Latent alcohol use patterns and their link to depressive symptomatology in medical care patients.
Aims: To investigate latent patterns of alcohol use and bingeing by gender and their association with depressive symptom severity and individual depressive symptoms. Design Cross‐sectional data were collected from January 2017 to March 2018 as part of a joint screening recruiting for different inter...
| Publicado en: | Addiction Vol. 116; no. 5; pp. 1063 - 1074 |
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| Autores principales: | , , , , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
May2021
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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=149782602&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 149782602 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09652140 AIO jtl: Addiction issn: 09652140 maglogo: Y pubinfo: dt: May2021 vid: 116 iid: 5 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 149782602 148556440 149782602 149782602 10.1111/add.15261 149782602 ppf: 1063 ppct: 11 formats: fmt: – @attributes: type: T – @attributes: type: C – @attributes: type: P tig: atl: Latent alcohol use patterns and their link to depressive symptomatology in medical care patients. aug: au: Guertler, Diana Moehring, Anne Krause, Kristian Tomczyk, Samuel Freyer‐Adam, Jennis Baumann, Sophie Bischof, Gallus Rumpf, Hans‐Juergen Batra, Anil Wurm, Susanne John, Ulrich Meyer, Christian affil: Institute for Community Medicine, Department of Prevention Research and Social Medicine, University Medicine Greifswald, Greifswald, Germany sug: subj: Alcohol Drinking Binge Drinking Sex Factors Depression Alcoholism Cross Sectional Studies Germany Adolescence Adult Middle Age Questionnaires Male Female Logistic Regression Relative Risk Confidence Intervals Descriptive Statistics Human Adolescent: 13-18 years Adult: 19-44 years Middle Aged: 45-64 years Male Female ab: Aims: To investigate latent patterns of alcohol use and bingeing by gender and their association with depressive symptom severity and individual depressive symptoms. Design Cross‐sectional data were collected from January 2017 to March 2018 as part of a joint screening recruiting for different intervention studies. Setting: Ambulatory practices and general hospitals from three sites in Germany. Participants: A total of 5208 male and 5469 female proactively recruited alcohol users aged 18–64 years. Measurements Frequency and typical quantity of alcohol use, frequency of bingeing, alcohol‐related problems (assessed by the Alcohol Use Disorder Identification Test); depressive symptom severity, individual depressive symptoms (assessed with the Patient Health Questionnaire‐8); and socio‐demographics and health‐related variables. Findings Latent categorical analysis identified six patterns of alcohol use, with the majority of patients engaging in 'light use plus no or occasional bingeing' (males: 41.85%; females: 64.04%), followed by 'regular use plus occasional bingeing' (males: 34.03%; females: 16.17%). Multinomial logistic regression analyses (three‐step approach with correction for classification uncertainty, as implemented in the Mplus R3STEP command) controlling for socio‐demographics and health‐related variables revealed that severity of depressive symptoms was positively associated with 'frequent use plus frequent bingeing' when compared with 'light use plus no or occasional bingeing' [relative risk ratio (RRR)male = 1.07, 95% confidence interval (CI) = 1.03–1.11; RRRfemale = 1.09, 95% CI = 1.04–1.14]. Severity of depressive symptoms was negatively associated with 'regular use plus occasional bingeing' for males (RRRmale = 0.98, 95% CI = 0.95–1.00) and positively with 'occasional use plus occasional bingeing' for females (RRRfemale = 1.03, 95% CI = 1.01–1.05) when compared with 'light use plus no or occasional bingeing'. Individual depressive symptoms were differentially associated with alcohol use patterns, with depressed mood, poor appetite or overeating, feelings of worthlessness or guilt and psychomotor agitation or retardation, being especially pronounced in the 'frequent use plus frequent bingeing' class (RRRsmale = 1.72–2.36; RRRsfemale = 1.99–2.17). Conclusions: Patterns of 'frequent alcohol use plus frequent bingeing' and 'occasional alcohol use plus occasional bingeing' appear to have positive associations with depression when compared with 'light alcohol use plus no or occasional bingeing'. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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