文章与当前大学生饮酒预防最佳实践起源的相关性,通过作者共识从该杂志和其他学术期刊中选择文章。结果:主要的时代和主题包括:(a)早期努力描述和理解大学生饮酒;(b)为预防和干预工作奠定基础,以应对对高危饮酒日益增长的关切;(c)减少伤害努力的出现,规范的干预措施,以及记录校园战略的努力;(d)有效的预防工作和高危饮酒;国家酒精滥用和酒精中毒研究所的"行动呼吁"工作队报告;(f)科学(包括新兴技术)的更新。结论:了解与大学生饮酒预防相关的丰富科学历史,可以为未来75年的科学进步做好准备和指导,从而更好地了解大学生饮酒的病因学和拓扑结构,以及更有效地减少酒精相关危害的方法。
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引用次数: 0
A review of studies of drinking patterns in the United States since 1940. 对 1940 年以来美国饮酒模式研究的回顾。
Q1 Medicine Pub Date : 2014-01-01 DOI: 10.15288/jsads.2014.s17.18
Patrick M O'Malley

Objective: This article reviews changes in drinking patterns in the general U.S. population since the first appearance of the Quarterly Journal of Studies on Alcohol in June 1940.

Method: Contents of the three iterations of the journal (Quarterly Journal of Studies on Alcohol, Journal of Studies on Alcohol, and Journal of Studies on Alcohol and Drugs) were reviewed along with additional prominent key articles on the subject known to the author.

Results: Early articles in the field tended to focus on alcoholics and alcoholism, usually with a biological emphasis. The earliest "scientific investigation" of drinking patterns that appeared in iterations of JSAD reported data based on a survey in 1946, and the earliest report of trends in drinking patterns compared the 1946 data with data from 1963. Since then, there have been numerous evaluations of drinking patterns in the general U.S. population.

Conclusions: There have been major changes over the past 75 years in the manner in which drinking patterns are measured and summarized. Perhaps the biggest change was the introduction of probability sampling. Additional major changes continue to occur, responding to technological changes (e.g., the use of computers, cell phones, and broadband connections) in how people interact with their environment.

目的本文回顾了自 1940 年 6 月《酒精研究季刊》创刊以来美国普通人群饮酒模式的变化:方法:回顾了《酒精研究季刊》的三次迭代(《酒精研究季刊》、《酒精研究期刊》和《酒精与毒品研究期刊》)的内容,以及作者所知道的有关该主题的其他重要文章:该领域的早期文章倾向于关注酗酒者和酗酒问题,通常以生物学为重点。最早出现在《联合材料与分析》上的关于饮酒模式的 "科学调查 "报告是基于 1946 年的一项调查数据,而最早关于饮酒模式趋势的报告是将 1946 年的数据与 1963 年的数据进行比较。从那时起,对美国普通人群的饮酒模式进行了多次评估:在过去的 75 年中,饮酒模式的测量和总结方式发生了重大变化。也许最大的变化就是概率抽样的引入。随着技术的发展(如电脑、手机和宽带连接的使用),人们与周围环境的互动方式也在不断发生变化。
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引用次数: 0
A review of alcohol and other drug control policy research. 酒精和其他药物管制政策研究综述。
Q1 Medicine Pub Date : 2014-01-01
Andrew J Treno, Miesha Marzell, Paul J Gruenewald, Harold Holder

Objective: This article provides a historical review of alcohol and other drug policy research and its impact on public health over the past 75 years. We begin our summary with the state of the field circa 1940 and trace the development across the subsequent decades. We summarize current thinking and suggest possible future directions the field of alcohol and other drug policy may take. Specific topics discussed include the minimum legal drinking age, pricing and taxation, hours and days of sale, outlet density, and privatization effects. The future of drug policy research is also considered.

Method: A comprehensive search of the literature identified empirical studies, reviews, and commentaries of alcohol and other drug policy research published from 1940 to 2013 that contributed to the current state of the field.

