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Bickl, A. M., Kraus, L., Loy, J. K., Kriwy, P., Sleczka, P. & Schwarzkopf, L. (2024). Development of Gambling Behaviour and Its Relationship with Perceived Social Support: A Longitudinal Study of Young Adult Male Gamblers. Journal of Gambling Studies, 40(1), 307-332
Åpne denne publikasjonen i ny fane eller vindu >>Development of Gambling Behaviour and Its Relationship with Perceived Social Support: A Longitudinal Study of Young Adult Male Gamblers
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2024 (engelsk)Inngår i: Journal of Gambling Studies, ISSN 1050-5350, E-ISSN 1573-3602, Vol. 40, nr 1, s. 307-332Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Young adult men who gamble frequently face an elevated risk of developing gambling-related problems. So far, little is known about how changing levels of perceived social support interact with the course of gambling behaviour and gambling-related problems in this population. Using data from a prospective single-arm cohort study (Munich Leisure Time Study), we applied hierarchical linear models to investigate the longitudinal association of changes in perceived emotional and social support (hereafter PESS; operationalized as ENRICHD Social Support Instrument score) with gambling intensity, gambling frequency, and fulfilled criteria for gambling disorder. Pooling data from three time points (baseline, 12-month and 24-month follow-ups) to assess two 1-year intervals, these models disentangle the associations of (a) “level of PESS” (cross-sectional, between participants) and (b) “changes in individual PESS” (longitudinally, within-participants). Among the 169 study participants, higher levels of PESS were associated with fewer gambling-related problems (− 0.12 criteria met; p = 0.014). Furthermore, increasing individual PESS was associated with lower gambling frequency (− 0.25 gambling days; p = 0.060) and intensity (− 0.11 gambling hours; p = 0.006), and fewer gambling-related problems (− 0.19 problems; p < 0.001). The results suggest a mitigating influence of PESS on gambling behaviour and gambling-related problems. Increasing individual PESS appears more decisive for this pathway than high initial levels of PESS. Treatment and prevention strategies that activate and reinforce beneficial social resources in people with gambling-related problems are recommended and promising.

Emneord
Gambling disorder, Social support, Longitudinal study, Young adults
HSV kategori
Identifikatorer
urn:nbn:se:su:diva-217134 (URN)10.1007/s10899-023-10200-7 (DOI)000969764000001 ()37058216 (PubMedID)2-s2.0-85152969346 (Scopus ID)
Tilgjengelig fra: 2023-05-15 Laget: 2023-05-15 Sist oppdatert: 2024-04-19bibliografisk kontrollert
Kraus, L., Loy, J. K., Olderbak, S., Trolldal, B., Ramstedt, M., Svensson, J. & Törrönen, J. (2024). Does the decline in Swedish adolescent drinking persist into early adulthood?. Addiction, 119(2), 259-267
Åpne denne publikasjonen i ny fane eller vindu >>Does the decline in Swedish adolescent drinking persist into early adulthood?
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2024 (engelsk)Inngår i: Addiction, ISSN 0965-2140, E-ISSN 1360-0443, Vol. 119, nr 2, s. 259-267Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Background and aims: Sweden has experienced a substantial decrease in adolescent drinking over the past decades. Whether the reduction persists into early adulthood remains unclear. Using survey data, the present study aimed to determine whether reductions in indicators of alcohol use observed among adolescents remain in early adulthood and whether changes in alcohol intake are consistent among light/moderate and heavy drinkers.

Design: Data from the Swedish monthly Alcohol Monitoring Survey (2001–20) were used to construct five 5-year birth cohorts (1978–82, 1983–87, 1988–92, 1993–97 and 1998–2002).

Setting: Sweden.

Participants: A total of n = 52 847 respondents (48% females) aged 16 and 30 years were included in this study.

Measurements: For both males and females, temporal changes in the prevalence of any drinking, the prevalence of heavy episodic drinking (HED) and total alcohol intake in the past 30 days in centilitres were analysed.

