The predictive validity of the Drinking-Related Cognitions Scale in alcohol-dependent patients under abstinence-oriented treatment

Substance Abuse Treatment, Prevention, and Policy

Hitoshi Miyaoka⁴  Susumu Higuchi³  Taichiro Ikeda⁴  Enami Sawayama⁴  Norihito Shirakawa¹  Katsutoshi Tanaka²  Junichi Yoneda³  Toru Sawayama⁴ 

[1] Health and Advisory Center for the Well-Being of Spirit and Mind, City of Yokohama, 1735 Toriyama-cho, Kohoku-ku, Yokohama, Kanagawa 222-0035, Japan;Department of Occupational Mental Health, Kitasato University Graduate School of Medical Sciences, 1-15-1 Kitasato, Minami-ku, Sagamihara, Kanagawa 252-0374, Japan;National Hospital Organization Kurihama Alcoholism Center, 5-3-1 Nobi, Yokosuka, Kanagawa 239-0841, Japan;Department of Psychiatry, Kitasato University School of Medicine, 2-1-1 Asamizodai, Minami-ku, Sagamihara, Kanagawa 252-0380, Japan

关键词: Denial;    Perception of drinking problems;    Perception of impaired control;    Abstinence self-efficacy;    Positive alcohol expectancies;    Abstinence-oriented treatment;    Drinking-related cognitions scale;    Predictive validity;    Treatment outcome;    Alcohol-dependent;   

Others  :  834510
DOI  :  10.1186/1747-597X-7-17

 received in 2011-11-19, accepted in 2012-05-04,  发布年份 2012

【 摘 要 】

Background

Cognitive factors associated with drinking behavior such as positive alcohol expectancies, self-efficacy, perception of impaired control over drinking and perception of drinking problems are considered to have a significant influence on treatment effects and outcome in alcohol-dependent patients. However, the development of a rating scale on lack of perception or denial of drinking problems and impaired control over drinking has not been substantial, even though these are important factors in patients under abstinence-oriented treatment as well as participants in self-help groups such as Alcoholics Anonymous (AA). The Drinking-Related Cognitions Scale (DRCS) is a new self-reported rating scale developed to briefly measure cognitive factors associated with drinking behavior in alcohol-dependent patients under abstinence-oriented treatment, including positive alcohol expectancies, abstinence self-efficacy, perception of impaired control over drinking, and perception of drinking problems. Here, we conducted a prospective cohort study to explore the predictive validity of DRCS.

Methods

Participants in this study were 175 middle-aged and elderly Japanese male patients who met the DSM-IV Diagnostic Criteria for Alcohol Dependence. DRCS scores were recorded before and after the inpatient abstinence-oriented treatment program, and treatment outcome was evaluated one year after discharge.

Results

Of the 175 participants, 30 were not available for follow-up; thus the number of subjects for analysis in this study was 145. When the total DRCS score and subscale scores were compared before and after inpatient treatment, a significant increase was seen for both scores. Both the total DRCS score and each subscale score were significantly related to total abstinence, percentage of abstinent days, and the first drinking occasion during the one-year post-treatment period. Therefore, good treatment outcome was significantly predicted by low positive alcohol expectancies, high abstinence self-efficacy, high perception level of impaired control over drinking, and high perception level of drinking problems measured by DRCS.

Conclusions

The DRCS was considered to have satisfactory predictive validity, which further supports our previous findings. It was suggested that DRCS is a promising rating scale for evaluating multidimensional cognitive factors associated with drinking behavior in alcohol-dependent patients under abstinence-oriented treatment.

【 授权许可】

   
2012 Sawayama et al.; licensee BioMed Central Ltd.

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