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Acute and chronic alcohol modulation of extended amygdala calcium dynamics 急性和慢性酒精对扩展杏仁核钙动力学的调节作用
IF 2.3 4区 医学 Q1 Social Sciences Pub Date : 2024-02-27 DOI: 10.1016/j.alcohol.2024.02.004
Alison V. Roland , Tzu-Hao Harry Chao , Olivia J. Hon , Samantha N. Machinski , Tori R. Sides , Sophia I. Lee , Yen-Yu Ian Shih , Thomas L. Kash

The central amygdala (CeA) and bed nucleus of the stria terminalis (BNST) are reciprocally connected nodes of the extended amygdala thought to play an important role in alcohol consumption. Studies of immediate-early genes indicate that BNST and CeA are acutely activated following alcohol drinking and may signal alcohol reward in nondependent drinkers, while stress signaling in the extended amygdala following chronic alcohol exposure drives increased drinking via negative reinforcement. However, the temporal dynamics of neuronal activation in these regions during drinking behavior are poorly understood. In this study, we used fiber photometry and the genetically encoded calcium sensor GCaMP6s to assess acute changes in neuronal activity during alcohol consumption in BNST and CeA before and after a chronic drinking paradigm. Activity was examined in the pan-neuronal population and separately in dynorphinergic neurons. BNST and CeA showed increased pan-neuronal activity during acute consumption of alcohol and other fluid tastants of positive and negative valence, as well as highly palatable chow. Responses were greatest during initial consummatory bouts and decreased in amplitude with repeated consumption of the same tastant, suggesting modulation by stimulus novelty. Dynorphin neurons showed similar consumption-associated calcium increases in both regions. Following three weeks of continuous alcohol access (CA), calcium increases in dynorphin neurons during drinking were maintained, but pan-neuronal activity and BNST-CeA coherence were altered in a sex-specific manner. These results indicate that BNST and CeA, and dynorphin neurons specifically, are engaged during drinking behavior, and activity dynamics are influenced by stimulus novelty and chronic alcohol.

杏仁核中央区(CeA)和纹状体末端床核(BNST)是扩展杏仁核中相互连接的节点,被认为在酒精消费中起着重要作用。对即时早期基因的研究表明,BNST 和 CeA 在饮酒后会被急性激活,并可能对非依赖性饮酒者发出酒精奖赏信号,而扩展杏仁核在长期接触酒精后发出的应激信号则会通过负强化促使饮酒量增加。然而,人们对这些区域在饮酒行为中神经元激活的时间动态却知之甚少。在这项研究中,我们使用纤维光度计和基因编码的钙传感器 GCaMP6s 评估了慢性饮酒范式前后 BNST 和 CeA 中神经元活动在饮酒过程中的急性变化。对泛神经元群和单独的达能神经元的活动进行了检测。BNST 和 CeA 在急性消耗酒精和其他正负价流体味觉刺激物以及高味觉食物时显示出泛神经元活动增加。在最初摄入时,反应最为强烈,而在重复摄入同一种味觉刺激物时,反应幅度会减弱,这表明刺激物的新颖性会对反应产生调节作用。在这两个区域,代诺啡神经元都表现出类似的消费相关钙离子增加。连续饮酒(CA)三周后,饮酒期间达诺啡肽神经元的钙质增加得以维持,但泛神经元活动和BNST-CeA一致性以性别特异性的方式发生了改变。这些结果表明,在饮酒行为中,BNST和CeA,特别是达因啡肽神经元参与了饮酒行为,并且活动动态受刺激新颖性和长期酒精的影响。
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引用次数: 0
Health disparities in time to diagnosis and survival post-diagnosis of cirrhosis in individuals with alcohol use disorder: A retrospective cohort study 酒精使用障碍患者肝硬化诊断时间和诊断后存活率的健康差异:一项回顾性队列研究。
IF 2.5 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2024-02-24 DOI: 10.1016/j.alcohol.2024.02.005

Objective

This study investigates the impact of race, gender, and ethnicity on the progression from diagnosis to cirrhosis and subsequent survival in patients with alcohol use disorder, with a specific focus on identifying potential disparities in health outcomes.

Method

Employing a STROBE-compliant, retrospective cohort design, we analyzed data from patients diagnosed with alcohol use disorder from January 2000 to December 2022, using the University of California Health Data Warehouse. We estimated survival functions using the Kaplan–Meier method and assessed demographic associations using both bivariate and multivariate Cox proportional hazards models.