Results: Our review demonstrates the historical emergence of alcohol problems as a public health issue over the early part of the 20th century, the public health policy response to this issue, subsequent research, and current and future research trends.

Conclusions: Alcohol and other drug policy research over the last several decades has made great strides in its empirical and theoretical sophistication of evaluating alcohol policy effects. This history is not only remarkable for its analytic complexity, but also for its conceptual sophistication.

目的:本文对过去75年来酒精和其他药物政策研究及其对公共卫生的影响进行了历史回顾。我们从1940年前后该领域的状况开始总结,并追溯随后几十年的发展。我们总结了目前的想法,并提出了酒精和其他药物政策领域可能采取的未来方向。具体讨论的主题包括最低法定饮酒年龄、定价和税收、销售时间和天数、门店密度和私有化影响。本文还对药物政策研究的未来进行了展望。方法:对文献进行全面检索,确定了1940年至2013年期间发表的对酒精和其他药物政策研究的实证研究、评论和评论,这些研究对该领域的现状做出了贡献。结果:我们的综述展示了20世纪早期酒精问题作为一个公共卫生问题的历史出现,对这一问题的公共卫生政策反应,随后的研究,以及当前和未来的研究趋势。结论:过去几十年来,酒精和其他药物政策研究在评估酒精政策影响的经验和理论复杂性方面取得了巨大进展。这段历史不仅因其分析的复杂性而引人注目,而且因其概念的复杂性而引人注目。
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引用次数: 0
The Journal of Studies on Alcohol and Drugs and the Rutgers Center of Alcohol Studies: a history of the evolution of alcohol research. 《酒精与药物研究杂志》和罗格斯酒精研究中心:酒精研究的进化史。
Q1 Medicine Pub Date : 2014-01-01
Paul M Candon, Judit H Ward, Robert J Pandina

This article reviews the history of the Journal of Studies on Alcohol and Drugs as well as the Rutgers Center of Alcohol Studies. Each has its roots in the Yale Laboratory of Applied Physiology and the era shortly after the repeal of National Prohibition in the United States. The journal was founded as the Quarterly Journal of Studies on Alcohol in 1940 by Howard W. Haggard, M.D., director of the Yale Laboratory of Physiology. Alcohol, although not originally the sole focus of the laboratory, eventually became the main and then only focus. A Section of Alcohol Studies and later Center of Alcohol Studies formally became components of the laboratory. The faculty grew to include notable figures such as Elvin Morton Jellinek and Mark Keller, among other influential people who helped establish a modern, multidisciplinary, scientific approach to alcohol problems in the United States. The first alcohol education program, originally called the Summer Session of the School of Alcohol Studies, was also founded there in 1943. The center later moved to Rutgers University in New Jersey, becoming the Rutgers Center of Alcohol Studies in 1962. With it came the summer school and the Quarterly Journal of Studies on Alcohol, which in 1975 became the Journal of Studies on Alcohol. The journal again changed names in 2007, becoming the Journal of Studies on Alcohol and Drugs, reflecting an increasing focus among substance use researchers on drugs other than alcohol. This article discusses the influence of the journal and the center in the larger historical context of alcohol studies throughout the 20th century to the modern day.

