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首页> 外文期刊>Alcoholism: Clinical and experimental research >The Addictions Neuroclinical Assessment Negative Emotionality Domain Among Treatment‐Seekers with Alcohol Use Disorder: Construct Validity and Measurement Invariance
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The Addictions Neuroclinical Assessment Negative Emotionality Domain Among Treatment‐Seekers with Alcohol Use Disorder: Construct Validity and Measurement Invariance

机译：含有酒精使用障碍的治疗导师中的成瘾神经直链评估阴性情绪结构域：构建有效性和测量不变性

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Background The Addictions Neuroclinical Assessment (ANA), a framework for measuring heterogeneity in alcohol use disorder (AUD), focuses on 3 domains that reflect neurobiological dysfunction in addiction and correspond to the cycles of addiction: executive function, incentive salience, and negative emotionality. Kwako and colleagues (Am J Psychiatry 176:744, 2019) validated a 3‐factor model of the ANA with neuropsychological and self‐report indicators among treatment‐seekers and non–treatment‐seekers with and without AUD. The present analysis replicated and extended these findings in a treatment‐seeking sample, focusing on the negative emotionality domain. Methods Participants ( n ?=?563; 58.8% male; mean age?=?34.3) were part of a multisite prospective study of individuals entering AUD treatment. We examined the factor structure of the negative emotionality domain at the baseline, 6‐month follow‐up, and 12‐month follow‐up assessments. The Beck Depression Inventory, Beck Anxiety Inventory, State‐Trait Anger Expression Inventory‐Trait Anger Subscale, and 3 Drinker Inventory of Consequences items assessing negative affective consequences were indicators in the model. Results Results indicated that a 1‐factor model was an excellent fit at all assessments and that the negative emotionality?domain was time and gender invariant. Furthermore, negative emotionality was associated with drinking patterns and reasons for alcohol use (i.e., drinking because of negative emotions and urges/withdrawal) at all assessments. Conclusions This analysis provides evidence for the construct validity and measurement invariance of the ANA negative emotionality domain among AUD treatment‐seekers. Future studies are needed to evaluate prospective associations between negative emotionality and specific treatment modalities, and whether individuals with greater negative emotionality are more likely to respond to treatment that targets drinking to relieve negative affective states.
机译：背景技术成瘾神经直链评估（ANA），用于测量酒精使用障碍（AUD）中的异质性的框架，重点关注反映成瘾中神经生物功能功能障碍的3个结构域，对应于成瘾的循环：执行功能，激励推动力和负面情绪。 Kwako及其同事（AM J精神病资讯176：744,2019）验证了Ana的3因素模型，其中伴随着治疗者和非治疗者的神经心理学和自我报告指标。本分析在寻求治疗样本中复制并扩展了这些发现，重点是负面情绪域。方法参与者（n？=？563; 58.8％男性;平均年龄？=？34.3）是进入澳元治疗的个人多路前瞻性研究的一部分。我们在基线，6个月的随访和12个月的后续评估中检查了负面情绪域的因子结构。贝克抑郁库存，贝克焦虑库存，国家特质愤怒表达库存 - 特质愤怒分布，以及评估负面情感后果的后果项目的3个饮水商库存是该模型中的指标。结果结果表明，一个因子模型在所有评估中都是优秀的契合，负面情绪？域名是时间和性别不变。此外，在所有评估中，负面情绪与饮用模式以及酒精使用的原因有关，并在所有评估中饮酒和催眠/退出）。结论该分析为AUD治疗导师之间ANA负性情绪领域的构建有效性和测量不变性提供了证据。需要进行未来的研究来评估负面情绪和特定治疗方式之间的预期协会，以及具有更大负面情绪的个体是否更可能应对饮酒以缓解负面情感状态的治疗。

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