Results

The analysis highlighted a significant association between Hispanic ethnicity and an accelerated timeline for both the diagnosis of alcohol-related cirrhosis following diagnosis of alcohol use disorder and mortality post-cirrhosis diagnosis. The former was evident only in bivariate analysis, but the latter association persisted in multivariate analysis. Gender did not demonstrate a significant correlation with the time to these outcomes, though multiracial identification emerged as a protective factor.

Conclusions

The study reveals critical health disparities in the progression and outcomes of cirrhosis, particularly between Hispanic and non-Hispanic patients. These findings underscore the urgent need for targeted healthcare interventions and policies that address these disparities. Future research should delve deeper into the multifaceted factors influencing these outcomes, facilitating the development of more nuanced and effective prevention and treatment strategies for alcohol use disorder and its severe complications.
目标:本研究调查了种族、性别和民族对酒精使用障碍患者从确诊到肝硬化的进展及后续生存期的影响,重点是识别健康结果中的潜在差异:我们采用符合 STROBE 标准的回顾性队列设计,利用加州大学健康数据仓库分析了 2000 年 1 月至 2022 年 12 月期间确诊为酒精使用障碍的患者数据。我们使用 Kaplan-Meier 方法估计了生存函数,并使用双变量和多变量 Cox 比例危险模型评估了人口统计学关联:结果:分析结果表明,西班牙裔与酒精相关性肝硬化确诊时间加快(酒精使用障碍确诊后)和肝硬化确诊后死亡率加快之间存在明显关联。前者仅在双变量分析中表现明显,但后者在多变量分析中持续存在。性别与这些结果的发生时间没有明显的相关性,但多种族身份认同是一个保护因素:结论:该研究揭示了肝硬化进展和结局中存在的严重健康差异,尤其是西班牙裔和非西班牙裔患者之间的差异。这些发现强调,迫切需要有针对性的医疗干预措施和政策来解决这些差异。未来的研究应深入探讨影响这些结果的多方面因素,从而促进针对酒精使用障碍及其严重并发症制定更加细致有效的预防和治疗策略。
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引用次数: 0
A rapid procedure to assess shifts in discriminative control over drinking during recovery-like behavior 在类似恢复行为中评估对饮酒的辨别控制转变的快速程序。
IF 2.5 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2024-02-21 DOI: 10.1016/j.alcohol.2024.01.007

Background

Previously, we reported that recovery-like behavior decreases stimulus control over drinking, and this likely plays a role in the clinical observation that longer recovery increases relapse resistance. Those studies were conducted using a procedure that required repeated assessment, preventing a longitudinal analysis of the changes in stimulus control over time in each individual. Here we recapitulate those results and extend them to female rats using a more efficient procedure that allows repeated assessment of changes in stimulus control over drinking during recovery.

Methods

Under a multiple concurrent schedule, rats were trained to reliably respond predominantly for ethanol (concurrent Ethanol FR5, Food FR150) in the presence of one stimulus and for food (concurrent Ethanol FR5, Food FR5) in the presence of another stimulus. Stimuli were either lights or tones, depending on the group. After that, a drinking phase in which only the stimulus occasioning ethanol responding was presented (10 or 20 sessions) followed by recovery-like sessions in which only the stimulus occasioning food responding was presented. During these sessions, rats were exposed to the ethanol stimulus under extinction during the first component on sessions 0, 1, 2, 4, 8, and 16. The number of food responses during these stimulus exposures prior to the first five ethanol responses was the primary measure.

Results

Consistent with the earlier procedure, the number of food responses during ethanol tests increased as a function of the number of recovery sessions completed, regardless of whether the stimuli were visual or auditory. However, there were no significant effects of extended alcohol exposure or sex.

Conclusions

A rapid procedure consistent with the earlier procedure and clinical evidence was developed in which stimulus control over drinking decreased following longer periods of recovery. Under conditions tested, stimulus type, length of drinking history, and sex did not affect this relationship.

