| Transitioning into and out of problem drinking across seven years. | |
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MedLine Citation:
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PMID: 20230718 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: The extent to which problem drinkers transition into and out of problem drinking was examined using Markov modeling. METHOD: Study participants (N = 1,350) were randomly sampled from one county's general population and from consecutive admissions to public and private alcohol treatment programs in the same county, and they were assessed at 1-, 3-, 5-, and 7-year follow-ups. At baseline, all met the criteria for problem drinking. Individuals were classified as "problem drinkers" if they reported at least two of three criteria (heavy episodic drinking, social consequences, dependence symptoms according to the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition) during the prior 12 months. RESULTS: Although all possible patterns were observed, a latent Markov model with heterogeneous transitions and five patterns fit the data. The sampling frame and baseline alcohol severity related to pattern. CONCLUSIONS: The data indicate that, although they do change over time, problem drinkers on the whole are more likely either to remain problem drinkers or to cease to be problem drinkers than they are to move into and out of problem-drinking status. Once they transition out of problem drinking, they are more likely to remain nonproblem drinkers. |
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Authors:
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Kevin L Delucchi; Constance Weisner |
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Publication Detail:
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Type: Journal Article; Research Support, N.I.H., Extramural |
Journal Detail:
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Title: Journal of studies on alcohol and drugs Volume: 71 ISSN: 1938-4114 ISO Abbreviation: J Stud Alcohol Drugs Publication Date: 2010 Mar |
Date Detail:
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Created Date: 2010-03-16 Completed Date: 2010-06-08 Revised Date: 2011-07-25 |
Medline Journal Info:
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Nlm Unique ID: 101295847 Medline TA: J Stud Alcohol Drugs Country: United States |
Other Details:
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Languages: eng Pagination: 210-8 Citation Subset: IM |
Affiliation:
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Department of Psychiatry, University of California, San Francisco, 0984-TRC, San Francisco, California 94143-0984, USA. kdelucchi@lppi.ucsf.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Aged Aged, 80 and over Alcohol Drinking / epidemiology* Alcohol-Related Disorders / diagnosis, epidemiology, rehabilitation* Data Collection Diagnostic and Statistical Manual of Mental Disorders Female Follow-Up Studies Humans Male Markov Chains Middle Aged Severity of Illness Index Social Problems Time Factors Young Adult |
| Grant Support | |
ID/Acronym/Agency:
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P50DA09253/DA/NIDA NIH HHS; R01AA09750/AA/NIAAA NIH HHS |
| Comments/Corrections | |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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