在例行医疗保健查中报告的酒精消费的变化与抑郁症症状的变化有关
Kevin A Hallgren1,2,3, Helen E Jack4, Malia Oliver2
1Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, Washington, USA.
Alcohol, clinical & experimental research
|June 16, 2023
概括
酒精使用障碍识别测试-消费 (AUDIT-C) 测量酒精消费的变化与抑郁症症状的变化相关. 随着时间的推移,监测AUDIT-C分数提供了一种有效的方式来跟踪饮酒行为及其对心理健康的影响.
科学领域:
- 临床心理学 临床心理学
- 公共卫生 公共卫生
- 成 药物 药物 药物 药物
背景情况:
- 酒精使用障碍识别测试-消费 (AUDIT-C) 已被验证用于对不健康的酒精使用进行时间点查.
- 在AUDIT-C得分中纵向变化的意义不太清楚.
- 不健康的酒精使用和抑郁症经常同时发生,饮酒变化经常反映抑郁症症状波动.
研究的目的:
- 评估AUDIT-C分数的变化与抑郁症状的变化之间的关联.
- 评估跟踪常规护理中的AUDIT-C评分变化的临床实用性.
主要方法:
- 一个由198335名初级保健患者组成的大样本完成了两个AUDIT-C和两个患者健康问卷-2 (PHQ-2) 选,间隔11-24个月.
- AUDIT-C评分被分为五个风险级别,创造了25个变化模式.
- 用风险比率 (RRs) 和麦克内马尔测试分析了阳性PHQ-2屏幕患病率的变化.
主要成果:
- AUDIT-C风险类别的增加通常与积极抑郁查的患病率增加有关 (RRs 0.95-2.00).
- 在AUDIT-C风险类别的下降通常与积极抑郁查的流行率下降有关 (RRs 0.52-1.01).
- 在AUDIT-C风险类别中没有显著的变化,在抑郁症查流行率 (RRs 0.98-1.15) 中显示出最小的变化.
结论:
- 通过AUDIT-C自我报告酒精消费的变化与抑郁查结果的同时变化有显著的关联.
- 监测纵向的AUDIT-C分数是评估饮酒行为变化的临床上有意义的方法.
- 这些发现支持AUDIT-C系列查在临床实践中的有效性和实用性.
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