背景:以前,我们曾报道过类似于恢复期的行为会降低对饮酒的刺激控制,这可能与临床观察到的恢复期越长越不易复发的现象有关。这些研究采用了一种需要重复评估的程序,因此无法对每个个体的刺激控制随时间的变化进行纵向分析。在此,我们使用一种更有效的程序对这些结果进行了回顾,并将其扩展到雌性大鼠,该程序允许在恢复期间重复评估刺激控制对饮酒的变化:方法:在多重并发计划下,训练大鼠在出现一种刺激时对乙醇(同时出现乙醇 FR5 和食物 FR150)做出可靠的主要反应,在出现另一种刺激时对食物(同时出现乙醇 FR5 和食物 FR5)做出可靠的主要反应。根据组别不同,刺激物为灯光或音调。之后是饮酒阶段,在这一阶段中只出现引起乙醇反应的刺激物(10 或 20 次),然后是类似恢复阶段,在这一阶段中只出现引起食物反应的刺激物。在这些环节中,大鼠会在第 0、1、2、4、8 和 16 个环节的第一个部分接触到处于消 灭状态的乙醇刺激。在前 5 次乙醇反应之前的这些刺激暴露中,食物反应的次数是主要的测量指标:结果:与之前的程序一致,在乙醇测试中,无论刺激是视觉的还是听觉的,食物反应的次数都会随着完成的恢复训练次数的增加而增加。然而,长时间暴露于酒精或性别并没有明显的影响:结论:研究人员开发了一种与早期程序和临床证据一致的快速程序,在这种程序中,刺激对饮酒的控制会随着恢复时间的延长而减弱。在测试条件下,刺激类型、饮酒史时间长短和性别都不会影响这种关系。
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引用次数: 0
Effects of alcohol on the composition and metabolism of the intestinal microbiota among people with HIV: A cross-sectional study 酒精对艾滋病毒感染者肠道微生物群组成和代谢的影响:一项横断面研究
IF 2.5 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2024-02-20 DOI: 10.1016/j.alcohol.2024.02.003

Objectives

Alcohol consumption is not uncommon among people with HIV (PWH) and may exacerbate HIV-induced intestinal damage, and further lead to dysbiosis and increased intestinal permeability. This study aimed to determine the changes in the fecal microbiota and its association with alcohol consumption in HIV-infected patients.

Methods

A cross-sectional survey was conducted between November 2021 and May 2022, and 93 participants were recruited. To investigate the alterations of alcohol misuse on fecal microbiology in HIV-infected individuals, we performed 16s rDNA gene sequencing on fecal samples from the low-to-moderate drinking (n = 21) and non-drinking (n = 72) groups.

Results

Comparison between groups using alpha and beta diversity showed that the diversity of stool microbiota in the low-to-moderate drinking group did not differ from that of the non-drinking group (all p > 0.05). The Linear discriminant Analysis effect size (LEfSe) algorithm was used to determine the bacterial taxa associated with alcohol consumption, and the results showed altered fecal bacterial composition in HIV-infected patients who consumed alcohol; Coprobacillus, Pseudobutyrivibrio, and Peptostreptococcaceae were enriched, and Pasteurellaceae and Xanthomonadaceae were depleted. In addition, by using the Kyoto Encyclopedia of Genes and Genomes (KEGG), functional microbiome features were also found to be altered in the low-to-moderate drinking group compared to the control group, showing a reduction in metabolic pathways (p = 0.036) and cardiovascular disease pathways (p = 0.006).

Conclusion

Low-to-moderate drinking will change the composition, metabolism, and cardiovascular disease pathways of the gut microbiota of HIV-infected patients.

目的饮酒在艾滋病病毒感染者(PWH)中并不少见,可能会加剧艾滋病病毒引起的肠道损伤,并进一步导致菌群失调和肠道通透性增加。本研究旨在确定 HIV 感染者粪便微生物群的变化及其与饮酒的关系。为了研究酒精滥用对艾滋病病毒感染者粪便微生物的改变,我们对中低度饮酒组(n = 21)和不饮酒组(n = 72)的粪便样本进行了 16s rDNA 基因测序。结果使用阿尔法和贝塔多样性进行组间比较显示,中低度饮酒组粪便微生物群的多样性与不饮酒组没有差异(所有 p > 0.05)。利用线性判别分析效应大小(LEfSe)算法确定了与饮酒相关的细菌类群,结果显示饮酒的艾滋病感染者粪便细菌组成发生了改变;富集了铜绿假单胞菌、假布氏假单胞菌和胨链球菌科细菌,减少了巴斯德菌科和黄单胞菌科细菌。此外,通过使用《京都基因与基因组百科全书》(KEGG),还发现与对照组相比,中低度饮酒组的微生物组功能特征也发生了改变,代谢途径(p = 0.036)和心血管疾病途径(p = 0.006)均有所减少。
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引用次数: 0
Theory of Planned Behavior and alcohol use in adolescents in Ecuador. Structural linear regression analysis 计划行为理论与厄瓜多尔青少年饮酒情况。结构线性回归分析。
IF 2.5 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2024-02-13 DOI: 10.1016/j.alcohol.2024.02.002