本文回顾了《酒精与药物研究杂志》以及罗格斯大学酒精研究中心的历史。它们都起源于耶鲁大学应用生理学实验室,以及美国国家禁酒令废除后不久的那个时代。《酒精研究季刊》于1940年由耶鲁大学生理学实验室主任霍华德·w·哈格德博士创刊。酒精,虽然最初不是实验室的唯一焦点,但最终成为主要的,然后是唯一的焦点。酒精研究部门和后来的酒精研究中心正式成为实验室的组成部分。该学院的教师队伍逐渐壮大,包括埃尔文·莫顿·耶利内克(Elvin Morton Jellinek)和马克·凯勒(Mark Keller)等著名人物,以及其他有影响力的人,他们帮助在美国建立了一个现代的、多学科的、科学的方法来解决酒精问题。1943年,第一个酒精教育项目也在那里成立,最初被称为酒精研究学院的夏季会议。该中心后来搬到新泽西州的罗格斯大学,于1962年成为罗格斯酒精研究中心。随之而来的是暑期学校和《酒精研究季刊》(1975年更名为《酒精研究季刊》)。2007年,该杂志再次更名为《酒精与药物研究杂志》,反映出药物使用研究人员越来越关注酒精以外的药物。本文讨论了该杂志和该中心在整个20世纪到现代酒精研究的更大历史背景下的影响。
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引用次数: 0
Universal prevention for alcohol use disorders: 1940-2014. 酒精使用障碍的普遍预防:1940-2014.
Q1 Medicine Pub Date : 2014-01-01 DOI: 10.15288/jsads.2014.s17.89
Brian Borsari

Objective: Universal prevention programs are intended to prevent or delay the onset of alcohol use disorders in the general population. This article reviews research on universal prevention programs for alcohol use published over the last 75 years.

Method: A literature search of studies published since the inception of the Journal of Studies on Alcohol and Drugs in 1940 revealed 66 manuscripts that addressed or reported the findings of universal prevention programs in that journal. Additional studies published elsewhere were also reviewed.

Results: Research on universal prevention programs can be divided into three eras: Identifying the need for prevention (1940-1970) and the first (1971-1990) and second (1991-2010) eras of universal prevention research.

Conclusions: In the past 75 years, the field of universal prevention for alcohol use disorders has evolved from nonexistent to mature, replicating and enhancing effective strategies and identifying and learning from ineffective ones. The future provides unique opportunities to develop sophisticated strategies to enhance the efficacy of universal prevention programs.

目标:普遍预防计划旨在预防或推迟普通人群中酒精使用障碍的发生。本文回顾了过去 75 年间发表的有关酒精使用普遍预防计划的研究:对《酒精与毒品研究期刊》(Journal of Studies on Alcohol and Drugs)自1940年创刊以来发表的研究进行文献检索,发现有66篇手稿在该期刊上论述或报告了普遍预防计划的研究结果。此外,还对其他地方发表的研究进行了审查:有关全民预防计划的研究可分为三个时代:结果:有关全民预防计划的研究可分为三个时代:确定预防需求(1940-1970 年)、全民预防研究的第一个时代(1971-1990 年)和第二个时代(1991-2010 年):在过去的 75 年中,酒精使用障碍的普遍预防领域已从无到有,从无到有,并不断复制和加强有效的策略,找出无效的策略并从中吸取经验教训。未来将提供独特的机会,发展先进的策略以提高普遍预防计划的效果。
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引用次数: 0
Culture and alcohol use: historical and sociocultural themes from 75 years of alcohol research. 文化和酒精使用:75年来酒精研究的历史和社会文化主题。
Q1 Medicine Pub Date : 2014-01-01 DOI: 10.15288/JSADS.2014.75.36
F. Castro, M. Barrera, Laura A. Mena, K. Aguirre
OBJECTIVE For the period of almost 75 years, we examined the literature for studies regarding the influences of culture on alcohol use and misuse. METHOD This review is a chronology of research articles published from 1940 to 2013. From a structured literature search with select criteria, 38 articles were identified and 34 reviewed. RESULTS This analysis revealed a progression across this period of research from studies that began as descriptive ethnographic evaluations of one or more indigenous societies or cultural groups, evolving to studies using complex multivariate models to test cross-cultural effects in two or more cultural groups. Major findings across this period include the assertions that (a) a function of alcohol use may be to reduce anxiety, (b) certain cultural groups possess features of alcohol use that are not associated with negative consequences, (c) the disruptive effects of acculturative change and the stressors of new demands are associated with an increase in alcohol consumption, (d) cultural groups shape expectations about the effects of alcohol use and their definition of drunkenness, and (e) the hypothesized relationships of culture with alcohol use and misuse have been demonstrated in multivariate model analyses. CONCLUSIONS Across this 75-year period, the early proposition that culture is an important and prominent correlate of alcohol use and misuse has persisted. Within the current era of alcohol studies, this proposition has been supported by multivariate model analyses. Thus, the proposition that culture might affect alcohol use remains prominent and is as relevant today as it was when it was first proposed nearly 75 years ago.
目的:在近75年的时间里,我们研究了文化对酒精使用和滥用的影响。方法对1940年至2013年发表的研究论文进行年表整理。通过选择标准的结构化文献检索,确定了38篇文章,回顾了34篇。结果该分析揭示了这一时期研究的进展,从一开始作为一个或多个土著社会或文化群体的描述性民族志评估,发展到使用复杂的多元模型来测试两个或多个文化群体的跨文化影响。这一时期的主要发现包括以下断言:(a)饮酒的一个功能可能是减少焦虑;(b)某些文化群体具有与负面后果无关的饮酒特征;(c)异文化变化的破坏性影响和新需求的压力源与酒精消费的增加有关;(d)文化群体塑造了对饮酒影响的期望及其对醉酒的定义。(e)多元模型分析证明了文化与酒精使用和滥用之间的假设关系。在这75年的时间里,早期的观点认为文化是酒精使用和滥用的重要和突出的相关因素,这种观点一直存在。在当前的酒精研究中,这一命题得到了多变量模型分析的支持。因此,文化可能影响饮酒这一命题在今天仍然很突出,与近75年前首次提出时一样具有现实意义。
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引用次数: 25
Psychosocial approaches to alcohol use disorders since 1940: a review. 自 1940 年以来针对酒精使用障碍的社会心理方法:综述。
Q1 Medicine Pub Date : 2014-01-01 DOI: 10.15288/jsads.2014.s17.68
Barbara S McCrady, Mandy D Owens, Adrienne Z Borders, Julie M Brovko