Findings: The prevalence of any drinking in more recent cohorts remained low until young people came into their early (females) and mid- (males) 20s. Male cohorts differed in the prevalence of HED across age, with the later cohorts showing lower odds than earlier cohorts (odds ratios between 0.54 and 0.66). Among females, no systematic differences between cohorts across age could be observed. Later male birth cohorts in light/moderate drinkers had lower alcohol intake than earlier cohorts (correlation coefficients between −0.09 and −0.54). No statistically significant cohort effects were found for male heavy drinkers. Although differences in alcohol intake among females diminished as age increased, the cohorts did not differ systematically in their level of alcohol intake.

Conclusions: In Sweden, the reduced uptake of drinking in adolescents appears to fade as people move into adulthood. Observed reductions in alcohol intake among light and moderate drinkers appear to persist into adulthood. More recent male cohorts show a lower prevalence rate of heavy episodic drinking.

Emneord
Adolescents, alcohol intake, alcohol use, cohort, heavy episodic drinking, trends, youth drinking
HSV kategori
Identifikatorer
urn:nbn:se:su:diva-222232 (URN)10.1111/add.16342 (DOI)001066322600001 ()37726931 (PubMedID)2-s2.0-85171596329 (Scopus ID)
Tilgjengelig fra: 2023-10-11 Laget: 2023-10-11 Sist oppdatert: 2024-02-22bibliografisk kontrollert
Schwarz, T., Anzenberger, J., Busch, M., Gmel, G., Kraus, L., Krausz, M., . . . Uhl, A. (2024). Opioid agonist treatment in transition: A cross-country comparison between Austria, Germany and Switzerland. Drug And Alcohol Dependence, 254, Article ID 111036.
Åpne denne publikasjonen i ny fane eller vindu >>Opioid agonist treatment in transition: A cross-country comparison between Austria, Germany and Switzerland
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2024 (engelsk)Inngår i: Drug And Alcohol Dependence, ISSN 0376-8716, E-ISSN 1879-0046, Vol. 254, artikkel-id 111036Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Background and Aims: OAT is a well developed and successful treatment strategy for opioid dependent patients in Europe. It has significantly contributed to the fight against the HIV and HCV pandemics, leading to an increased life expectancy in this population. Building on the OAT experiences in Austria, Germany, and Switzerland and their models of care, the objective of this study is to analyse experiences and changes in patient structures to identify necessary adaptations for the system of care.

Methods: We analysed national register-based data from patients receiving OAT during the period spanning from 2010 to 2020 in Austria, Germany (cases), and Switzerland. We examined and compared OAT policies and practice at national levels through a review of literature and publicly available policy documents.

Results: Across these three countries, the life expectancy of OAT patients increased substantially. The mean age increased from 33.0 in 2010 to 39.1 in 2020 in Austria, from 35.6 years to 41.5 years in Germany (cases), and from 39.6 to 47.1 in Switzerland, respectively. In all three countries, the percentage of patients/cases aged 60 years and older increased more than tenfold between 2010 and 2020.

Conclusions: Integrated support models, reliable care structures, internationally comparable high treatment coverage, flexible prescribing practices, and a wide range of available OAT medications are successful strategies. The experiences in these countries indicate that it is possible to address the complex and chronic nature of opioid dependence and its concurrent mental and physical health challenges, resulting in an increasing life expectancy of OAT patients.

Emneord
Life expectancy among PWUD, OAT models, future needs of ageing PWUD, complex concurrent conditions
HSV kategori
Identifikatorer
urn:nbn:se:su:diva-226713 (URN)10.1016/j.drugalcdep.2023.111036 (DOI)001141453600001 ()38091902 (PubMedID)2-s2.0-85181847500 (Scopus ID)
Tilgjengelig fra: 2024-02-19 Laget: 2024-02-19 Sist oppdatert: 2024-02-19bibliografisk kontrollert
Maspero, S., Delle, S., Kraus, L., Pogarell, O., Hoch, E., Bachner, J. & Lochbühler, K. (2024). Short-term effectiveness of the national German quitline for smoking cessation: results of a randomized controlled trial. BMC Public Health, 24(1), Article ID 588.
Åpne denne publikasjonen i ny fane eller vindu >>Short-term effectiveness of the national German quitline for smoking cessation: results of a randomized controlled trial
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2024 (engelsk)Inngår i: BMC Public Health, E-ISSN 1471-2458, Vol. 24, nr 1, artikkel-id 588Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Background

The objective of the present study was to examine the short-term effectiveness of the national German quitline for smoking cessation.