The general aim is to identify the explanatory potential of alcohol use intentions in drinking behaviors in a sample of adolescents in Ecuador. The method consists of a descriptive, explanatory, and cross-sectional study using SEM techniques. The participants were 384 adolescents (57% male and 43% female), aged 14–18 years (M = 16.51; SD = 2.64), who are students attending between the 1st and 3rd year of high school in a public educational institution in Ambato, Ecuador. Like principal results, the presence of alcohol use intention is moderate; the practice of alcohol use is low and mostly does not represent a risk, although 3.9% of the participants could report significant problems with consumption. Intentionality and drinking covary positively with low and moderate intensity. Drinking Intentionality explained 15.3% of the variance of drinking. We conclude that the Alcohol Use Intentions are a predictor of adolescent drinking behaviors.

研究的总体目标是确定厄瓜多尔青少年饮酒行为中酒精使用意向的解释潜力。研究方法包括使用 SEM 技术进行描述性、解释性和横截面研究。参与者为 384 名青少年(57% 为男性,43% 为女性),年龄在 14 至 18 岁之间(M= 16.51;SD= 2.64),他们是厄瓜多尔安巴托市一所公立教育机构高中一至三年级的学生。与主要结果一样,酒精使用意向的存在程度适中;酒精使用的实践程度较低,大多不构成风险,但有 3.9%的参与者可能报告了饮酒方面的重大问题。饮酒意向性和饮酒量呈正相关,强度为低度和中度。饮酒意向性解释了 15.3%的饮酒变异。我们的结论是,饮酒意向可以预测青少年的饮酒行为。
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引用次数: 0
Succession 继承
IF 2.3 4区 医学 Q1 Social Sciences Pub Date : 2024-02-01 DOI: 10.1016/j.alcohol.2023.11.007
David M. Lovinger
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引用次数: 0
Ceftriaxone alters the gut microbiome composition and reduces alcohol intake in male and female Sprague–Dawley rats 头孢曲松能改变雄性和雌性 Sprague-Dawley 大鼠的肠道微生物群组成并减少酒精摄入量
IF 2.5 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2024-01-28 DOI: 10.1016/j.alcohol.2024.01.006

Ceftriaxone is an antibiotic that increases central nervous system (CNS) protein expression of the glutamate transporters GLT-1 and xCT and ameliorates pathological behaviors in rodent models of neurological disease and substance use disorder. However, little ceftriaxone passes through the blood–brain barrier, the CNS binding partner of ceftriaxone is unknown, and ceftriaxone does not consistently upregulate GLT-1 and xCT in cell culture. Ceftriaxone alters the gut microbiome composition in rodents and humans, and the microbiome–gut–brain axis regulates drug-seeking. Thus, here we test the hypothesis that ceftriaxone reduces alcohol intake while ameliorating alcohol-induced disruption of the gut microbiome composition. Male and female Sprague–Dawley rats received intermittent access to alcohol (IAA) while controls received access to only water. Following 17 IAA sessions, ceftriaxone/vehicle treatment was given for 5 days. Analysis of the gut microbiome composition was assessed by 16S rRNA gene amplicon sequencing conducted on fecal pellets collected prior to and after alcohol consumption and following ceftriaxone treatment. Male rats displayed escalated alcohol intake and preference over the course of the 17 sessions; however, total alcohol intake did not differ between the sexes. Ceftriaxone reduced alcohol intake and preference in male and female rats. While alcohol affected a diverse set of amplicon sequencing variants (ASV), ceftriaxone markedly reduced the diversity of microbial communities reflected by a blooming of the Enterococcaceae family. The remaining effects of ceftriaxone, however, encompassed families both affected and unaffected by prior alcohol drinking and highlight the Ruminococcaceae and Muribaculaceae families as bidirectionally modulated by alcohol and ceftriaxone. Altogether, our study confirms that ceftriaxone reduces alcohol intake in rats and partially reverses alcohol-induced dysbiosis.

