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Stakeholder definitions of responsible drinking: a call to define an ambiguous construct 负责任饮酒的涉众定义:调用定义一个模糊的构造
IF 2.9 3区 医学 Q2 SOCIAL ISSUES Pub Date : 2022-07-12 DOI: 10.1080/16066359.2022.2081839
H. Shaffer, H. Gray, John M. Slabczynski, Taylor G. Lee, Debi A. LaPlante
Abstract To mitigate alcohol-related harm, various stakeholders have advanced the construct of ‘responsible drinking.’ However, clarity regarding ‘responsible drinking’ in evaluation research is limited. Additionally, the alcohol industry often uses the term without any mention of clear limits or meaning. At this point it is unclear whether stakeholders are adopting a shared understanding of the ‘responsible drinking’ concept; such a shared understanding is essential for the development, implementation, and evaluation of consumer protection strategies that rest on individual responsibility. Therefore, we sought to describe 6 stakeholders’ use of the construct. Stakeholder sectors included (1) academics, (2) government organizations, (3) alcohol industry, (4) alcohol treatment centers, (5) U.S. higher education institutions, and (6) addiction professionals’ organizations. We searched a total of 133 sources representing these stakeholder sectors. Despite frequent use of the term ‘responsible drinking’ or a close derivative, only 17 sources provided an explicit definition. Coding revealed that the ‘responsible drinking’ message is still ambiguous, which means that consumers are not being provided clear harm avoidance guidance. Future research should create a shared conceptualization of responsible drinking to include all dimensions relevant to the construct. Furthermore, alternative phrases such as ‘safe drinking’ or ‘moderate drinking’ may be used to emphasize different dimensions of responsible drinking and may warrant further study. Like responsible drinking, other terms will require careful development, as well, but might benefit in terms of acceptability and reception from the absence of a positive connotation.
摘要:为了减轻酒精相关危害,各利益相关方都提出了“负责任饮酒”的概念。然而,在评估研究中,关于“负责任饮酒”的清晰度有限。此外,酒精行业经常在使用这个术语时没有提及任何明确的限制或含义。目前还不清楚利益相关者是否对“负责任饮酒”的概念有共同的理解;这种共同的理解对于建立在个人责任基础上的消费者保护战略的制定、实施和评估至关重要。因此,我们试图描述涉众对该结构的使用。利益相关者部门包括(1)学术界,(2)政府机构,(3)酒精行业,(4)酒精治疗中心,(5)美国高等教育机构,(6)成瘾专业人员组织。我们总共搜索了133个代表这些利益相关者部门的信息来源。尽管经常使用“负责任饮酒”或与其相近的衍生词,但只有17个来源提供了明确的定义。编码显示,“负责任饮酒”的信息仍然含糊不清,这意味着消费者没有得到明确的避免伤害的指导。未来的研究应该建立一个共同的负责任饮酒的概念,包括与该结构相关的所有维度。此外,“安全饮酒”或“适度饮酒”等替代短语可用于强调负责任饮酒的不同层面,可能值得进一步研究。就像负责任的饮酒一样,其他术语也需要仔细发展,但在缺乏积极内涵的情况下,可能会在可接受性和接受性方面受益。
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引用次数: 2
Capturing recovery capital: using photovoice to unravel recovery and desistance 捕获恢复资本:利用光声解开恢复和阻力
IF 2.9 3区 医学 Q2 SOCIAL ISSUES Pub Date : 2022-07-04 DOI: 10.1080/16066359.2021.2003787
Sophia De Seranno, C. Colman
Abstract Purpose Photovoice, a community-based participatory research strategy, allows participants to take up an active role in data collection by discussing their views and life (conditions) based on the photographs they have taken. In this methodological article, we present a case study in which photovoice was used to unravel the meaning of recovery capital. Recovery capital is an overarching concept to understand the personal, social and community resources helping people to recover. Method Seven participants in recovery from drug use and desistance from offending took photographs of their lived experiences related to recovery capital. During face-to-face interviews, these photographs were discussed, focusing on recovery capital components. Results The case study led to in-depth insights into the photographs’ meanings and stories from the point of view of the participants. Conclusion This contribution investigates the role of photovoice in expanding our understanding of recovery capital. By means of a case study we highlight the several steps taken by the researcher and the advantages and shortcomings of this method. It appears that photovoice offers great value for eliciting insights in the lived experiences of participants and for participants to grow empowerment and agency. This article hopes to inspire researchers to consider photovoice for their (future) research projects.
