Transitioning Into and Out of Problem Drinking Across Seven Years

毒物控制 伤害预防 人口 人为因素与人体工程学 自杀预防 马尔可夫链 职业安全与健康 医学 心理学 精神科 环境卫生 人口学 统计 数学 病理 社会学
作者
Kevin Delucchi,Constance Weisner
出处
期刊:Journal of Studies on Alcohol and Drugs [Alcohol Research Documentation]
卷期号:71 (2): 210-218 被引量:19
标识
DOI:10.15288/jsad.2010.71.210
摘要

Objective: The extent to which problem drinkers transition into and out of problem drinking was examined using Markov modeling. Method: Study participants (N = 1,350) were randomly sampled from one county's general population and from consecutive admissions to public and private alcohol treatment programs in the same county, and they were assessed at 1-, 3-, 5-, and 7-year follow-ups. At baseline, all met the criteria for problem drinking. Individuals were classified as "problem drinkers" if they reported at least two of three criteria (heavy episodic drinking, social consequences, dependence symptoms according to the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition) during the prior 12 months. Results: Although all possible patterns were observed, a latent Markov model with heterogeneous transitions and five patterns fit the data. The sampling frame and baseline alcohol severity related to pattern. Conclusions: The data indicate that, although they do change over time, problem drinkers on the whole are more likely either to remain problem drinkers or to cease to be problem drinkers than they are to move into and out of problem-drinking status. Once they transition out of problem drinking, they are more likely to remain nonproblem drinkers.
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