Methods

A parallel-group, two-arm, superiority, randomized controlled trial with data collection at baseline and post-intervention (three months from baseline) was conducted. Individuals were randomized to either the intervention group, receiving up to six telephone counselling calls, or the control group, receiving an active control intervention (self-help brochure). The primary outcome was the seven-day point prevalence abstinence at post-assessment. Secondary outcomes included changes in smoking-related cognitions and coping strategies from pre- to post-assessment, the perceived effectiveness of intervention components, and the satisfaction with the intervention.

Results

A total of n = 905 adult daily smokers were assigned to either the intervention group (n = 477) or the control group (n = 428). Intention-to-treat analyses demonstrated that individuals allocated to the telephone counselling condition were more likely to achieve seven-day point prevalence abstinence at post-assessment compared to those allocated to the self-help brochure condition (41.1% vs. 23.1%; OR = 2.3, 95% CI [1.7, 3.1]). Participants who received the allocated intervention in both study groups displayed significant improvements in smoking-related cognitions and coping strategies with the intervention group showing greater enhancements than the control group. This pattern was also found regarding the perceived effectiveness of intervention components and the satisfaction with the intervention.

Conclusion

The present study provides first empirical evidence on the short-term effectiveness of the national German quitline for smoking cessation, highlighting its potential as an effective public health intervention to reduce the burden of disease associated with smoking.

Trial registration

This study is registered in the German Clinical Trials Register (DRKS00025343). Date of registration: 2021/06/07.

Emneord
Smoking cessation, Telephone counselling, Randomized controlled trial, Quitline, Helpline, Tobacco smoking
HSV kategori
Identifikatorer
urn:nbn:se:su:diva-228271 (URN)10.1186/s12889-024-18104-w (DOI)001177048900012 ()38395782 (PubMedID)2-s2.0-85185968158 (Scopus ID)
Tilgjengelig fra: 2024-04-11 Laget: 2024-04-11 Sist oppdatert: 2024-04-11bibliografisk kontrollert
Lochbuehler, K., Rossa, M., Ebert, C., Morgenstern, M., Arnaud, N. & Kraus, L. (2024). Substance use and the usage of social media, computer games, and gambling among apprentices at vocational schools: [Substanzkonsum und nutzung von sozialen medien, computerspielen und glücksspielen unter auszubildenden an beruflichen schulen]. Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz, 67(4), 465-474
Åpne denne publikasjonen i ny fane eller vindu >>Substance use and the usage of social media, computer games, and gambling among apprentices at vocational schools: [Substanzkonsum und nutzung von sozialen medien, computerspielen und glücksspielen unter auszubildenden an beruflichen schulen]
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2024 (engelsk)Inngår i: Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz, ISSN 1436-9990, E-ISSN 1437-1588, Vol. 67, nr 4, s. 465-474Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Background: The aim of the current study was to assess the prevalence of the (problematic) consumption of alcohol, tobacco, and cannabis as well as the (problematic) use of social media, e‑products, computer games, and gambling among apprentices. Method: Cross-sectional survey of 4591 apprentices at 17 vocational schools from Bavaria, Schleswig-Holstein, and Hamburg. Data was collected using questionnaires between March 2021 and April 2022. The primary endpoints were the 30-day prevalence and the problematic consumption and usage behavior of the mentioned substances/behaviors using screening instruments. Results: Among the assessed substances/behaviors, social media were used most frequently by the apprentices with a 30-day prevalence of 97.7%, followed by alcohol (64.3%) and computer games (55.8%). Cigarettes were consumed by 35.1%, e‑products by 17.9%, and cannabis by 15.4% of the apprentices. Of the apprentices, 12.2% reported having gambled in the past 30 days. Rates of problematic use were 47.4% for alcohol, 18.0% for tobacco, 6.2% for e‑products, and 1.6% for cannabis. Problematic use of social media was indicated by 45.0% of the apprentices, of gambling by 2.2%, and of computer games by 0.7%. Discussion: These results suggest that apprentices constitute a risk group for problematic substance use, indicating increased need for intervention. In particular, secondary prevention efforts in the areas of alcohol and social media should be taken into consideration due to their widespread prevalence in the vocational school setting.