Photovoice是一种基于社区的参与性研究策略,允许参与者根据他们拍摄的照片讨论他们的观点和生活(状况),从而在数据收集中发挥积极作用。在这篇方法学文章中,我们提出了一个案例研究,其中photovoice被用来解开恢复资本的含义。恢复资本是一个总体概念,用来理解帮助人们恢复的个人、社会和社区资源。方法7名戒毒戒除者拍摄与戒毒资本相关的生活经历。在面对面访谈中,对这些照片进行了讨论,重点是恢复资本组成部分。结果通过案例研究,从参与者的角度对照片的意义和故事有了深入的了解。结论本文探讨了光声在扩大我们对恢复资本的理解中的作用。通过一个案例研究,我们强调了研究者采取的几个步骤以及该方法的优点和缺点。由此可见,photovoice在激发参与者的生活经验和增强参与者的能力和能动性方面提供了巨大的价值。这篇文章希望能启发研究者在他们(未来)的研究项目中考虑光声。
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引用次数: 1
Increasing support for alternatives to incarceration for drug use: is the brain disease model of addiction effective? 增加对替代药物使用监禁的支持:成瘾的脑部疾病模型有效吗?
IF 2.9 3区 医学 Q2 SOCIAL ISSUES Pub Date : 2022-07-04 DOI: 10.1080/16066359.2022.2090543
Mia M. Ricardo, C. Henderson, Krystia Reed, Temilola K. Salami, Laura E. Drislane
Abstract The National Institute of Drug Addiction has promoted the Brain Disease Model of Addiction (BDMA) for several decades, believing it will have a positive impact on drug-related social policies. Per research, neither understanding nor accepting the BDMA positively influences social behavior and decision making related to decreased stigma or increased support for treatment and funding for substance use disorders. An alternative model, the Malleability Model, focuses on the changeability of psychopathology associated with psychiatric disorders, and is associated with decreased hopelessness and increased prognostic optimism. The Moral Weakness Model focuses on moral character as the reason for addiction and is associated with punitive responses to use disorders. The current study sought to identify whether Malleability values were more predictive of willingness to vote for harm reduction (HR) policies than BDMA and Moral values (H1); and if agreement with Malleability values were more predictive of willingness to fund such policies than agreement with BDMA and Moral values (H2). Contrary to hypotheses, results indicated the Malleability Model failed to predict votes and donations, while agreement with the Moral Weakness Model and conservative political affiliation was predictive of lower HR donations. Agreement with the BDMA did not reliably predict votes and donations to policies; the associations reflected were tenuous and should be interpreted with caution. Overall, results indicated the Malleability Model did not increase votes and donations to HR policies, while agreement with Moral Weakness Model and conservative affiliation consistently predicted votes and donations.
美国国家药物成瘾研究所几十年来一直在推广成瘾脑疾病模型(BDMA),认为它将对与毒品有关的社会政策产生积极影响。根据研究,理解或接受BDMA都不会对社会行为和决策产生积极影响,这些行为和决策与减少耻辱感或增加对药物使用障碍治疗和资助的支持有关。另一种模型,可塑性模型,关注与精神疾病相关的精神病理的可变性,并与减少绝望和增加预后乐观有关。道德弱点模型侧重于道德品质作为成瘾的原因,并与使用障碍的惩罚性反应有关。本研究试图确定延展性价值观是否比BDMA和道德价值观(H1)更能预测投票赞成减少伤害(HR)政策的意愿;是否认同可塑性价值观比认同BDMA和道德价值观更能预测为此类政策提供资金的意愿(H2)。与假设相反,结果表明可塑性模型不能预测投票和捐款,而与道德弱点模型和保守政治派别的一致性可以预测较低的人力资源捐款。与BDMA的协议不能可靠地预测投票和对政策的捐赠;所反映的联系是脆弱的,应谨慎解释。总体而言,结果表明,可塑性模型并没有增加对人力资源政策的投票和捐赠,而认同道德弱点模型和保守关系一致地预测了投票和捐赠。
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引用次数: 0
God forbid! Rethinking substance use, religion, and spirituality 但愿不发生这样的事!重新思考物质使用、宗教和灵性
IF 2.9 3区 医学 Q2 SOCIAL ISSUES Pub Date : 2022-06-07 DOI: 10.1080/16066359.2022.2081840
Gareth Davey, A. Waldstein, Xiang Zhao
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引用次数: 1
Why do they gamble and what does it mean? Latent class analysis of gambling motives among young male gamblers 他们为什么赌博?赌博意味着什么?年轻男性赌徒赌博动机的潜在阶层分析
IF 2.9 3区 医学 Q2 SOCIAL ISSUES Pub Date : 2022-05-27 DOI: 10.1080/16066359.2022.2074407
Paweł Ślęczka, B. Braun-Michl, L. Schwarzkopf, M. Spörrle, L. Kraus