Objective: A review of psychosocial approaches to alcohol use disorders (AUDs) was performed to identify and contextualize trends in major treatment approaches and special populations and provide possible future directions for alcohol research.

Method: The PsycINFO database was searched for peer-reviewed articles relevant to psychosocial approaches to AUDs for each decade since the 1940s, resulting in approximately 4,246 articles for review. Topics were included if they made up at least 4% of the relevant articles for any one decade. Nine treatment and seven special population topics were identified for the current review.

Results: Psychoanalytic/psychodynamic and aversion therapies were major topics in the 1940s and 1950s, but few articles have been published recently. Other topics have shown consistent representation in the literature, including criminal justice and military populations, self-help groups, group therapies, couples and family therapies, behavioral treatments and cognitive-behavioral therapy, and complementary/ alternative treatments. The majority of the specific population topics and two newer treatment approaches have appeared more recently in significant proportions, including adolescents, college students, women, ethnic minorities, and dually diagnosed populations; newer treatments include brief interventions and motivational interviewing approaches.

Conclusions: The number of articles on psychosocial approaches to AUDs has been increasing since the 1940s. There have been recent surges in alcohol research on specific populations, an increase in the integration of alcohol treatment with primary care, and a continued emphasis on empirically supported and cost-effective treatments for AUDs; these trends likely will continue into the future.