Abstract [de]

Zusammenfassung: HINTERGRUND: Das Ziel der vorliegenden Arbeit war die Erfassung der Verbreitung des (problematischen) Konsums von Alkohol, Tabak und Cannabis sowie der (problematischen) Nutzung sozialer Medien, von E‑Produkten, Computerspielen und Glücksspielen unter Auszubildenden. Methode: Querschnittliche Befragung von 4591 Auszubildenden an 17 beruflichen Schulen in Bayern, Schleswig-Holstein und Hamburg. Die Datenerhebungen mittels Fragebogen erfolgten zwischen März 2021 und April 2022. Die primären Endpunkte waren die 30-Tages-Prävalenz und das problematische Konsum- und Nutzungsverhalten der genannten Substanzen/Verhaltensweisen auf Basis von Screening-Instrumenten. Ergebnisse: Soziale Medien wurden mit einer 30-Tages-Prävalenz von 97,7 % am häufigsten von den Auszubildenden genutzt, gefolgt von Alkohol (64,3 %) und Computerspielen (55,8 %). Zigaretten wurden von 35,1 %, E‑Produkte von 17,9 % und Cannabis von 15,4 % konsumiert. Glücksspiele betrieben 12,2 % der Auszubildenden. Ein problematischer Konsum lag für Alkohol bei 47,4 %, für Tabak bei 18,0 %, für E‑Produkte bei 6,2 % und für Cannabis bei 1,6 % der Auszubildenden vor. Eine problematische Nutzung sozialer Medien wiesen 45,0 % der Auszubildenden auf, bei Glücksspiel waren 2,2 % und bei Computerspielen 0,7 % betroffen. Diskussion: Die Ergebnisse weisen darauf hin, dass es sich bei Auszubildenden um eine Risikogruppe für Suchtprobleme handelt, die erhöhten Interventionsbedarf aufweist. Vor allem Angebote der Sekundärprävention in den Bereichen Alkohol und soziale Medien sollten aufgrund ihrer weiten Verbreitung im Setting Berufsschule beachtet werden.

Emneord
Alcohol, Tobacco, Problematic use, Prevention, Berufsschüler, Alkohol, Tabak, Cannabis, Problematischer Konsum, Prävention
HSV kategori
Identifikatorer
urn:nbn:se:su:diva-228103 (URN)10.1007/s00103-024-03854-0 (DOI)001190482700001 ()38526678 (PubMedID)2-s2.0-85188520073 (Scopus ID)
Tilgjengelig fra: 2024-04-17 Laget: 2024-04-17 Sist oppdatert: 2024-06-10bibliografisk kontrollert
Olderbak, S., Möckl, J., Manthey, J., Lee, S., Rehm, J., Hoch, E. & Kraus, L. (2024). Trends and projection in the proportion of (heavy) cannabis use in Germany from 1995 to 2021. Addiction, 119(2), 311-321
Åpne denne publikasjonen i ny fane eller vindu >>Trends and projection in the proportion of (heavy) cannabis use in Germany from 1995 to 2021
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2024 (engelsk)Inngår i: Addiction, ISSN 0965-2140, E-ISSN 1360-0443, Vol. 119, nr 2, s. 311-321Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Aims: To measure the current trends of cannabis use in Germany, measure trends in the proportion of heavy cannabis users and estimate future cannabis use rates.

Design: Repeated waves of the Epidemiological Survey on Substance Abuse, a cross-sectional survey conducted between 1995 and 2021 with a two-stage participant selection strategy where respondents completed a survey on substance use delivered through the post, over the telephone or on-line.

Setting: Germany.

Participants/cases: German-speaking participants aged between 18 and 59 years living in Germany who self-reported on their cannabis use in the past 12 months (n = 78 678). With the application of a weighting scheme, the data are nationally representative.