Abstract Background Motives to gamble are important in the functional analysis of problematic gambling. This study examines the possibility of classifying young male gamblers based on their motives to gamble and compares the identified groups to validate the obtained classification. Method Based on a screening survey among 2,681 young men from Bavaria, n=170 frequent or problem gamblers (Mage = 22.3 years, SD = 2.5) were recruited to participate in a survey with a 2-year follow-up. Latent class analyses (LCA) were conducted based on baseline answers to 10 items measuring five domains of gambling motives: enhancement, coping, self-gratification, and social and financial motives. The identified classes were compared regarding baseline gambling attitudes and impulsiveness as well as gambling behavior and gambling disorder (GD) criteria at baseline and follow-up. Results Analyses revealed a four-class solution based on reported motives: ‘primarily fun-motivated gamblers’ (n=100, 58.8%), who gambled mostly for fun; ‘asset and self-gratification seekers’ (n=19, 11.2%) with a high risk of GD at baseline; ‘thrill seekers’ (n=42, 24.7%) with high impulsiveness; and ‘polymotivated coping gamblers’ (n=9, 5.3%) with a higher risk of GD than the ‘primarily fun-motivated gamblers’ in cross-sectional and longitudinal analyses. Conclusions The identified group differences support the validity of the classification. ‘Thrill seekers’ and ‘polymotivated coping gamblers’ correspond to the impulsive and emotionally vulnerable pathways described by Blaszczynski and Nower (2002) respectively. The two other groups appear to be subtypes of the behaviorally conditioned type. Motivation-based classification offers a promising approach to identifying individuals with an elevated risk of GD.
摘要背景赌博动机是问题赌博功能分析的重要内容。本研究探讨了基于赌博动机对年轻男性赌徒进行分类的可能性,并比较了已识别的群体以验证所获得的分类。方法通过对来自巴伐利亚州的2681名年轻男性进行筛选调查,n=170名赌徒(年龄22.3岁,SD = 2.5)参与了为期2年的随访调查。潜在类别分析(LCA)是根据10个项目的基线答案进行的,测量赌博动机的五个领域:增强、应对、自我满足、社会和经济动机。在基线和随访时,对确定的类别进行了基线赌博态度和冲动以及赌博行为和赌博障碍(GD)标准的比较。结果分析揭示了基于报告动机的四类解决方案:“主要是出于娱乐动机的赌徒”(n=100, 58.8%),他们赌博主要是为了娱乐;“资产和自我满足寻求者”(n=19, 11.2%)在基线时GD风险较高;“寻求刺激者”(n=42, 24.7%)冲动程度高;在横断面和纵向分析中,“多动机应对赌徒”(n=9, 5.3%)比“主要出于娱乐动机的赌徒”有更高的GD风险。结论鉴别出的群体差异支持分类的有效性。“寻求刺激者”和“多动机应对赌徒”分别对应于Blaszczynski和Nower(2002)所描述的冲动和情感脆弱途径。另外两组似乎是行为条件型的亚型。基于动机的分类提供了一种有希望的方法来识别GD风险升高的个体。
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引用次数: 1
Persistent sleep problems among people in recovery from substance use disorders: a mixed methods study 从物质使用障碍中恢复的人的持续睡眠问题:一项混合方法研究
IF 2.9 3区 医学 Q2 SOCIAL ISSUES Pub Date : 2022-05-18 DOI: 10.1080/16066359.2022.2074406
Aleksander H. Erga, Sverre Nesvåg, Ingrid Elin Dahlberg, J. McKay
Abstract Background The aims of this study are to examine the one-year trajectory of sleep problems, identify clinical correlates, and describe subjective experiences related to persistent sleep problems during recovery from substance use disorders (SUD). Methods This study builds on a sequential mixed method design. The quantitative component features data from a prospective longitudinal study of 127 poly-SUD patients in the Stavanger area in Norway, while the qualitative component describes a thematic analysis of interviews with 16 persons from this study still experiencing sleep problems after at least one year of abstinence. Results The prevalence of sleep problems at baseline for the whole cohort was 79%. Among the 59 patients who were abstinent after one year, N = 20 (33.9%) had moderate and N = 11 (18.6%) had severe sleep problems. Persistent sleep problems were associated with psychological distress and were experienced as a major challenge in the struggle to stay drug free. Establishing daily routines related to work, school, and care for children were coping strategies for participants with persistent sleep problems. Conclusions Persistent sleep problems are often overlooked in a clinical setting. Based on our findings, these issues pose a major challenge in the struggle to stay drug free. For patients with psychological distress, and lack of responsibilities that established daily routines, sleep difficulties may result in increased risk of drug use episodes that result in relapse. These results argue that screening and evidence-based methods for insomnia and sleep health-programs should be commonplace adjunct intervention for patients with SUDs.
