Transitions in and out of alcohol use disorders: their associations with conditional changes in quality of life over a 3-year follow-up interval.
Abstract Aims: The aim of this study was to investigate longitudinal changes in quality of life (QOL) as a function of transitions in alcohol use disorders (AUD) over a 3-year follow-up of a general US population sample. Methods: The analysis is based on individuals who drank alcohol in the year pre...
| Publicado en: | Alcohol & Alcoholism Vol. 44; no. 1; pp. 84 - 93 |
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| Autores principales: | , , , |
| Formato: | research Journal Article |
| Publicado: |
Oxford University Press / USA
Jan/Feb2009
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105619696&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 105619696 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 07350414 FA3 jtl: Alcohol & Alcoholism issn: 07350414 maglogo: N pubinfo: dt: Jan/Feb2009 vid: 44 iid: 1 pid: 622 pub: Oxford University Press / USA artinfo: ui: 105619696 105619696 2010161938 NLM19042925 105619696 ppf: 84 ppct: 9 formats: fmt: @attributes: type: P tig: atl: Transitions in and out of alcohol use disorders: their associations with conditional changes in quality of life over a 3-year follow-up interval. aug: au: Dawson DA Li TK Chou SP Grant BF affil: Laboratory of Biometry and Epidemiology, Division of Intramural Clinical and Biological Research, National Institute on Alcohol Abuse and Alcoholism, National Institutes of Health, Bethesda, MD 20892-9304, USA. ddawson@mail.nih.gov sug: subj: Alcoholism Psychosocial Factors Quality of Life Adolescence Adult Alcoholism Epidemiology Female Health Status Human Activities Linear Regression Male Models, Statistical Pain Complications Pain Psychosocial Factors Prospective Studies Psychological Tests Reproducibility of Results Surveys Human Adolescent: 13-18 years Adult: 19-44 years Female Male ab: Abstract Aims: The aim of this study was to investigate longitudinal changes in quality of life (QOL) as a function of transitions in alcohol use disorders (AUD) over a 3-year follow-up of a general US population sample. Methods: The analysis is based on individuals who drank alcohol in the year preceding the Wave 1 National Epidemiologic Survey on Alcohol and Related Conditions and were reinterviewed at Wave 2 (n = 22,245). Using multiple linear regression models, changes in SF-12 QOL were estimated as a function of DSM-IV AUD transitions, controlling for baseline QOL and multiple potential confounders. Results: Onset and offset of AUD were strongly associated with changes in mental/psychological functioning, with significant decreases in mental component summary (NBMCS) scores among individuals who developed dependence and significant increases among those who achieved full and partial remission from dependence. The increases in overall NBMCS and its social functioning, role emotional and mental health components were equally great for abstinent and nonabstinent remission from dependence, but improvements in bodily pain and general health were associated with nonabstinent remission only. Onset of abuse was unrelated to changes in QOL, and the increase in NBMCS associated with nonabstinent remission from abuse only was slight. Individuals with abuse only or no AUD who stopped drinking had significant declines in QOL. Conclusions: These results suggest the possible importance of preventing and treating AUD for maintaining and/or improving QOL. They are also consistent with the sick quitter hypothesis and suggest that abuse is less a mental disorder than a maladaptive pattern of behavior. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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