Assessing NIAAA's Definition of Recovery from Alcohol Use Disorder: A Latent Class Analysis of a Heterogeneous Online Sample.

IF 0.6 Q4 SUBSTANCE ABUSE
Alcoholism Treatment Quarterly Pub Date : 2024-01-01 Epub Date: 2024-06-29 DOI:10.1080/07347324.2024.2373443
Elizabeth Bowen, Charles LaBarre, Braden Linn, Andrew Irish
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引用次数: 0

Abstract

NIAAA's 2022 definition of recovery from alcohol use disorder (AUD) includes two core components, remission of DSM-5 AUD criteria and cessation of heavy drinking. This study's purpose was to assess patterns of AUD symptoms and heavy drinking in a heterogeneous national sample, in order to clarify the utility of the definition. Participants who self-reported having resolved an alcohol problem for at least six months were recruited through Amazon Mechanical Turk (N=386) and surveyed about their problem severity, current drinking, and AUD symptomology. We used latent class analysis to discern meaningful clusters of AUD symptoms and heavy drinking, as well as factors associated with class membership. A two-class model was the best fit for the data. The first class, which we termed Less Symptomatic, included 83.4% of the sample. Individuals in this class were unlikely to endorse of any of the 10 AUD criteria (<2.5% of the time) and 24.3% reported heavy drinking. In the second class (16.6% of the sample), termed Symptomatic, 45% of respondents endorsed at least one AUD criterion and 88.2% reported heavy drinking. These findings suggest that some individuals in recovery may continue to drink heavily with minimal problems, while others continue to experience AUD symptoms.

评估 NIAAA 对酒精使用障碍康复的定义:对异质在线样本的潜类分析。
NIAAA 2022 年对酒精使用障碍(AUD)康复的定义包括两个核心部分,即缓解 DSM-5 AUD 标准和停止大量饮酒。本研究的目的是评估全国异质性样本中 AUD 症状和大量饮酒的模式,以明确该定义的实用性。我们通过 Amazon Mechanical Turk(N=386)招募了自称已解决酗酒问题至少六个月的参与者,并对他们的问题严重程度、当前饮酒情况和 AUD 症状进行了调查。我们使用潜类分析来识别 AUD 症状和酗酒的有意义的聚类,以及与聚类成员资格相关的因素。两类模型最适合数据。第一类,我们称之为症状较轻,占样本的 83.4%。该类别中的个体不太可能认同 10 项 AUD 标准中的任何一项(如:"症状较轻"、"症状较少"、"症状较轻")。
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来源期刊
CiteScore
1.60
自引率
11.10%
发文量
31
期刊介绍: Alcoholism Treatment Quarterly is an exciting professional journal for clinicians working with persons who are alcoholic and their families. Designed to bridge the gap between research journals and information for the general public, it addresses the specific concerns of professional alcoholism counselors, social workers, psychologists, physicians, clergy, nurses, employee assistance professionals, and others who provide direct services to persons who are alcoholic. The journal features articles specifically related to the treatment of alcoholism, highlighting new and innovative approaches to care, describing clinical problems and solutions, and detailing practical, unique approaches to intervention and therapy.
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