本研究的目的是研究睡眠问题的一年轨迹,确定临床相关性,并描述与物质使用障碍(SUD)康复期间持续睡眠问题相关的主观体验。方法本研究采用顺序混合方法设计。定量部分的数据来自对挪威斯塔万格地区127名多重sud患者的前瞻性纵向研究,而定性部分描述了对本研究中16名在至少一年的戒断后仍有睡眠问题的人的访谈的专题分析。结果整个队列的基线睡眠问题患病率为79%。在59例1年后戒酒的患者中,N = 20(33.9%)有中度睡眠问题,N = 11(18.6%)有严重睡眠问题。持续的睡眠问题与心理困扰有关,并被认为是戒毒斗争的主要挑战。建立与工作、学校和照顾孩子相关的日常生活是持续睡眠问题参与者的应对策略。结论:在临床环境中,持续性睡眠问题经常被忽视。根据我们的研究结果,这些问题对保持远离毒品的斗争构成了重大挑战。对于有心理困扰的患者,缺乏建立日常生活的责任,睡眠困难可能会导致药物使用发作的风险增加,从而导致复发。这些结果表明,对失眠和睡眠健康的筛查和循证方法应该成为sud患者普遍的辅助干预措施。
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引用次数: 1
Sober sitter or coconsumer? Psychedelics, online forums and preferences for interpersonal interactions 清醒的保姆还是消费者?迷幻药,在线论坛和人际交往偏好
IF 2.9 3区 医学 Q2 SOCIAL ISSUES Pub Date : 2022-05-06 DOI: 10.1080/16066359.2022.2065268
S. Thal, Liam B. Engel, S. Bright
Abstract Contemporary clinical research into the psychotherapeutic administration of psychedelics has primarily emphasized the importance of therapeutic interpersonal interactions to assist clients prepare for and integrate the acute effects of psychedelics. Alternative therapeutic frameworks have encouraged active talk therapy between therapists and clients during the administration phase. We used data gathered from forums to investigate consumer preferences concerning interpersonal interactions during their psychedelic-occasioned experience. Google was used to locate relevant posts on the psychedelic forums The Shroomery and The DMT Nexus. We analyzed these posts using thematic analysis, in which two researchers independently categorized posts in accordance with emergent themes. These themes were then refined through iterative reflexivity. We then identified four themes pertaining to psychedelic consumer interpersonal interaction preferences: nonintrusive; boundary setting; help; and sober sitter or coconsumer. Further analysis revealed parallels between consumer preferences and clinical guidelines for psychedelic-assisted psychotherapy, including the emphasis of carer acceptance; minimal involvement; nondirection; hazard management and emotional stability. However, there was also disparity between consumer preferences and guidelines, specifically concerning desires for consumer agency; for psychedelic consumption alongside other consumers, and for carers who had consumed psychedelics themselves. These findings have clinical implications and thus may aid the development of future guidelines.
