Schroder Kerstin E E, Perrine Mervyn W
Department of Psychology, Utah State University, 2810 Old Main Hill, Logan, UT, USA.
Soc Sci Med. 2007 Dec;65(12):2588-602. doi: 10.1016/j.socscimed.2007.07.011. Epub 2007 Aug 29.
We examined inter- and intra-individual covariations of mood and alcohol consumption in a sample of 171 light, medium, and heavy alcohol consumers aged 21 and over who reported daily about drinking and mood for a period of up to 2 years. The sample was recruited by advertisements in local newspapers and referral from former respondents in Northern Vermont, USA, between July 1997 and September 2000. Participants reported daily alcohol consumption and mood via interactive voice response (IVR) technology. Within-subject correlations were calculated for each individual separately and analyzed via cluster analysis. The cluster solution was subsequently used as a categorical Level-2 predictor in hierarchical linear modeling of daily alcohol consumption. Cluster analyses of the within-subject correlations revealed four clusters: (1) emotion-inhibited drinking (drinking combined with reduced emotional arousal, n=12); (2) "positive emotion drinking" (drinking in combination with positive mood, n=69); (3) "stress drinking" (drinking combined with negative mood, n=12); and (4) "non-emotional drinking" (no relationship between alcohol consumption and mood, n=78). Hierarchical linear modeling (HLM) analyses revealed that a significant amount of random variance of the Level-1 mood slopes (38% and 40%) was accounted for by the clusters, demonstrating the predictive power of cluster membership on individual drinking patterns. Although Cluster 3 members (stress drinking) did not report significantly higher levels of alcohol consumption, they were more likely to report current and lifetime dependence symptoms. The results point to the existence of stable, but diverse drinking patterns among non-clinical alcohol consumers with potentially different implications for development into alcohol abuse and dependence.
我们对171名年龄在21岁及以上的轻度、中度和重度饮酒者进行了研究,考察了他们情绪与酒精消费之间的个体间和个体内协变情况。这些参与者连续长达两年每天报告饮酒情况和情绪状态。样本于1997年7月至2000年9月期间,通过美国佛蒙特州北部当地报纸上的广告以及前受访者的推荐招募而来。参与者通过交互式语音应答(IVR)技术每日报告酒精消费量和情绪状态。分别为每个个体计算受试者内相关性,并通过聚类分析进行分析。随后,聚类结果被用作每日酒精消费量分层线性模型中的二级分类预测变量。对受试者内相关性的聚类分析揭示了四个类别:(1)情绪抑制型饮酒(饮酒时情绪唤醒降低,n = 12);(2)“积极情绪饮酒”(饮酒时伴有积极情绪,n = 69);(3)“压力饮酒”(饮酒时伴有消极情绪,n = 12);以及(4)“非情绪性饮酒”(酒精消费与情绪之间无关联,n = 78)。分层线性模型(HLM)分析表明,聚类解释了一级情绪斜率中相当一部分随机方差(38%和40%),这表明聚类成员身份对个体饮酒模式具有预测能力。尽管第3类成员(压力饮酒者)报告的酒精消费水平并未显著更高,但他们更有可能报告当前和终生的依赖症状。研究结果表明,在非临床酒精消费者中存在稳定但多样的饮酒模式,这些模式对发展为酒精滥用和依赖可能具有不同的影响。