Grouping motivational interviewing for alcohol craving in individuals with alcohol use disorder: the influence of drinking history on its efficacy.

IF 3.5 3区医学 Q1 CLINICAL NEUROLOGY

European Archives of Psychiatry and Clinical Neuroscience Pub Date : 2025-07-11 DOI:10.1007/s00406-025-02054-4

Jing Yao, Bailing Wang, Shuwen Liu, Zhiwei Wu, Meihong Xiu, Jie Sun, Fengchun Wu

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引用次数: 0

Abstract

Background: Motivational interviewing (MI) is a psychological intervention for patients with alcohol use disorder (AUD). This study examined the role of the history of drinking alcohol in the efficacy of group MI (GMI) on alcohol craving in AUD. The sample (N = 108) consisted of patients with AUD.

Methods: A total of 108 patients with AUD received a 6-week GMI or treat-as-usual (TAU) intervention and were interviewed at baseline, weeks 2, 4, and 6. The severity of alcohol craving was evaluated by the Penn Alcohol Craving Scale (PACS), and the depressive symptoms were assessed by the Hamilton Depression Rating Scale (HAMD). Repeated measures ANOVA showed improved alcohol craving and depressive symptoms in the GMI group compared with the TAU group.

Results: According to the history of AUD, all patients were divided into two groups: the short-term group (< 20) (n = 38) or the long-term group ( > = 20) (n = 70). The GMI interventions showed a positive effect on alcohol craving (p = 0.01) and depressive symptoms (p < 0.001) only in patients with a long history of AUD rather than in those with a short AUD history (all p > 0.05). There were no significant associations of the improvements in alcohol craving with depressive symptoms following a 6-week GMI intervention in the long-term AUD history group.

Discussion: This result suggests that GMI showed greater positive effects on alcohol craving and symptoms of depression in patients with long-term AUD compared with those with a short history of this disorder. Further interventions should emphasize the importance of considering patients' drinking history in alcohol dependence treatment to foster the intervention efficacy of GMI.

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酒精使用障碍个体酒精渴望的分组动机访谈：饮酒史对其效果的影响。

背景：动机性访谈（MI）是一种针对酒精使用障碍（AUD）患者的心理干预。本研究考察了饮酒史在MI组（GMI）对AUD患者酒精渴望的疗效中的作用。样本（N = 108）为AUD患者。方法：共有108名AUD患者接受了为期6周的GMI或常规治疗（TAU）干预，并在基线、第2周、第4周和第6周接受了访谈。用Penn酒精渴望量表（PACS）评估酒精渴望的严重程度，用Hamilton抑郁评定量表（HAMD）评估抑郁症状。重复测量方差分析显示，与TAU组相比，GMI组的酒精渴望和抑郁症状有所改善。结果：所有患者根据AUD病史分为两组：短期组（= 20）（n = 70）。GMI干预对酒精渴望（p = 0.01）和抑郁症状（p 0.05）有积极影响。在长期AUD病史组中，经过6周的GMI干预后，酒精渴望的改善与抑郁症状之间没有显著的关联。讨论：这一结果表明，GMI对长期AUD患者的酒精渴望和抑郁症状的积极作用大于短期AUD患者。进一步的干预应强调在酒精依赖治疗中考虑患者饮酒史的重要性，以提高GMI的干预效果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

European Archives of Psychiatry and Clinical Neuroscience 医学-精神病学

CiteScore

8.80

自引率

4.30%

发文量

154

审稿时长

6-12 weeks

期刊介绍： The original papers published in the European Archives of Psychiatry and Clinical Neuroscience deal with all aspects of psychiatry and related clinical neuroscience. Clinical psychiatry, psychopathology, epidemiology as well as brain imaging, neuropathological, neurophysiological, neurochemical and moleculargenetic studies of psychiatric disorders are among the topics covered. Thus both the clinician and the neuroscientist are provided with a handy source of information on important scientific developments.