当代迷幻药心理治疗管理的临床研究主要强调治疗性人际互动的重要性,以帮助来访者准备和整合迷幻药的急性效应。替代治疗框架鼓励治疗师和客户在管理阶段进行积极的谈话治疗。我们使用从论坛收集的数据来调查消费者在迷幻体验中对人际互动的偏好。谷歌被用来定位迷幻论坛the Shroomery和the DMT Nexus上的相关帖子。我们使用主题分析法对这些帖子进行分析,其中两位研究人员根据新兴主题独立地对帖子进行分类。然后,这些主题通过反复反思得到完善。然后,我们确定了与迷幻药消费者人际互动偏好有关的四个主题:非侵入性;边界设置;帮助;和清醒的坐者或消费者。进一步的分析揭示了消费者偏好和迷幻辅助心理治疗的临床指南之间的相似之处,包括强调护理者的接受;最小的参与;nondirection;危险管理和情绪稳定。但是,消费者偏好和准则之间也存在差异,特别是关于消费者代理的愿望;与其他消费者一起服用致幻剂,以及自己服用致幻剂的护理人员。这些发现具有临床意义,因此可能有助于未来指南的制定。
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引用次数: 4
Beliefs in free will and determinism: associations with social cognition and gambling behavior 自由意志和决定论的信仰:与社会认知和赌博行为的关联
IF 2.9 3区 医学 Q2 SOCIAL ISSUES Pub Date : 2022-04-13 DOI: 10.1080/16066359.2022.2062330
Tom St Quinton, B. Morris, A. W. Crescioni
Abstract Beliefs about free will and determinism have been shown to associate with and influence behavior. The present study examined the relationship between these beliefs, key social cognitive constructs, and gambling behavior. A cross-sectional design was used with assessments taken of participants’ (N = 316) past gambling behavior; beliefs in free will and determinism; and attitude, perceived behavioral control, and intention toward gambling. Four weeks after survey completion, participants (N = 218) reported their gambling behavior. A MANOVA examined differences between gambling frequency and constructs. Bivariate correlations and regressions were undertaken to understand the relationships between constructs and gambling behavior. Results showed frequent gamblers had significantly greater positive attitudes and intentions toward gambling compared to infrequent gamblers. Infrequent gamblers also had significantly stronger perceived behavioral control and beliefs in free will than frequent gamblers. Free will significantly predicted attitude and perceived behavioral control, and explained additional variance in intention above attitude and perceived behavioral control. There was no effect for determinism. Finally, gambling behavior was explained by intention and perceived behavioral control, but not beliefs in free will and determinism. The study provides evidence for the association between free will beliefs, key social cognitive constructs, and gambling behavior. Future research should confirm the causal role of these relations.
关于自由意志和决定论的信念已被证明与行为有关并影响行为。本研究考察了这些信念、关键社会认知结构和赌博行为之间的关系。采用横断面设计对参与者(N = 316)过去的赌博行为进行评估;对自由意志和决定论的信仰;态度,感知行为控制,以及赌博倾向。调查结束四周后,参与者(N = 218)报告了他们的赌博行为。方差分析检验了赌博频率和结构之间的差异。采用双变量相关和回归来理解构念和赌博行为之间的关系。结果显示,与不经常赌博的人相比,经常赌博的人对赌博有更积极的态度和意图。不经常赌博的人也明显比经常赌博的人有更强的行为控制和自由意志信念。自由意志对态度和感知行为控制有显著的预测作用,并解释了意向对态度和感知行为控制的附加方差。对决定论没有影响。最后,赌博行为可以用意图和感知行为控制来解释,而不能用自由意志和决定论来解释。这项研究为自由意志信念、关键的社会认知结构和赌博行为之间的联系提供了证据。未来的研究应该证实这些关系的因果作用。
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引用次数: 2
Gambling-Related completed suicides: a scoping review 与赌博有关的自杀:范围审查
IF 2.9 3区 医学 Q2 SOCIAL ISSUES Pub Date : 2022-04-06 DOI: 10.1080/16066359.2022.2055001
M. Andreeva, Sophie Audette-Chapdelaine, Magaly Brodeur
Abstract Gambling disorder is a behavioral addiction with various consequences for those who suffer from it, such as lower quality of life, financial difficulties, psychiatric comorbidities, and increased suicide risk. The objective of this scoping review is to describe the available literature regarding gambling activities and completed suicides and underline future avenues of research on this important subject. We conducted an electronic literature search at the end of July 2021 in the following databases: Academic search complete, CINAHL +, APA Psyc Articles, APA Psyc Extra, Psychology and Behavioral Sciences Collection, Psyc Info, SOC Index, and SCOPUS. The search yielded a total of 1108 articles, of which 613 remained after the removal of duplicates. Upon title and abstract review, 51 articles remained. After full-text reading, a total of 18 articles were included in this review. To be selected, articles had to meet the following criteria: be published in a peer-reviewed journal, be available in English or French, and discuss gambling-related suicides as the main subject. The available literature shows distinct risk factors among suicide decedents with a history of problem gambling and that this population presents an elevated suicide risk. Recognizing and understanding the increased suicide risk in patients with gambling disorder will allow primary care professionals to provide better-adapted care to this population. To better comprehend this phenomenon further studies are required, with larger samples, qualitative or mixed-method designs, and a focus on diverse populations.