Measurements: Questions on the frequency of cannabis use in the past 12 months and self-reported changes in frequency of use due to the COVID-19 pandemic.

Findings: The prevalence of past 12-month cannabis users increased from 4.4% [95% confidence interval (CI) = 3.7, 5.1] in 1995 to 10.0% (95% CI = 8.9, 11.3) in 2021. Modeling these trends revealed a significant increase that accelerated over the past decade. The proportion of heavy cannabis users [cannabis use (almost) daily or at least 200 times per year] among past-year users has remained steady from 1995 (11.4%, 95% CI = 7.7, 16.5) to 2018 (9.5%, 95% CI = 7.6, 11.9), but significantly increased to 15.7% (95% CI = 13.1, 18.8) in 2021 during the COVID-19 pandemic. Extrapolating from these models, the prevalence of 12-month cannabis users in 2024 is expected to range between 10.4 and 15.0%, while the proportion of heavy cannabis users is unclear.

Conclusions: Trends from 1995 to 2021 suggest that the prevalence of past 12-month cannabis users in Germany will continue to increase, with expected rates between 10.4 and 15.0% for the German-speaking adult population, and that at least one in 10 cannabis users will continue to use cannabis heavily (almost daily or 200 + times in the past year).

Emneord
Binomial logistic regression, cannabis, COVID-19, Epidemiological Survey on Substance Abuse, heavy cannabis use, past 12-month, predicted margins, prediction model, splines, trends
HSV kategori
Identifikatorer
urn:nbn:se:su:diva-223457 (URN)10.1111/add.16356 (DOI)001083436900001 ()37816631 (PubMedID)2-s2.0-85173789027 (Scopus ID)
Tilgjengelig fra: 2023-10-30 Laget: 2023-10-30 Sist oppdatert: 2024-03-13bibliografisk kontrollert
Kilian, C., Manthey, J., Rehm, J. & Kraus, L. (2023). Alcohol Policy in Germany: Missed Opportunities to Lower Alcohol's Health Burden. SUCHT, 69(4), 163-171
Åpne denne publikasjonen i ny fane eller vindu >>Alcohol Policy in Germany: Missed Opportunities to Lower Alcohol's Health Burden
2023 (engelsk)Inngår i: SUCHT, ISSN 0939-5911, E-ISSN 1664-2856, Vol. 69, nr 4, s. 163-171Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Upon the release of the third edition of the book Alcohol: no ordinary commodity, the authors evaluated the implementation of cost-effective alcohol policies in Germany. Method: Current legal regulations and practices addressing four policy areas were reviewed: (1) pricing and taxation policies; (2) regulating physical availability; (3) restrictions of alcohol marketing; and (4) drink-driving countermeasures. Results: Compared to other European countries, excise duties on alcoholic beverages and particularly on beer and wine are low and barely lower alcohol affordability. With few exceptions, alcoholic beverages can be purchased at any time and various retail venues (e. g., grocery stores, petrol stations). Restrictions on alcohol marketing are limited to youth protection and the portrayal of 'abusive' alcohol use. The recommended countermeasures to prevent driving under the influence of alcohol have been largely implemented. Conclusion: Cost-effective alcohol policies are insufficiently implemented in Germany, despite their potential to substantially lower the alcohol-related health burden.

Emneord
alcohol, alcohol use disorder, alcohol policy, alcohol regulation
HSV kategori
Identifikatorer
urn:nbn:se:su:diva-221686 (URN)10.1024/0939-5911/a000823 (DOI)001063655500003 ()2-s2.0-85168576294 (Scopus ID)
Tilgjengelig fra: 2023-09-27 Laget: 2023-09-27 Sist oppdatert: 2023-09-27bibliografisk kontrollert
Wilms, N., Seitz, N.-N., Schwarzkopf, L., Olderbak, S. & Kraus, L. (2023). Alcoholic Beverage Preference in Germany: An Age-Period-Cohort Analysis of Trends 1995-2018. Alcohol and Alcoholism, 58(4), 426-435
Åpne denne publikasjonen i ny fane eller vindu >>Alcoholic Beverage Preference in Germany: An Age-Period-Cohort Analysis of Trends 1995-2018
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2023 (engelsk)Inngår i: Alcohol and Alcoholism, ISSN 0735-0414, E-ISSN 1464-3502, Vol. 58, nr 4, s. 426-435Artikkel, forskningsoversikt (Fagfellevurdert) Published
Abstract [en]

Aims: Germany is experiencing a decline in alcohol consumption but not for every alcoholic beverage type. Given the differential health impacts of alcoholic beverage type, it is important to understand the drivers of these trends. We investigated: (a) temporal trends in beverage preference and (b) the effects of age, period and cohort on these trends.

