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标题：Patterns and temporal change of psychopathological symptoms among inpatients with alcohol use disorder undergoing a twelve-step based treatment
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作者：Zsolt Horváth ; Mariann Tremkó ; Zsolt Fazekas 等
期刊名称：Addictive Behaviors Reports
印刷版ISSN：2352-8532
出版年度：2020
卷号：12
页码：100302-100311
DOI：10.1016/j.abrep.2020.100302
出版社：Elsevier B.V.
摘要：Background Patients diagnosed with Alcohol Use Disorder (AUD) present an increased risk for experiencing severe internalizing and externalizing symptoms.Involvement in twelve-step based treatment programs, such as the Minnesota Model (MM), can contribute to improvement of an individual’s psychopathological symptom profile.The present study’s main objective was to examine profiles and change trajectories of psychopathological symptoms of AUD subgroups during an eight-week long period of MM treatment attendance.Method Inpatients with AUD (N = 303) who attended MM treatment programs participated in the present study.Latent Class Growth Analysis (LCGA) was used to evaluate the psychopathological symptom change trajectories assessed by using the Brief Symptom Inventory (BSI).Multiple comparisons and multinomial logistic regression were performed to validate the subgroups.Results Three subgroups were identified: low severity (48.5%), moderate severity (35.2%), and high severity (16.2%) symptomatic subgroups.The moderate severity class demonstrated the largest effect in terms of symptoms decrease.Higher severity classes showed significantly higher rates of harmful alcohol drinking and drinking motives.Conclusions The present study identified three severity-based subgroups which indicate that psychopathology sits on a spectrum of severity among AUD patients.The findings highlight the associations between AUD and internalizing symptoms, negative reinforcement drinking motives, and the symptomatic improvement that can occur among those participating in MM treatment programs.
关键词：Alcohol Use Disorder (AUD) ; Psychopathological symptoms ; Twelve-step based treatment ; Minnesota model ; Alcohol comorbidity