头孢曲松是一种抗生素,能增加谷氨酸转运体 GLT-1 和 xCT 的中枢神经系统(CNS)蛋白表达,并能改善神经系统疾病和药物使用障碍啮齿动物模型的病理行为。然而,头孢曲松很少通过血脑屏障,头孢曲松与中枢神经系统的结合伙伴尚不清楚,而且头孢曲松在细胞培养中并不能持续上调谷氨酸转运体 GLT-1 和 xCT。头孢曲松会改变啮齿类动物和人类的肠道微生物群组成,而微生物群-肠道-大脑轴调节药物寻求。因此,我们在此验证了这样一个假设:头孢曲松在减少酒精摄入量的同时,还能改善酒精对肠道微生物组组成的破坏。雄性和雌性 Sprague-Dawley 大鼠间歇性接触酒精(IAA),而对照组只接触水。在 17 次 IAA 之后,对大鼠进行为期 5 天的头孢曲松/车载治疗。通过对饮酒前后和头孢曲松治疗后收集的粪便颗粒进行 16S rRNA 基因扩增片段测序,评估了肠道微生物组的组成。雄性大鼠的酒精摄入量和偏好在 17 个疗程中不断增加;但是,酒精总摄入量在雌雄大鼠之间并无差异。头孢曲松可减少雄性和雌性大鼠的酒精摄入量和偏好。酒精会影响一系列不同的扩增子测序变体(ASV),而头孢曲松则会明显减少微生物群落的多样性,这反映在肠球菌科微生物的大量繁殖上。不过,头孢曲松的其余影响涵盖了受先前饮酒影响和不受先前饮酒影响的家族,并突出显示了瘤球菌科(Ruminococcaceae)和穆里巴库科(Muribaculaceae)家族受酒精和头孢曲松的双向调节。总之,我们的研究证实头孢曲松可减少大鼠的酒精摄入量,并部分逆转酒精引起的菌群失调。
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引用次数: 0
Engagement for alcohol escalates in the 5-choice serial reaction time task after intermittent access 间歇性接触酒精后,5 项选择连续反应时间任务中对酒精的参与度会上升。
IF 2.3 4区 医学 Q1 Social Sciences Pub Date : 2024-01-28 DOI: 10.1016/j.alcohol.2024.01.004
Phillip Starski , Addyson Siegle , F. Woodward Hopf

Excessive intake plays a significant role in the development of alcohol use disorder and impacts 15 million Americans annually, with approximately 88 000 dying from alcohol related deaths. Several facets we contribute to alcohol use disorder include impulsivity, motivation, and attention. Previous studies have used the 5-Choice Serial Reaction Time Task (5-Choice) to analyze these types of behaviors using sugar, but recently we have published using 10% alcohol as the reward. This study analyzed 48 mice that were trained to respond for alcohol in the 5-Choice. All mice distributed and analyzed first by alcohol preference and then by consumption. Here, we became interested in a new classification called “engagement”. High-engaged and low-engaged mice were determined by the number of correct responses during final Late-Stage training sessions. Interestingly, during Early-Stage training, the mice began to separate themselves into two groups based on their interaction with the task. Throughout both training stages, high-engaged mice displayed a greater number of trials and correct responses, as well as a lower percentage of omissions compared to low-engaged mice. Following three weeks of intermittent access homecage drinking, low-engaged mice showed greater increase in perseverative responding relative to high-engaged. Additionally, low-engaged mice decreased their reward and correct latencies compared to high-engaged mice suggesting an increase in motivation for alcohol. Overall, engagement analysis presents two clearly different groups, with only one being motivated to work for alcohol. These two distinct phenotypes in the 5-Choice could be used to model alcohol motivated behavior, which could help us further understand alcohol use disorder.

