2024-03-28T10:31:32Z
https://u-ryukyu.repo.nii.ac.jp/oai
oai:u-ryukyu.repo.nii.ac.jp:02019614
2023-08-03T05:36:14Z
1642838163960:1642838338003
1642838403551:1642838409905
Development of a 20-item questionnaire for drinking behavior pattern (DBP-20) toward personalized behavioral approaches for alcohol use disorder
Kurihara, Kazuhiro
Shinzato, Hotaka
Koda, Munenaga
Enoki, Hiroyuki
Otsuru, Taku
Takaesu, Yoshikazu
Kondo, Tsuyoshi
open access
© 2022 The Author(s)
This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
Addiction
Alcohol use disorder
AUDIT
DBP-20
Drinking behavior
Drinking motives
Although screening tools are available for alcohol use disorders (AUD), such as the Alcohol Use Disorders Identification Test (AUDIT), these tools do not directly characterize individual drinking behavior for patients with AUD. Therefore, the aim of this study was to develop a new self-report questionnaire to identify the characteristics of drinking behavior patterns in patients with AUD.The study team developed a self-administered 20-item questionnaire for drinking behavior pattern (DBP-20) based on semi-structured interviews of patients with AUD. The DBP-20 and AUDIT were administered to 232 patients with AUD and 222 normal drinkers (1 ≤ AUDIT <20) as controls. Exploratory factor analysis of the DBP-20 was conducted for patients with AUD, followed by comparisons of its item and subscale scores between patients with AUD and controls. Correlations of AUDIT with total and subscale scores of the DBP-20 were also analyzed. Receiver operating characteristic (ROC) analyses for the DBP-20 and its subscales were performed to distinguish patients with AUD from controls.Exploratory factor analysis revealed a multidimensional 4-factor model of the DBP-20: coping with negative affect, automaticity, enhancement, and social use. Significant differences in DBP-20 total and subscale scores were observed for patients with AUD versus controls for all factors, except the social use subscale. Both the coping with negative affect and automaticity subscale scores as well as total DBP-20 scores were highly correlated with AUDIT scores. Total DBP-20 scores showed the greatest sensitivity, negative predictive value, and area under the ROC curve to distinguish patients with AUD from normal drinkers.Drinking as a means of coping with negative affect and automaticity may be specific for patients with AUD. DBP-20 may help patients with AUD to be aware of their own targeted problematic drinking behaviors and to seek their personalized behavioral approaches in a collaborative relationship with therapists.
Elsevier Inc.
2022-06
eng
journal article
VoR
http://hdl.handle.net/20.500.12000/0002019614
https://u-ryukyu.repo.nii.ac.jp/records/2019614
https://doi.org/10.1016/j.alcohol.2022.03.002
0741-8329
Alcohol
101
9
16
https://u-ryukyu.repo.nii.ac.jp/record/2019614/files/1-s2.0-S0741832922000192-main.pdf
1.1 MB