Retest Reliability of Self-Reported Daily Drinking: Form 90 *.
Journal of Studies on Alcohol and Drugs 2007, July, 68, 4
Journal of Studies on Alcohol and Drugs
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INVESTIGATING THE DRINKING BEHAVIOR of alcoholics has involved a shift in conceptual perspective. For example, it was once common to simply assess if treated alcoholics were successful (abstinent) or relapsed (drinking) at treatment discharge, a binary state model. More recently, it has become evident that alcoholics display a wide variation in drinking behavior across time (Longabaugh and Wirtz, 2001; Miller, 1996a). Miller (1996a) characterizes drinking as a complex process that involves a context of alcohol use, dependence, physical sequelae, and neurophysiological impairment that fluctuates over time in a partially interrelated pattern--"a change in the flow of behavior." In other words, drinking is an observable part of a dynamic system rather than a static state. Conceptualizing drinking behavior as a binary state oversimplifies and can lead to misleading conclusions about, for instance, the efficacy of treatment. But, shifting from a static model to a dynamic model requires a supporting methodology. For instance, drinking often involves multiple fluctuations between drinking and abstinence before the emergence of either drinking or abstinence as the dominant behavior pattern. Modeling dynamic processes requires measuring individual drinking longitudinally during extended periods at intervals sufficient to capture those oscillations (Del Boca et al., 2004; Duncan and Duncan, 1996; Willet and Sayer, 1994).
- Category: Health & Fitness
- Published: Jul 01, 2007
- Publisher: Alcohol Research Documentation, Inc.
- Seller: The Gale Group, Inc.
- Print Length: 13 Pages
- Language: English