Methods: Data came from nine waves (1995–2018; ntotal = 75,550) of the German Epidemiological Survey of Substance Abuse, a nationally representative household survey of individuals aged 18–59 years. The quantity of beer, wine, spirits and mixed drinks drank in the last 30 days was transformed into grammes of ethanol, and the beverage type preference was estimated as the proportion of total ethanol consumption. Fractional multinomial logit regression was applied to analyse the age, period and cohort effects on temporal trends of beverage preference by sex.

Results: The preference for spirits and mixed drinks decreased with increasing age, while the preference for wine increased with no age effect on beer. There was a general decrease in the preference for beer and an increase in the preference for wine among both sexes, with an additional increase in the preference for spirits in males.

Conclusion: Trends in beverage preference were more related to individual ageing and changes in the whole population than to cohorts. With the continued reduction in alcohol consumption, the decreasing preference for beer and the growing preference for wine suggest a positive development. Trends of an increasing preference for spirits in males are of concern.

HSV kategori
Identifikatorer
urn:nbn:se:su:diva-216450 (URN)10.1093/alcalc/agad013 (DOI)000950220100001 ()36928123 (PubMedID)2-s2.0-85164273745 (Scopus ID)
Tilgjengelig fra: 2023-05-05 Laget: 2023-05-05 Sist oppdatert: 2023-10-06bibliografisk kontrollert
Möckl, J., Lindemann, C., Manthey, J., Schulte, B., Reimer, J., Pogarell, O. & Kraus, L. (2023). Estimating the prevalence of alcohol-related disorders and treatment utilization in Bremen 2016/2017 through routine data linkage. Frontiers in Psychiatry, 14, Article ID 1002526.
Åpne denne publikasjonen i ny fane eller vindu >>Estimating the prevalence of alcohol-related disorders and treatment utilization in Bremen 2016/2017 through routine data linkage
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2023 (engelsk)Inngår i: Frontiers in Psychiatry, E-ISSN 1664-0640, Vol. 14, artikkel-id 1002526Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Background: In Germany, most individuals with alcohol dependence are recognized by the health care system and about 16% per year receive addiction-specific care. This paper aimed to analyze the prevalence and treatment utilization rate of people with alcohol dependence by type of addiction-specific care in the federal state of Bremen using routine and survey data.

Methods: The number of individuals with alcohol dependence was estimated using data from the 2018 Epidemiological Survey of Substance Abuse (ESA). Furthermore, linked routine data of two statutory health insurances (SHIs), the German pension insurance (GPI), and the communal hospital group Gesundheit Nord – Bremen Hospital Group (GeNo), from 2016/2017, were analyzed. Based on SHI data, the administrative prevalence of various alcohol-related diagnoses according to the International Classification of Diseases (ICD-10), in various treatment settings, was extrapolated to the total population of Bremen. Based on all routine data sources, treatment and care services for individuals with alcohol dependence were also extrapolated to Bremen’s total population. Care services included outpatient addiction care visits and addiction-specific treatments, [i.e., qualified withdrawal treatment (QWT), outpatient pharmacotherapy as relapse prevention, and rehabilitation treatment].

Results: Of the survey-estimated 15,792 individuals with alcohol dependence in Bremen, 72.4% (n = 11,427) had a diagnosis documented with an ICD-10 code for alcohol dependence (F10.2) or withdrawal state (F10.3–4). One in 10 individuals with alcohol dependence (n = 1,577) used one or more addiction-specific care services during the observation period. Specifically, 3.7% (n = 675) received outpatient addiction care, 3.9% (n = 736) initiated QWT, 0.8% (n = 133) received pharmacotherapy, and 2.6% (n = 405) underwent rehabilitation treatment. The share of seeking addiction-specific treatment after diagnosis was highest among younger and male patients.