摘要:赌博障碍是一种行为成瘾,其后果多种多样,如生活质量下降、经济困难、精神合并症和自杀风险增加。这一范围审查的目的是描述有关赌博活动和完成自杀的现有文献,并强调未来研究这一重要课题的途径。我们于2021年7月底在以下数据库中进行了电子文献检索:Academic search complete、CINAHL +、APA Psyc Articles、APA Psyc Extra、Psychology and Behavioral Sciences Collection、Psyc Info、SOC Index和SCOPUS。搜索总共产生了1108篇文章,其中613篇在删除重复后仍然存在。经标题和摘要审查,剩下51篇。全文阅读后,本综述共纳入18篇文章。入选的文章必须符合以下标准:发表在同行评议的期刊上,有英语或法语版本,并以赌博相关自杀为主要主题。现有文献显示,有问题赌博史的自杀者中有明显的危险因素,这类人的自杀风险较高。认识和理解赌博障碍患者自杀风险的增加将使初级保健专业人员能够为这一人群提供更好的护理。为了更好地理解这一现象,需要进一步的研究,使用更大的样本,定性或混合方法设计,并关注不同的人群。
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引用次数: 8
Alcohol use disorder relapse factors: an exploratory investigation of craving, alcohol dependence severity, and meaning in life 酒精使用障碍复发因素:渴望、酒精依赖严重程度和生活意义的探索性调查
IF 2.9 3区 医学 Q2 SOCIAL ISSUES Pub Date : 2022-03-26 DOI: 10.1080/16066359.2022.2040488
W. Sliedrecht, H. Seesink, C. Vrijmoeth, Ranne de Waart, R. Wiers, B. Ostafin, H. Schaap-Jonker, H. Roozen, K. Witkiewitz, G. Dom
Abstract For decades predictors of alcohol use disorder (AUD) relapse have been studied, and around 40 different clinical and demographic relapse determinants have been identified. This paper aims to investigate the relationship of two of these AUD relapse factors, namely craving and meaning in life (MiL). We hypothesized that greater meaning in life would be associated with lower cravings and lower relapse rates. An AUD subsample of 81 patients within a clinical population that participated in ongoing exploratory research on religious/spiritual factors related to substance use disorders was followed up to 1 year. Craving (as measured with the Penn Alcohol Craving Scale) and meaning in life (as measured with the Meaning in Life Questionnaire- presence subscale) measures were assessed at baseline and relapse was assessed at 6- and 12-month follow up. Main effects and the interaction between craving and meaning in life in predicting alcohol relapse (with relapse defined as ‘any alcohol use’ and ≥ 3 consecutive days of drinking) were calculated/subject of analyses. We also investigated the relationship between relapse and alcohol dependence severity as measured with the Leeds Dependence Questionnaire. Baseline craving and dependence severity were related to relapse, but there were no associations between meaning in life and levels of craving or alcohol relapse. Our findings suggest a need for additional research on characterizing the Meaning in Life concept.
几十年来,人们一直在研究酒精使用障碍(AUD)复发的预测因素,并确定了大约40种不同的临床和人口学复发决定因素。本文旨在探讨其中两个AUD复发因素,即渴望和生活意义(MiL)之间的关系。我们假设,生活中更大的意义与更低的渴望和更低的复发率有关。在参与正在进行的与物质使用障碍相关的宗教/精神因素探索性研究的临床人群中,对81名患者进行AUD亚样本随访1年。在基线时评估渴望(用Penn酒精渴望量表测量)和生活意义(用生活意义问卷-存在子量表测量),在6个月和12个月的随访中评估复发情况。计算了预测酒精复发(复发定义为“任何酒精使用”和连续饮酒≥3天)的主要效应和渴望与生活意义之间的相互作用。我们也用利兹依赖问卷调查了复发和酒精依赖严重程度之间的关系。基线渴望和依赖严重程度与复发有关,但生活意义与渴望程度或酒精复发之间没有关联。我们的研究结果表明,有必要对“生命意义”概念进行进一步的研究。
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引用次数: 5
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