使用全国代表性样本检查轻度,中度和严重的酒精使用障碍严重性指标
Allen J Bailey1, R Kathryn McHugh1
1Division of Alcohol, Drugs, and Addiction, McLean Hospital.
概括
精神疾病诊断和统计手册,第五版 (DSM-5) 酒精使用障碍 (AUD) 严重性的指标显示有限的重叠. 虽然一些AUD指标与严重程度的增加保持一致,但另一些则没有,这表明AUD评估需要改进的领域.
科学领域:
- 精神病学是一个精神病学.
- 心理学 心理学 心理学
- 公共卫生 公共卫生
背景情况:
- 根据DSM-5的说法,酒精使用障碍 (AUD) 根据症状数量,以轻度,中度和严重的指标连续进行分类.
- 目前尚不清楚不同AUD严重性指标的个体在AUD严重性和相关风险 (如抑郁症) 上如何进行比较.
研究的目的:
- 评估DSM-5不同酒精使用障碍 (AUD) 指标间潜伏严重程度估计的重叠.
- 基于酒精使用,物质使用问题,治疗和心理/身体健康的AUD诊断组进行比较.
主要方法:
- 来自2020年国家药物使用和健康调查 (N=31,941) 的去年AUD症状的确认因素分析.
- 跨AUD诊断状态的潜在特征估计的比较 (没有AUD,轻度,中度,严重).
- 多项回归用于比较各种健康和物质使用指标的诊断组.
主要成果:
- 在具有不同AUD严重性指标的个体之间,在潜在严重性估计中发现了非常有限的重叠.
- 一些措施,如酒精使用和饮酒行为,在AUD指标中逐步增加,但许多没有.
结论:
- 目前的DSM-5 AUD指标部分反映了日益严重和同时出现的问题.
- 该研究建议改进AUD指标,以更好地捕捉不同严重程度呈现的定量和质量差异.
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