控制能力受损(试图控制饮酒和控制饮酒失败)是大量饮酒的年轻人不良后果的前瞻性预测因素。

IF 2.4 3区 医学 Q2 PSYCHOLOGY Journal of studies on alcohol and drugs Pub Date : 2024-07-01 Epub Date: 2024-02-02 DOI:10.15288/jsad.22-00362
Robert F Leeman, Benjamin L Berey, Tessa Frohe, Andrea Vásquez Ferreiro, Stephanie S O'Malley
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引用次数: 0

摘要

背景和目的:对酒精的控制能力受损是青少年成瘾的一个特征,但还需要更多的前瞻性研究结果,尤其是在报告大量饮酒的样本中。此外,我们对试图控制饮酒和控制饮酒失败在预测结果方面的相互关系缺乏了解。我们假设,尝试控制饮酒和控制饮酒失败会对结果产生前瞻性的预测作用,尤其是对两者的认可会产生问题:我们使用了参加实验室酒精自我管理研究(N=109)、报告有严重酗酒行为的年轻人的数据。我们使用混合效应模型来预测基线、6 个月和 12 个月随访期间的每日饮酒量、重度饮酒量和不良后果。测试了不同时间的交互作用以及尝试控制和控制失败之间的交互作用:结果:随着时间的推移,较高的控制失败率与较低的控制失败率相比,后果和大量饮酒的下降幅度更大。然而,在多个时间点上,较高的尝试控制或失败控制仍比较低的受损控制与更多的后果和酒精使用相关。一个显着的交互作用表明,较高的尝试控制和失败控制的组合与每饮酒日饮酒量最多有关。在大量饮酒方面,尝试控制与失败控制之间也存在明显的交互作用:这些研究结果进一步证明,对饮酒的控制能力减弱是青少年饮酒的一个风险因素。那些报告尝试控制和失败控制程度都较高的人每天饮酒量最大。无论是尝试控制还是未能控制,都与负面后果有关。试图控制和未能控制程度都较高的人可能最需要加强干预。
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Impaired Control (Both Attempts to Control Drinking and Failed Control) as Prospective Predictors of Negative Outcomes Among Young Adults Who Drink Heavily.

Objective: Impaired control over alcohol is a hallmark of addiction relevant to young adults, but additional prospective findings are needed, particularly in samples reporting heavy drinking. Further, we lack understanding of how attempts and failed efforts to control drinking relate to each other in predicting outcomes. We hypothesized that attempted and failed control would prospectively predict outcomes, with endorsement of both being especially problematic.

Method: We used data from young adults reporting heavy drinking who enrolled in laboratory alcohol self-administration studies (n = 109). Mixed-effects models were used to predict drinks per drinking day, heavy drinking, and negative consequences across baseline and 6- and 12-month follow-ups. Interactions by time and between attempted and failed control were tested.

Results: Higher failed control was associated with steeper declines in consequences and heavy drinking over time compared with lower failed control. However, higher attempted or failed control was still associated with more consequences and alcohol use than lower impaired control at multiple time points. A significant interaction indicated that the combination of higher attempted and failed control was associated with the most drinks per drinking day. There was also a significant Attempted × Failed Control interaction for heavy drinking.

Conclusions: These findings provide further evidence supporting impaired control over alcohol use as a risk factor among young adults. Those reporting both higher attempted and failed control drank the most per day. Either attempted or failed control was associated with negative consequences. Those reporting both higher attempted and failed control may be in greatest need of intensive intervention.

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来源期刊
CiteScore
4.80
自引率
5.90%
发文量
224
审稿时长
3 months
期刊介绍: The Journal of Studies on Alcohol and Drugs began in 1940 as the Quarterly Journal of Studies on Alcohol. It was founded by Howard W. Haggard, M.D., director of Yale University’s Laboratory of Applied Physiology. Dr. Haggard was a physiologist studying the effects of alcohol on the body, and he started the Journal as a way to publish the increasing amount of research on alcohol use, abuse, and treatment that emerged from Yale and other institutions in the years following the repeal of Prohibition in 1933. In addition to original research, the Journal also published abstracts summarizing other published documents dealing with alcohol. At Yale, Dr. Haggard built a large team of alcohol researchers within the Laboratory of Applied Physiology—including E.M. Jellinek, who became managing editor of the Journal in 1941. In 1943, to bring together the various alcohol research projects conducted by the Laboratory, Dr. Haggard formed the Section of Studies on Alcohol, which also became home to the Journal and its editorial staff. In 1950, the Section was renamed the Center of Alcohol Studies.
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