Conclusion: Although more than half of the individuals with alcohol dependence are documented in the health system, utilization rates of addiction-specific treatments are low. These low utilization rates suggest that there are existing barriers to transferring patients with alcohol dependence into addiction-specific care. Strengthening primary medical care provision in dealing with alcohol-related disorders and improving networking within the addiction support system appear to be particularly appropriate.

Emneord
alcohol dependence, treatment utilization, data linkage, routine data, epidemiology
HSV kategori
Identifikatorer
urn:nbn:se:su:diva-215701 (URN)10.3389/fpsyt.2023.1002526 (DOI)000928716300001 ()36778636 (PubMedID)2-s2.0-85147747355 (Scopus ID)
Tilgjengelig fra: 2023-03-28 Laget: 2023-03-28 Sist oppdatert: 2024-01-17bibliografisk kontrollert
Strothmann, B., Kraus, L., Kriston, L., Röhrig, J., Scherbaum, N. & Buchholz, A. (2023). Factorial, Construct, and Predictive Validity of the Motivation for Treatment Scale in Alcohol-Use Disorder Withdrawal Treatment. European Addiction Research, 29(6), 375-384
Åpne denne publikasjonen i ny fane eller vindu >>Factorial, Construct, and Predictive Validity of the Motivation for Treatment Scale in Alcohol-Use Disorder Withdrawal Treatment
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2023 (engelsk)Inngår i: European Addiction Research, ISSN 1022-6877, E-ISSN 1421-9891, Vol. 29, nr 6, s. 375-384Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Introduction: The aim of the present study was to examine for the first time the factorial, construct, and predictive validity of the motivation for treatment (MfT) scale in a cohort of patients undergoing inpatient-qualified alcohol withdrawal treatment with the goal of referring patients to further treatment. The MfT scale has previously been evaluated in different settings of substance abuse treatment, revealing factorial ambiguity. To the best of our knowledge, the present study is the first study that conducted comprehensive factor analyses versus separate analyses of the factors conducted in prior studies in order to clarify the aforementioned factorial ambiguity. Methods: A total of 249 patients (mean age 45.2 years (SD = 10.3); 34.4% females) with alcohol dependence were assessed. Data were obtained from four inpatient clinics specialized in qualified alcohol withdrawal treatment in Germany. First, confirmatory factor analyses were carried out to examine the fit of the four models discussed in the literature. Second, an exploratory factor analysis was conducted. Correlations of the new factors with other motivational constructs and referral to a subsequent treatment were investigated as measures of construct and predictive validity. Results: None of the four models showed an acceptable fit to the data in confirmatory analyses. The exploratory analysis suggested to eliminate seven items because of inappropriate factor loadings and resulted in a shortened MfT scale, which consists of three factors based on 17 items. For the latent variables “problem recognition,” “desire for help,” and “treatment readiness,” satisfactory composite reliability was found with 0.82, 0.80, and 0.78, respectively. Evidence for predictive validity was found in the correlation between “treatment readiness” and referral to a subsequent treatment. Discussion/Conclusion: The new shortened MfT scale exhibited remarkable parsimony, which is desirable in settings such as withdrawal treatment, where patients frequently are cognitively or physically impaired. Despite its briefness, construct and predictive validity were better than in the original version of the MfT scale. The factorial validity of the suggested scale needs to be corroborated in further research. 

Emneord
Alcohol, Treatment motivation, Withdrawal treatment, Alcohol use disorders, Factorial structure
HSV kategori
Identifikatorer
urn:nbn:se:su:diva-226143 (URN)10.1159/000532066 (DOI)001127312600004 ()38008078 (PubMedID)2-s2.0-85178633959 (Scopus ID)
Tilgjengelig fra: 2024-02-01 Laget: 2024-02-01 Sist oppdatert: 2024-02-01bibliografisk kontrollert
Organisasjoner
Identifikatorer
ORCID-id: ORCID iD iconorcid.org/0000-0001-7282-0217