目的:对酒精使用障碍(AUDs)的社会心理治疗方法进行回顾:对酒精使用障碍(AUDs)的社会心理治疗方法进行回顾,以确定主要治疗方法和特殊人群的发展趋势,并为酒精研究提供可能的未来方向:方法:我们在 PsycINFO 数据库中搜索了自 20 世纪 40 年代以来每个年代与社会心理方法治疗 AUDs 相关的同行评审文章,共搜索到约 4,246 篇文章。在任何一个十年中,如果相关主题在相关文章中所占比例至少达到 4%,就会被纳入其中。本次综述确定了九个治疗主题和七个特殊人群主题:结果:精神分析/心理动力学疗法和厌恶疗法是二十世纪四五十年代的主要课题,但最近发表的文章很少。其他主题在文献中也有持续的代表性,包括刑事司法和军事人群、自助团体、团体疗法、夫妻和家庭疗法、行为疗法和认知行为疗法,以及补充/替代疗法。大多数特定人群主题和两种较新的治疗方法最近出现了相当大的比例,包括青少年、大学生、妇女、少数民族和双重诊断人群;较新的治疗方法包括简短干预和动机访谈法:自 20 世纪 40 年代以来,有关社会心理疗法治疗 AUD 的文章数量一直在增加。最近,针对特定人群的酒精研究激增,酒精治疗与初级保健的结合也在增加,对 AUDs 经验支持和具有成本效益的治疗方法的重视也在继续;这些趋势很可能会在未来继续下去。
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引用次数: 0
Seventy-five years of comorbidity research. 75年的共病研究。
Q1 Medicine Pub Date : 2014-01-01
Matt G Kushner

Objective: As part of the 75th anniversary edition of the Journal of Studies on Alcohol and Drugs, this article reviews research on the relationship between mental disorders and substance use disorders ("comorbidity") from 1940--the journal's inception--to the present.

Method: First, a survey of the titles and abstracts of all articles published in the journal was used to identify those articles pertaining to comorbidity. Seminal and representative works from this set of articles and a limited selection of articles from other journals were included in the review.

Results: The early psychosocial research emphasized psychoanalytic formulations of alcohol use as a defensive symptom, which informed the early experimental research on the tension-reducing properties of alcohol. The "cognitive revolution," occurring in the 1970s, enabled an expansion of the tension-reduction theory to include a central role for mental processes (e.g., alcohol expectancies) in promoting drinking to cope with negative affectivity. The early clinical research characterized mental conditions commonly co-occurring with alcohol disorders and considered their etiological relationship to alcohol disorders. The "neo-Kraepelinian revolution" in psychiatry, which also occurred in the 1970s, infused the clinical comorbidity research with a more rigorous diagnostic technology and a range of biomedical research methodologies to study the mechanistic linkages of co-occurring disorders.

Conclusions: Although a substantial quantity of scientific information on comorbidity has accumulated over the past 75 years, a standard model(s) of comorbidity has yet to congeal. Barriers and opportunities related to achieving this important goal are discussed.

目的:作为《酒精与药物研究杂志》75周年纪念版的一部分,本文回顾了从1940年(该杂志创刊)到现在关于精神障碍和物质使用障碍(“共病”)之间关系的研究。方法:首先,调查在期刊上发表的所有文章的标题和摘要,以确定那些有关合并症的文章。这组文章中具有开创性和代表性的作品以及从其他期刊中有限选择的文章被纳入综述。结果:早期的社会心理研究强调酒精使用作为一种防御症状的精神分析公式,这为早期关于酒精减少紧张特性的实验研究提供了信息。发生在20世纪70年代的“认知革命”使紧张缓解理论得以扩展,包括心理过程(例如,酒精预期)在促进饮酒以应对负面情绪方面的核心作用。早期的临床研究表明精神疾病通常与酒精障碍同时发生,并考虑了它们与酒精障碍的病因关系。同样发生在20世纪70年代的精神病学“新克雷佩林革命”,为临床共病研究注入了更严格的诊断技术和一系列生物医学研究方法,以研究共同发生的疾病的机制联系。结论:尽管在过去的75年里积累了大量关于共病的科学信息,但共病的标准模型尚未形成。讨论了与实现这一重要目标有关的障碍和机会。
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引用次数: 0
Introduction to alcohol studies: 75 years in review (Journal of Studies on Alcohol and Drugs, Supplement No. 17). 酒精研究导论:回顾75年(《酒精和药物研究杂志》,增刊第17号)。
Q1 Medicine Pub Date : 2014-01-01
Robert J Pandina
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引用次数: 0
期刊
Journal of Studies on Alcohol and Drugs. Supplement
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