过量摄入酒精在酒精使用障碍的发展中起着重要作用,每年影响 1,500 万美国人,其中约 88,000 人死于与酒精相关的死亡。导致酒精使用障碍的几个因素包括冲动、动机和注意力。以前的研究曾使用 "5-选择连续反应时间任务"(5-Choice)来分析使用糖的这些行为类型,但最近我们公布了使用 10%酒精作为奖励的研究结果。本研究分析了 48 只小鼠,这些小鼠在 "5-选择 "中接受了对酒精做出反应的训练。所有小鼠首先按酒精偏好进行分配和分析,然后再按消耗量进行分析。在这里,我们对一种名为 "参与度 "的新分类产生了兴趣。高参与度小鼠和低参与度小鼠是根据最后的后期训练中正确反应的数量来确定的。有趣的是,在早期训练阶段,小鼠开始根据它们与任务的互动情况将自己分成两组。在这两个训练阶段中,与低参与度小鼠相比,高参与度小鼠的试验次数和正确反应次数更多,遗漏比例更低。经过三周的间歇性同笼饮水训练后,低参与度小鼠与高参与度小鼠相比,表现出更多的坚持性反应。此外,与高参与度小鼠相比,低参与度小鼠的奖赏和正确潜伏期都有所缩短,这表明小鼠的饮酒动机有所增加。总体而言,参与度分析显示出两个明显不同的群体,其中只有一个群体的工作动机是酒精。5-选择中这两种不同的表型可用于模拟酒精动机行为,这有助于我们进一步了解酒精使用障碍。
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引用次数: 0
Alcohol use-associated alterations in the circulating metabolite profile in the general population and in individuals with major depressive disorder 普通人群和重度抑郁障碍患者体内与饮酒相关的循环代谢物谱改变
IF 2.5 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2024-01-24 DOI: 10.1016/j.alcohol.2024.01.005

Our aim was to evaluate whether alcohol use is associated with changes in the circulating metabolite profile similar to those present in persons with depression. If so, these findings could partially explain the link between alcohol use and depression. We applied a targeted liquid chromatography mass spectrometry method to evaluate correlates between concentrations of 86 circulating metabolites and self-reported alcohol use in a cohort of the non-depressed general population (GP) (n = 247) and a cohort of individuals with major depressive disorder (MDD) (n = 99). Alcohol use was associated with alterations in circulating concentrations of metabolites in both cohorts. Our main finding was that self-reported alcohol use was negatively correlated with serum concentrations of hippuric acid in the GP cohort. In the GP cohort, consumption of six or more doses per week was associated with low hippuric acid concentrations, similar to those observed in the MDD cohort, but in these individuals it was regardless of their level of alcohol use. Reduced serum concentrations of hippuric acid suggest that already-moderate alcohol use is associated with depression-like changes in the serum levels of metabolites associated with gut microbiota and liver function; this may be one possible molecular level link between alcohol use and depression.

我们的目的是评估饮酒是否与循环代谢物谱的变化有关,这些变化与抑郁症患者的情况相似。如果是,这些发现可以部分解释饮酒与抑郁症之间的联系。我们在非抑郁症普通人群(GP)(247 人)和重度抑郁障碍(MDD)患者(99 人)队列中采用靶向液相色谱质谱法评估了 86 种循环代谢物的浓度与自我报告的饮酒情况之间的相关性。在这两个队列中,饮酒都与代谢物循环浓度的变化有关。我们的主要发现是,在 GP 群体中,自我报告的饮酒情况与血清中的马尿酸浓度呈负相关。在GP队列中,每周饮酒六次或六次以上与马尿酸浓度低有关,这与在MDD队列中观察到的情况相似,但在这些人中,与饮酒程度无关。血清中马尿酸浓度的降低表明,适度饮酒会使血清中与肠道微生物群和肝功能相关的代谢物水平发生类似抑郁症的变化;这可能是饮酒与抑郁症之间的一种分子层面的联系。
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引用次数: 0
Occurrence and correlates of domestic violence among asian patients with alcohol use disorder seeking treatment for cessation 寻求戒酒治疗的亚裔酒精使用障碍患者中家庭暴力的发生率及其相关因素
IF 2.5 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2024-01-06 DOI: 10.1016/j.alcohol.2024.01.002

Objective

Alcohol use disorder (AUD) has significant social and economic consequences in addition to health implications. Alcohol and drug use are linked to violence, particularly intimate partner violence and domestic violence. Identifying the characteristics of individuals with AUD and a history of domestic violence is important. Our study aimed to investigate differences between AUD patients with and without domestic violence.

Methods

This retrospective study examined the medical records of individuals diagnosed with AUD participating in a central Taiwan alcohol treatment program from 2019 to 2020. Utilizing the Cut down, Annoyed, Guilty, and Eye-opener questionnaire (CAGE), Alcohol Use Disorders Identification Test (AUDIT), Brief Michigan Alcoholism Screening Test (MAST), Beck Depression Inventory (BDI), Beck's Anxiety Inventory (BAI), World Health Organization Quality of Life (WHOQOL), and a question on suicidal ideation, we collected data on diverse variables, including a history of domestic violence. A total of 136 individuals were included in the analysis.

Results

Twenty participants had a history of domestic violence, while 116 did not. Those with a history of domestic violence had significantly higher MAST scores, lower quality of life, and higher caregiver burden compared to those without a history of domestic violence. They also had a higher proportion of adverse consequences related to alcohol use and higher suicidal ideation scores.

Conclusions

It is important to assess the risk of domestic violence in individuals with AUD, particularly those with higher MAST scores. Questions 4 and 10 of the MAST, which relate to adverse consequences of alcohol use, such as losing friends or being arrested for drunk driving, could serve as warning questions for domestic violence. Further research is needed to assess the efficacy of interventions in reducing domestic violence risk in individuals with AUD.

目标酒精使用障碍(AUD)除了对健康造成影响外,还对社会和经济造成严重后果。酗酒和吸毒与暴力有关,尤其是亲密伴侣暴力和家庭暴力。确定患有 AUD 并有家庭暴力史的人的特征非常重要。我们的研究旨在调查有家庭暴力和无家庭暴力的 AUD 患者之间的差异。这项回顾性研究检查了 2019 年至 2020 年期间参加台湾中部酒精治疗项目的被诊断为 AUD 患者的医疗记录。我们利用 "沮丧、恼怒、内疚和睁眼 "问卷(CAGE)、酒精使用障碍鉴定测试(AUDIT)、密歇根酒精中毒筛查简易测试(MAST)、贝克抑郁量表(BDI)、贝克焦虑量表(BAI)、世界卫生组织生活质量(WHOQOL)和自杀意念问题,收集了包括家庭暴力史在内的各种变量的数据。共有 136 人参与了分析。与无家庭暴力史者相比,有家庭暴力史者的 MAST 评分明显更高,生活质量更低,照顾者负担更重。他们与饮酒相关的不良后果比例也更高,自杀意念得分也更高。结论:评估 AUD 患者的家庭暴力风险非常重要,尤其是那些 MAST 得分较高的患者。MAST 的第 4 题和第 10 题涉及饮酒的不良后果,如失去朋友或因酒后驾车而被捕,可作为家庭暴力的预警问题。需要开展进一步研究,以评估干预措施在降低 AUD 患者家庭暴力风险方面的效果。
{"title":"Occurrence and correlates of domestic violence among asian patients with alcohol use disorder seeking treatment for cessation","authors":"","doi":"10.1016/j.alcohol.2024.01.002","DOIUrl":"10.1016/j.alcohol.2024.01.002","url":null,"abstract":"<div><h3>Objective</h3><p>Alcohol use disorder (AUD) has significant social and economic consequences in addition to health implications. Alcohol and drug use are linked to violence, particularly intimate partner violence and domestic violence. Identifying the characteristics of individuals with AUD and a history of domestic violence is important. Our study aimed to investigate differences between AUD patients with and without domestic violence.</p></div><div><h3>Methods</h3><p>This retrospective study examined the medical records of individuals diagnosed with AUD participating in a central Taiwan alcohol treatment program from 2019 to 2020. Utilizing the Cut down, Annoyed, Guilty, and Eye-opener questionnaire (CAGE), Alcohol Use Disorders Identification Test (AUDIT), Brief Michigan Alcoholism Screening Test (MAST), Beck Depression Inventory (BDI), Beck's Anxiety Inventory (BAI), World Health Organization Quality of Life (WHOQOL), and a question on suicidal ideation, we collected data on diverse variables, including a history of domestic violence. A total of 136 individuals were included in the analysis.</p></div><div><h3>Results</h3><p>Twenty participants had a history of domestic violence, while 116 did not. Those with a history of domestic violence had significantly higher MAST scores, lower quality of life, and higher caregiver burden compared to those without a history of domestic violence. They also had a higher proportion of adverse consequences related to alcohol use and higher suicidal ideation scores.</p></div><div><h3>Conclusions</h3><p>It is important to assess the risk of domestic violence in individuals with AUD, particularly those with higher MAST scores. Questions 4 and 10 of the MAST, which relate to adverse consequences of alcohol use, such as losing friends or being arrested for drunk driving, could serve as warning questions for domestic violence. Further research is needed to assess the efficacy of interventions in reducing domestic violence risk in individuals with AUD.</p></div>","PeriodicalId":7712,"journal":{"name":"Alcohol","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0741832924000090/pdfft?md5=98d255f7f11e60a5fa1120e9f708b20d&pid=1-s2.0-S0741832924000090-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139374154","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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